Retrospective Study On Results Of Full Thickness Skin Graft To Cover Radial Forearm Free Flap Donor Site Defect

Full Thickness Skin Graft To Cover Radial Forearm Free Flap Donor Site Defect

Abstract

Background: Considering the burden of oral cancers in Indian subcontinent many patients undergo ablative surgery for oral cancer. Buccal mucosa and tongue are commonly affected due to etiology being chewable tobacco. Radial forearm flap is commonly selected to reconstruct buccal mucosal or tongue lining. Material And Methods: 100 patients are selected who underwent ablative surgery and reconstruction by free radial forearm flap. Full thickness graft was harvested in all those form groin area and groin was closed primary. The results were evaluated for graft take, aesthetic appearance and hand functions from grade 1 to 5. Result: In most of patients graft take was almost 100%. Epidermal loss was noted in some patients but dermal take was present. None of the patients required to undergo re-grafting or debridement for forearm. Majority of patients were in grade V; 82 for cosmetic analysis and 83 for functional analysis. Mean value for cosmetic was 7.73±0.7 and for functions it was 4.78±0.52. Conclusion: Full thickness skin graft provides stable and better outcomes. Graft loss is a major fear but is good technique and post op care if taken, that serves as much better option. [Shah G Natl J Integr Res Med, 2023; 14(3): 28-30, Published on Dated: 18/05/2023]