Use of vacuum sealing drainage therapy in the closure of a radial forearm flap donor site defect with a full-thickness skin graft

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• 作者：Da-ming Zhang¹ ; ^{lpg53372083@163.com" class="auth_mail" title="E-mail the corresponding author} ; Zhao-hui Yang¹ ; ^{blueocean2013@aliyun.com" class="auth_mail" title="E-mail the corresponding author} ; Pei-lin Zhuang ^{pelion@163.com" class="auth_mail" title="E-mail the corresponding author} ; You-yuan Wang ^{sumswangyy@163.com" class="auth_mail" title="E-mail the corresponding author} ; Xiao-peng Zhao ^{273389907@qq.com" class="auth_mail" title="E-mail the corresponding author} ; Fan Song ^{fansong8888@163.com" class="auth_mail" title="E-mail the corresponding author} ; Wei-liang Chen ^{drchen@vip.163.com" class="auth_mail" title="E-mail the corresponding author} ; Bin Zhang ; ^{158516636@qq.com" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Skin graft ; Radial forearm flap ; Vacuum sealing drainage therapy ; Oral cancer
• 刊名：Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology
• 出版年：2016
• 出版时间：July 2016
• 年：2016
• 卷：28
• 期：4
• 页码：304-306
• 全文大小：837 K

文摘

The donor site defect of a radial forearm free flap is typically repaired with a full-thickness or split-thickness skin graft. Reports of vacuum sealing drainage (VSD) therapy for the closure of a radial forearm flap donor site defect with a full-thickness skin graft are rarely presented. This clinical study evaluated the efficacy and safety of VSD therapy for the closure of radial forearm flap donor site defects with full-thickness skin grafts.

Methods

This study reviewed the cases of 28 patients (including eight patients with type 2 diabetes) who had undergone reconstruction of soft tissue defects resulting from resection of oral squamous cell carcinoma with radial forearm free flaps. VSD dressings were applied on the radial forearm flap donor sites in all patients.

Results

Complete coverage of the donor site defect with full-thickness skin graft was evident in (n = 27) 96% of patients. Only one patient (4%) exhibited a partial loss of the graft at its edge. No tendon exposure was noted. The long-term functional and esthetic results were excellent over 4–12 months of follow-up.

Conclusions

VSD therapy is a safe, effective, and simple technique for closing a radial forearm flap donor site defect with a full-thickness skin graft.