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it provides several advantages compared with other 15. Kim TB, Moe KS, Eisele DW, Orloff LA, Wang SJ. Full-thickness skin
methods: (1) it provides an easy and fast way for closure graft from the groin for coverage of the radial forearm free flap donor
site. Am J Otolaryngol 2007;28:325-9.
of the donor site defect; (2) it is a 1-stage procedure 16. Berge SJ, Wiese KG, von Linderen JJ, Niederhagen B, Appel T, Reich RH.
that does not need further revision or care; (3) it Tissue expansion using osmotically active hydrogel systems for direct
obviates a second surgical site and subsequent distant closure of the donor defect of the radial forearm flap. Plast Reconstr
donor site complications or sequela; (4) it provides an Surg 2011;108:1-5.
excellent color match and pliability, similar to that of 17. Bonaparte JP, Corsten MJ, Odell M, Gupta M, Allen M, Tse D.
Management of the radial forearm free flap donor site using a topically
the surrounding skin, because it is an FTSG harvested applied tissue expansion device. Oral Surg Oral Med Oral Pathol Oral
from the neighboring forearm skin; and (5) it can be Radiol 2013;116:28-34.
used to cover large defects of the donor site, ensuring an 18. Hui KC, Zhang F, Lineaweaver WC. Z-plasty closure of the donor
adequate amount of available skin and decreasing the risk defect of the radial forearm free flap. J Reconstr Microsurg 1999;15:19-
21.
for scaring tissue. More clinical series must be reported 19. Akyurek M, Safak T. Direct closure of radial forearm free-flap donor
worldwide to support the suitability of this technique in sites by double-opposing rhomboid transposition flaps. J Reconstr
the optimal covering of RFFF defects. Microsurg 2002;18:33-6.
20. Lane JC, Swan MC, Cassell OC. Closure of the radial forearm donor
site using a local hatchet flap: analysis of 45 consecutive cases. Ann Plast
Financial support and sponsorship Surg 2013;70:308-12.
Nil. 21. Moazzam A, Gordon DJ. Cross-suturing as an aid to wound closure:
a prospective randomized trial using the forearm flap donor site as a
Conflicts of interest model. Br J Plast Surg 2003;56:695-00.
There are no conflicts of interest. 22. Sinha UK, Shih C, Chang K, Rice DH. Use of AlloDerm for coverage of
the radial forearm free flap donor site. Laryngoscope 2002;112:230-4.
23. Wester JL, Pittman AL, Lindau RH, Wax MK. AlloDerm with split-
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Plast Aesthet Res || Volume 3 || June 24, 2016 201