{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T08:59:22Z","timestamp":1777539562480,"version":"3.51.4"},"reference-count":25,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2019,6,11]],"date-time":"2019-06-11T00:00:00Z","timestamp":1560211200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100003453","name":"Natural Science Foundation of Guangdong Province","doi-asserted-by":"publisher","award":["2016A030313196"],"award-info":[{"award-number":["2016A030313196"]}],"id":[{"id":"10.13039\/501100003453","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100013286","name":"Specialized Research Fund for the Doctoral Program of Higher Education","doi-asserted-by":"publisher","award":["20130171110095"],"award-info":[{"award-number":["20130171110095"]}],"id":[{"id":"10.13039\/501100013286","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The donor site defect remains the major disadvantage of the radial forearm free flap (RFFF). The purpose of this case series was to evaluate the effectiveness and safety of a local bilobed flap in direct closure of the RFFF donor site defect.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between February 2017 and July 2017, a prospective study was designed with 13 patients who had undergone RFFF reconstruction of the oral cavity. The primary purpose was to assess the effectiveness and safety of a bilobed flap closure of the RFFF donor site with primary healing. The late endpoint was to evaluate functional morbidity of the donor hand by comparing preoperative and postoperative outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The donor site defect healed primarily in 12 of the 13 patients. A small area of skin necrosis (4%) developed in one patient, which was managed conservatively and healed by secondary intention. A significant reduction of wrist extension (mean difference [MD] = 2.64\u00b0, <jats:italic>P<\/jats:italic>\u2009=\u2009.01) and grip strength (MD = 3.68\u2009kg, <jats:italic>P<\/jats:italic>\u2009=\u2009.04) was observed between preoperative and postoperative measurements. No statistically significant difference was observed regarding flexion, radial deviation, ulnar deviation, supination, pronation and pinch strength (<jats:italic>P<\/jats:italic> &gt;\u2009.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The bilobed flap is a reliable and effective method for closure of a RFFF donor site defect, \u22645 cm in greatest length. The advantages are excellent regional skin color match and avoidance of a second donor site and its inherent complications.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.25839","type":"journal-article","created":{"date-parts":[[2019,6,11]],"date-time":"2019-06-11T11:50:53Z","timestamp":1560253853000},"page":"3282-3289","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Novel technique for the direct closure of the radial forearm flap donor site defect with a local bilobed flap"],"prefix":"10.1002","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4372-0465","authenticated-orcid":false,"given":"Mubarak Ahmed","family":"Mashrah","sequence":"first","affiliation":[{"name":"Department of Oral &amp; Maxillofacial Surgery, Sun Yat\u2010sen Memorial Hospital Sun Yat\u2010sen University  Guangzhou China"},{"name":"Department of Oral &amp; Maxillofacial Surgery, Mother and Childhood Hospital Ministry of health  Ibb City Yemen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yan","family":"Lingjian","sequence":"additional","affiliation":[{"name":"Department of Oral &amp; Maxillofacial Surgery, Sun Yat\u2010sen Memorial Hospital Sun Yat\u2010sen University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas Peter","family":"Handley","sequence":"additional","affiliation":[{"name":"St John's Hospital  Edinburgh UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chaobin","family":"Pan","sequence":"additional","affiliation":[{"name":"Department of Oral &amp; Maxillofacial Surgery, Sun Yat\u2010sen Memorial Hospital Sun Yat\u2010sen University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chen","family":"Weiliang","sequence":"additional","affiliation":[{"name":"Department of Oral &amp; Maxillofacial Surgery, Sun Yat\u2010sen Memorial Hospital Sun Yat\u2010sen University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,6,11]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0007-1226(97)91363-1"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000000047"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.2298\/SARH1506256J"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22425"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1399-0020.2000.290307.x"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2015.02.021"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archfacial.2011.65"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000112742.51430.A7"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0007-1226(03)00213-3"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sap.0000183789.00146.c6"},{"issue":"5","key":"e_1_2_9_12_1","first-page":"427","article-title":"Cosmetic and functional outcomes after preoperative tissue expansion of radial forearm free flap donor sites: a cohort study","volume":"40","author":"Bonaparte JP","year":"2011","journal-title":"J Otolaryngol Head Neck Surg"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e3182321ba0"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0305-4179(06)80012-4"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0901-5027(05)80371-6"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199493030-00032"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199008000-00016"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1000066"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1054\/ijom.2000.0005"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.20406"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2016.02.013"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2015.07.039"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.20912"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.10047"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.125.12.1371"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.3109\/02844319609072405"}],"container-title":["Head &amp; 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