{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T23:38:58Z","timestamp":1787614738180,"version":"build-2736575974"},"reference-count":27,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,7,6]],"date-time":"2023-07-06T00:00:00Z","timestamp":1688601600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Donor site defects following the radial forearm flap (RFF) harvest have been usually covered with skin grafting, which often lead to suboptimal outcomes and donor morbidities, including delayed healing and scar contractures. The present report aimed to evaluate the outcomes of using another free flap, the <jats:italic>domino flap<\/jats:italic>, for coverage of donor site defects following RFFF harvest.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Five patients (two males and three females) who underwent coverage of donor defects of RFFF using another free flap between 2019 and 2021 were reviewed. Their mean age was 74\u2009years and the mean dimension of the defect of the RFF donor site was 8.7\u2009\u00d7\u20095.6\u2009cm. Four patients used an anterolateral thigh flap and one used a superficial circumflex iliac artery perforator flap.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean size of the domino flaps were 12.2\u2009\u00d7\u20095.8\u2009cm. Distal stumps of radial vessels adopting retrograde flow were used as recipients in four cases, and proximal ones adopting anterograde in one. The donor site of the domino flaps was primarily closed. All patients recovered well without any postoperative complications. Aesthetically pleasing outcomes with no functional impairment related to scar contractures were observed in the donor site of RFF during the mean follow\u2010up of 15.7\u2009months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Use of another free flap for coverage of RFFF donor defects may provide rapid wound healing and satisfactory outcomes, and may be considered an alternative option in cases with large\u2010sized defects that are expected to take a long time to achieve complete healing with skin grafting.<\/jats:p><\/jats:sec>","DOI":"10.1002\/micr.31082","type":"journal-article","created":{"date-parts":[[2023,7,7]],"date-time":"2023-07-07T05:34:08Z","timestamp":1688708048000},"page":"775-781","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Coverage of radial forearm free flap donor site defect using another free flap"],"prefix":"10.1002","volume":"43","author":[{"given":"Jong\u2010Koo","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Plastic Surgery Samsung Medical Center, Sungkyunkwan University School of Medicine  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9070-9296","authenticated-orcid":false,"given":"Kyeong\u2010Tae","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery Samsung Medical Center, Sungkyunkwan University School of Medicine  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,6]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2004.10.006"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-2752(1996)17:3<136::AID-MICR7>3.0.CO;2-K"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-007-0277-1"},{"key":"e_1_2_8_5_1","article-title":"Retrograde free venous flaps for extremity reconstruction: A roadmap","volume":"58","author":"Giesen T.","year":"2022","journal-title":"Medicina (Kaunas)"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2012.03.020"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2005.09.019"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000112742.51430.A7"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.30883"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.2298\/SARH1506256J"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198410000-00008"},{"issue":"421","key":"e_1_2_8_12_1","first-page":"vii","article-title":"Microsurgical workhorse flaps in head and neck reconstruction","volume":"32","author":"Lutz B. S.","year":"2005","journal-title":"Clinics in Plastic Surgery"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.25839"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.30819"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/1534734620959184"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2018.04.016"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.5999\/aps.2018.00787"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.25977"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199701000-00017"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2015.02.021"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2016.04.007"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2016.06.025"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0039-1701032"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2013.05.034"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1399-0020.2000.290307.x"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1054\/bjom.1997.0088"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000101532.34054.30"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0007-1226(97)91363-1"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.31082","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,15]],"date-time":"2023-11-15T21:05:04Z","timestamp":1700082304000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.31082"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,6]]},"references-count":27,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2023,11]]}},"alternative-id":["10.1002\/micr.31082"],"URL":"https:\/\/doi.org\/10.1002\/micr.31082","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"value":"0738-1085","type":"print"},{"value":"1098-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,6]]},"assertion":[{"value":"2022-12-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-23","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-06","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}