{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T13:59:15Z","timestamp":1791208755377,"version":"4.1.0"},"reference-count":12,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,11,22]],"date-time":"2013-11-22T00:00:00Z","timestamp":1385078400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2013,11,22]],"date-time":"2013-11-22T00:00:00Z","timestamp":1385078400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2014,1]]},"abstract":"\n Objective<\/jats:title>\n Major causes of donor site morbidity after free flap harvest are lack of split\u2010thickness skin graft (STSG) take and tendon exposure. Long\u2010term cosmesis remains poor. AlloDerm has shown cosmetically better donor site healing, albeit prolonged healing. We sought to evaluate the use of STSG with AlloDerm compared with STSG alone.<\/jats:p>\n <\/jats:sec>\n \n Study Design<\/jats:title>\n Case series with chart review.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Academic tertiary care medical center.<\/jats:p>\n <\/jats:sec>\n \n Methods and Subjects<\/jats:title>\n Institutional review board\u2013approved study. Microvascular database queried from 2002 to 2012. Subjects with forearm free flaps and either AlloDerm + STSG or STSG alone for donor site reconstruction were included. Morbidity outcomes were compared.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Eighty patients (50\u00a0male, 30 female) received AlloDerm + STSG at the donor site. Major and minor donor site complications were 15.0% and 18.8% in the AlloDerm + STSG group compared with 10.2% and 16.9% in the STSG\u2010only group (\n P<\/jats:italic>\n =. 30 and\n P<\/jats:italic>\n =. 72), respectively. Complete STSG loss (5.0% vs 3.0%,\n P<\/jats:italic>\n =. 48), tendon exposure (5.0% vs 5.4%,\n P<\/jats:italic>\n = 1.0), functional impairment (2.5% vs 1.8%,\n P<\/jats:italic>\n =. 66), infection (8.8% vs 9.6%,\n P<\/jats:italic>\n = 1.0), hematoma\/seroma (5.0% vs 3.6%,\n P<\/jats:italic>\n =. 73), and paresthesia (1.3% vs 3.6%,\n P<\/jats:italic>\n =. 43) were not significant. No patients required a second STSG after loss in the AlloDerm + STSG group compared with 60% (\n P<\/jats:italic>\n =. 17). Cosmetic results were superior in the AlloDerm + STSG group as rated by the surgeon (3.5 vs 2.6,\n P<\/jats:italic>\n =. 03) and patients (3.7 vs 2.9,\n P<\/jats:italic>\n =. 05) on a scale of 1 to 5.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Our results suggest that the use of AlloDerm with STSG can provide thicker coverage of the forearm defect, with minimal donor site morbidity and superior cosmetic results compared with STSG alone.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/0194599813513713","type":"journal-article","created":{"date-parts":[[2013,11,23]],"date-time":"2013-11-23T01:59:07Z","timestamp":1385171947000},"page":"47-52","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":48,"title":["AlloDerm with Split\u2010Thickness Skin Graft for Coverage of the Forearm Free Flap Donor Site"],"prefix":"10.1002","volume":"150","author":[{"given":"Jacob L.","family":"Wester","sequence":"first","affiliation":[{"name":"Department of Head and Neck Surgery University of California\u2013Los Angeles Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy L.","family":"Pittman","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head & Neck Surgery Oregon Health and Science University Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert H.","family":"Lindau","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head & Neck Surgery University of Nebraska Medical Center Omaha Nebraska USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark K.","family":"Wax","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head & Neck Surgery Oregon Health and Science University Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,11,22]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"139","article-title":"Forearm free skin flap transplantation","volume":"61","author":"Yang G","year":"1981","journal-title":"Natl Med J China"},{"key":"e_1_2_8_3_1","article-title":"Reduction of donor site morbidity of free radial forearm flaps: what level of evidence is available?","volume":"12","author":"Loeffelbein DJ","year":"2012","journal-title":"Eplasty"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2005.09.019"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sap.0000221622.41450.60"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200202000-00006"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.2310\/7070.2002.34423"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sap.0000183789.00146.c6"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200011000-00009"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2009.05.031"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599811430897"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2005-864844"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-007-0277-1"}],"container-title":["Otolaryngology\u2013Head and Neck 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