{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T13:51:20Z","timestamp":1762955480906},"reference-count":24,"publisher":"Georg Thieme Verlag KG","issue":"06","license":[{"start":{"date-parts":[[2022,5,5]],"date-time":"2022-05-05T00:00:00Z","timestamp":1651708800000},"content-version":"vor","delay-in-days":2377,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2015,11]]},"abstract":"<jats:p>\n          Background  The radial forearm flap is a versatile, widely used flap. However, the possibility of donor site complications has led to concern over its use. Some surgeons prefer using other flaps whose donor sites can be closed primarily with less morbidity, including avoiding unpleasant scarring. However, in our experience, donor site stability of the radial forearm flap can be reliably achieved by using well-implemented specific procedures. Here, we present a collection of donor site cases of the radial forearm flap and investigate factors that affect the aesthetic results as the basis for a reference for selecting a radial forearm flap.<\/jats:p><jats:p>\n          Methods  In this retrospective study, we reviewed 171 cases in which a radial forearm flap was used for free tissue transfer after resecting head and neck cancer. We focused on donor site morbidity rates. Each operation involved a detailed procedure designed to minimize donor site morbidity. Moreover, statistical investigations were conducted for 22 cases to determine factors affecting the scar appearance.<\/jats:p><jats:p>\n          Results  Only one case developed total skin graft necrosis as a major complication. Scar-related aesthetic results were acceptable, and the body-mass index, body weight, diabetes, and cardiac problems were significant factors related to the appearance of scars.<\/jats:p><jats:p>\n          Conclusions  Performing the radial forearm flap using a well-implemented detailed technique helps achieve acceptable donor site morbidity results. The aesthetic results were more promising for patients without excess body weight, diabetes, or cardiac problems. Therefore, anxiety about donor site morbidity should not be a reason to avoid selecting the radial forearm flap in suitable patients.<\/jats:p>","DOI":"10.5999\/aps.2015.42.6.769","type":"journal-article","created":{"date-parts":[[2015,11,25]],"date-time":"2015-11-25T08:23:40Z","timestamp":1448439820000},"page":"769-775","source":"Crossref","is-referenced-by-count":18,"title":["Stabilizing Morbidity and Predicting the Aesthetic Results of Radial Forearm Free Flap Donor Sites"],"prefix":"10.1055","volume":"42","author":[{"given":"Tae Kyoung","family":"Yun","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eul Sik","family":"Yoon","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Duck Sun","family":"Ahn","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seung Ha","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Byung Il","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyon Surk","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hi Jin","family":"You","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,5,5]]},"reference":[{"key":"ref1","first-page":"139","article-title":"Forearm free skin flap transplantation","volume":"61","author":"G Yang","year":"1981","journal-title":"Natl Med J China"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1016\/S0002-9610(05)80096-0","article-title":"The radial forearm free flap for head and neck reconstruction: a review","volume":"168","author":"GR Evans","year":"1994","journal-title":"Am J Surg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1097\/00006534-199701000-00017","article-title":"Radial forearm flap donor-site complications and morbidity: a 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Surg"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"1766","DOI":"10.1097\/00006534-200106000-00019","article-title":"Free anterolateral thigh flap for extremity reconstruction: clinical experience and functional assessment of donor site","volume":"107","author":"YR Kuo","year":"2001","journal-title":"Plast Reconstr Surg"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"664","DOI":"10.1097\/00006534-197905000-00010","article-title":"Latissimus dorsi myocutaneous flaps in head and neck reconstruction","volume":"63","author":"CG Quillen","year":"1979","journal-title":"Plast Reconstr Surg"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1097\/PRS.0b013e318295896c","article-title":"Donor-site morbidity of the radial forearm free flap versus the ulnar forearm free flap","volume":"132","author":"DD Hekner","year":"2013","journal-title":"Plast Reconstr Surg"},{"key":"ref10","first-page":"1090","article-title":"Clinical applications of the radial forearm flap","volume":"24","author":"SW Kim","year":"1997","journal-title":"J Korean Soc Plast Reconstr Surg"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1097\/00129334-200410000-00013","article-title":"Obesity: impediment to postsurgical wound healing","volume":"17","author":"JA Wilson","year":"2004","journal-title":"Adv Skin Wound Care"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1111\/j.1445-2197.2006.03989.x","article-title":"Skin graft failure is predicted by waist-hip ratio: a marker for metabolic syndrome","volume":"77","author":"AJ Penington","year":"2007","journal-title":"ANZ J Surg"},{"key":"ref13","first-page":"e43","article-title":"A review of scar scales and scar measuring devices","volume":"10","author":"R Fearmonti","year":"2010","journal-title":"Eplasty"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"909","DOI":"10.1097\/01.prs.0000232378.88776.b0","article-title":"Visual analogue scale scoring and ranking: a suitable and sensitive method for assessing scar quality","volume":"118","author":"JA Duncan","year":"2006","journal-title":"Plast Reconstr Surg"},{"key":"ref15","first-page":"77","article-title":"Development of a new visual analogue scale for the assessment of area scars","volume":"38","author":"DC Micomonaco","year":"2009","journal-title":"J Otolaryngol Head Neck Surg"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1016\/0007-1226(85)90009-8","article-title":"Improving the donor site of the radial forearm flap","volume":"38","author":"OM Fenton","year":"1985","journal-title":"Br J Plast Surg"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1097\/00000637-199505000-00019","article-title":"A new method of skin-graft stabilization: the Reston technique","volume":"34","author":"MD Wells","year":"1995","journal-title":"Ann Plast 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Surg"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1159\/000276211","article-title":"Reduction of complication rate at radial forearm flap donor sites","volume":"53","author":"F Bootz","year":"1991","journal-title":"ORL J Otorhinolaryngol Relat Spec"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1097\/00006534-199002000-00016","article-title":"The radial forearm flap: reconstructive applications and donor-site defects in 35 consecutive patients","volume":"85","author":"E Swanson","year":"1990","journal-title":"Plast Reconstr Surg"},{"key":"ref23","author":"JG McCarthy","year":"1990"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1016\/S0007-1226(52)80003-7","article-title":"The secondary contracting tendency of free skin grafts; an experimental investigation on animals","volume":"5","author":"A Ragnell","year":"1952","journal-title":"Br J Plast Surg"}],"container-title":["Archives of Plastic 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