2025 Volume 38 Issue 1 Pages 6-13
Elevation of the radial forearm flap is considered a relatively simple procedure. However, the conventional method of including the deep fascia of the flexor carpi radialis and brachioradialis tendons in the flap has a risk of graft loss at the donor site. Herein, we report the treatment outcomes of eight patients who were treated using the suprafascial dissection technique for radial forearm flap reconstruction at our hospital between January 2017 and October 2024.
The patients consisted of six males and two females, with an average age of 46 years. There were no reoperations due to vascular anastomosis complications, and all flaps completely survived. The donor site treatment period ranged from 13 to 38 days (average of 21 days) . Completely preserving the deep fascia was challenging, with partial damage occurring in three of eight cases. This highlights the need for a meticulous surgical technique.
Although the number of cases was small, the suprafascial dissection technique showed good flap survival rates and no donor site complications, suggesting it may be a reliable method.
