[Suprafascial dissection of the radial forearm flap].

Introduction: The aim of this study was to assess the efficacy of dissection of radial forearm flap in a superficial plan above the deep fascia to prevent donor site problems.
Patients and Methods: Eighteen radial forearm flaps were used for orofacial reconstruction: 11 suprafascial flaps and seven infrafascial flaps. We compared in the two groups: flap failure, graft success, tendon adhesions, sensory nerve damage at donor site.
Results: We observed one case of flap failure in the infrafascial group and one case in the suprafascial group. With suprafascial elevation flap technique, we noted 100% of grafts integration without tendon adhesion. In infrafascial elevation flap technique, four out of seven patients had delayed healing.
Discussion: The suprafascial dissection of free radial forearm flap creates a superior graft recipient bed ensuring early and complete successful graft.
(2008 Elsevier Masson SAS. All rights reserved.)