Re: Ipsilateral full-thickness skin grafts to repair the donor site defect of a radial forearm free flap: a reflection on technique

I read with interest the recent paper by Krishnan and Mitchell.1 As a trainee, I worked in two head and neck units with different approaches to closing the donor sites of radial forearm free flaps (RFFF). The preferred sites were the ipsilateral forearm, and a combination of the iliac fossa and forearm (biased towards the iliac fossa). We used a validated system (the Patient and Observer Scar Assessment Scale)2 to assess the appearance, function, and symptoms at the RFFF of the donor or recipient sites about 18 months after operation. (Source: The British Journal of Oral and Maxillofacial Surgery)

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