Radial Forearm Donor Site Closure

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of British Columbia

About this trial

The radial forearm free flap (RFFF) is widely used in head and neck reconstruction. Its thinness, pliability, pedicle length, and vessel size are particularly suited for oropharyngeal and oral cavity reconstruction. Concerns about aesthetic and functional morbidity at the donor site have given rise to various techniques of closing the donor site, two of which are the split-thickness skin graft (STSG), taken from the thigh, and the hatchet flap, which uses a local flap within the radial forearm. This RCT will determine whether retrospectively reported improvements to aesthetic and functional outcomes for STSG patients are greater compared to hatchet flap patients.

Eligibility criteria

Qualifiers

Adults aged 18 or older

Oral cavity disease (malignant or benign) requiring radial forearm free flap reconstruction

Disqualifiers

Serious medical comorbidities including metastatic disease or other contraindications to surgery

Any pre-existing condition affecting the use of both hands, including previous major scars

Unable or unwilling to complete post-operative questionnaires in English

Pregnant or lactating women

Trial design

Treatments tested in this trial

  • Split-Thickness Skin Graft for Radial Forearm Donor Site Closure
  • Hatchet Flap for Radial Forearm Donor Site Closure

Treatment groups

120 Participants
are divided into 2 treatment groups

Sponsors and collaborators