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