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Received February 20, 2019 Revised April 30, 2019 Accepted June 3, 2019 Address for correspondence Joon Kyoo Lee, MD, PhD Department of OtolaryngologyHead and Neck Surgery, Chonnam National University Medical School and Hwasun Hospital, 322 Seoyang-ro, Hwasun 58128, Korea Tel +82-61-379-8190 Fax +82-61-379-8199 E-mail joonkyoo@jnu.ac.kr Background and Objectives This study compared two types of skin graft reconstruction for the defect of the radial forearm free flap. Subjects and Method Ten cases of split-thickness skin graft (STSG) harvested from the thigh were analyzed. Also, ten cases of full-thickness skin graft (FTSG) harvest from the inguinal area applied with vacuum-assisted closure (VAC) system were analyzed. Results The defect size of the radial forearm was increased more in the STSG group than in the FTSG group (p<0.05). Skin grafts were recovered completely sooner in the FTSG group than in the STSG group although it was not statistically significant (p=0.082). Five complications (pruritus, hypertrophic scar) were found in the donor site in the STSG group (p<0.05). FTSG gave better scores according to the Vancouver Scar Scale in terms of pigmentation, pliability, and height (p<0.05). Conclusion FTSG harvested from the inguinal area with the application of VAC system has many advantages for the defect of the radial forearm free flap although it is usually used for smaller size defects than for STSGs. Korean J Otorhinolaryngol-Head Neck Surg 2019;62(9):515-9

Comparison of Skin Graft for the Defect of the Radial Forearm Free Flap