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.

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