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Radial Forearm Donor Site Closure

RECRUITINGN/ASponsored by University of British Columbia
Actively Recruiting
PhaseN/A
SponsorUniversity of British Columbia
Started2023-02-01
Est. completion2025-12
Eligibility
Age18 Years+
Healthy vol.Accepted
View on ClinicalTrials.gov →

NCT05740033

Summary

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

Age: 18 Years+Healthy volunteers accepted
Inclusion Criteria:

* Adults aged 18 or older
* Oral cavity disease (malignant or benign) requiring radial forearm free flap reconstruction

Exclusion Criteria:

* 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

Conditions4

CancerDonor Site ComplicationOral CancerOral Cavity Cancer

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