Pilot Study: Superficial Circumflex Iliac Perforator Flap for Coverage of Radial Forearm Free Flap Donor Sites

The radial forearm free flap (RFFF) remains a workhorse for reconstruction, but donor-site morbidity is a major drawback. Traditional closure methods, such as skin grafting, can result in tendon exposure, contour deformity, and poor aesthetics. The superficial circumflex iliac perforator (SCIP) flap has emerged as a versatile option with low donor-site morbidity. This pilot study reports the use of an SCIP flap to provide coverage of RFFF donor sites.

We performed a retrospective review of patients who underwent RFFF reconstruction with SCIP flap coverage of the forearm donor site. Demographic data, operative details, complications, and clinical follow-up were recorded. Outcomes were analyzed descriptively.

Nine patients underwent RFFF reconstruction with SCIP donor-site coverage. All SCIP flaps survived, and all donor sites ultimately healed. There were 4 minor complications, all of which resolved with conservative management, and no patient required reoperation. No major complications or complete flap losses occurred.

SCIP flap coverage of the RFFF donor site was feasible and provided reliable healing with only minor complications in this small pilot series. This approach may be considered in selected patients in whom an RFFF is indicated because of its long pedicle and thin flap, but donor-site morbidity is a concern. Larger, comparative studies with objective functional and aesthetic outcomes are needed to define the role of this technique relative to conventional skin grafting and other flaps.