Year : 2026

Volume : Volume 17

Issue : Issue 5

Address for correspondence :
Dr Mamta Singh
mamta_singh1947@rediffmail.com

Abstract

Background: The radial forearm free flap (RFFF) is one of the most reliable and versatile microvascular flaps used for reconstruction of head and neck defects following oncologic resection, trauma, and congenital deformities. Owing to its thin, pliable skin paddle, long vascular pedicle, consistent vascular anatomy, and ease of harvest, it remains the preferred choice for soft-tissue reconstruction. Despite its excellent reconstructive outcomes and high flap survival rates, donor-site morbidity continues to be a significant concern because it may adversely affect functional recovery, cosmetic appearance, and overall patient satisfaction. Numerous modifications in flap harvesting and donor-site closure, including suprafascial dissection, full-thickness skin grafts, local advancement flaps, and negative-pressure wound therapy, have been introduced to reduce these complications. Careful patient selection, meticulous surgical technique, individualized donor-site reconstruction, and structured postoperative rehabilitation remain essential for minimizing donor-site morbidity while preserving the reconstructive advantages of the RFFF. This narrative review summarizes the current evidence on donor-site morbidity following radial forearm free flap harvest, discusses the spectrum of associated complications, and highlights contemporary strategies for their prevention and management.