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Head Neck. 2017 Sep;39(9):1888-1893. doi: 10.1002/hed.24863. Epub 2017 Jul 4.

Osteocutaneous radial forearm free flap in nonmandible head and neck reconstruction.

Author information

1
Department of Otolaryngology - Head and Neck Surgery, Oregon Health and Science University, Portland, Oregon.

Abstract

BACKGROUND:

The osteocutaneous radial forearm free flap (RFFF) is a versatile flap primarily used to reconstruct composite defects involving the mandible. The purpose of this study was to describe our experience with this flap for nonmandible reconstruction.

METHODS:

All patients undergoing nonmandible osseous reconstruction with free-tissue transfer were reviewed. Patients with osteocutaneous RFFF reconstructions were evaluated. The retrospective review of all osteocutaneous RFFFs was performed from 1998 to 2014.

RESULTS:

One hundred forty-two nonmandible osseous reconstructions were performed. Twenty-five patients underwent nonmandible osteocutaneous RFFF reconstruction. Eleven patients failed previous nonmicrovascular reconstruction. Reconstruction was for defects of the: palatomaxillary complex (n = 15), orbitomaxillary complex (n = 4), nasomaxillary complex (n = 4), larynx (n = 1), and clavicle (n = 1). There were no flap compromises. Postoperative complications included: 2 partial intraoral dehiscences; 1 recipient-site infection; and 1 seroma. Eight reconstructions required secondary procedures to improve functional and/or cosmetic outcomes.

CONCLUSION:

The osteocutaneous RFFF is a robust flap that can be used to reconstruct composite defects involving bone and soft-tissue beyond the mandible.

KEYWORDS:

free tissue transfer; nonmandible reconstruction; osteocutaneous radial forearm free flap; osteocutaneous reconstruction; radial forearm free flap

PMID:
28675554
DOI:
10.1002/hed.24863
[Indexed for MEDLINE]

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