scholarly journals Sensory Recovery in Noninnervated Radial Forearm Free Flaps in Oral and Oropharyngeal Reconstruction

1998 ◽  
Vol 124 (11) ◽  
pp. 1206 ◽  
Author(s):  
Gregory Lvoff ◽  
Christopher J. O'Brien ◽  
Charles Cope ◽  
Kenneth K. Lee
Keyword(s):  
Free Flaps ◽  
Sensory Recovery ◽  
Radial Forearm ◽  
Oropharyngeal Reconstruction

scholarly journals Sensory Recovery with Innervated and Noninnervated Flaps after Total Lower Lip Reconstruction: A Comparative Study

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Meltem Ayhan Oral ◽  
Kamuran Zeynep Sevim ◽  
Metin Görgü ◽  
Hasan Yücel Öztan
Keyword(s):  
Free Flaps ◽  
Clinical Trial Registry ◽  
Lower Lip ◽  
Lip Reconstruction ◽  
Temperature Perception ◽  
Number Of Patients ◽  
Sensory Recovery ◽  
Radial Forearm ◽  
Surface Contact Area ◽  
Depressor Anguli Oris

This study compares sensory recovery after total lower lip reconstruction in a wide variety of flaps including bilateral depressor anguli oris flap, submental island flap, bilateral fan flaps, radial forearm flap, and pectoralis major myocutaneous flaps in a large number of patients. Spontaneous return of flap sensation was documented by clinical testing in the majority (3%) of patients who underwent total lower lip reconstruction. Sensory recovery occurred more often in patients with fasciocutaneous free flaps than in those with musculocutaneous flaps. Flap sensation to touch, two-point discrimination, and temperature perception was correlated with age, smoking, and radiation treated patients. We conclude that reasonable sensory recovery may be expected in noninnervated flaps, provided that the major regional sensorial nerve has not been sacrificed, and also provided that the patients age is relatively young and that enough surface contact area of the recipient bed is present without marked scarring. This trial was regestered with Chinese Clinical Trial Registry (Chi CTR) with ChiCTR-ONC-13003656.

Sensory Recovery of Innervated and Non-Innervated Radial Forearm Free Flaps: Functional Implications

2000 ◽  
Vol Volume 16 (Number 3) ◽  
pp. 0179-0186 ◽  
Author(s):  
David Netscher ◽  
Arturo H. Armenta ◽  
Ricardo A. Meade ◽  
Eugene L. Alford
Keyword(s):  
Free Flaps ◽  
Functional Implications ◽  
Sensory Recovery ◽  
Radial Forearm

scholarly journals Sensate Radial Forearm Free Flaps in Tongue Reconstruction

2001 ◽  
Vol 127 (12) ◽  
pp. 1463 ◽  
Author(s):  
M. Abraham Kuriakose ◽  
Thom R. Loree ◽  
Alice Spies ◽  
Sandy Meyers ◽  
Wesley L. Hicks, Jr
Keyword(s):  
Free Flaps ◽  
Radial Forearm ◽  
Tongue Reconstruction

scholarly journals Results of Microvascular Free Flap for Reconstruction of Soft Tissue Defects: Our Early Experience

2014 ◽  
Vol 3 (2) ◽  
pp. 33-37
Author(s):  
Debashis Biswas ◽  
Md Abul Kalam ◽  
Tanveer Ahmed ◽  
Md Rabiul Karim Khan
Keyword(s):  
Soft Tissue ◽  
Free Flap ◽  
Free Flaps ◽  
Soft Tissue Defect ◽  
Soft Tissue Defects ◽  
Tissue Defect ◽  
Radial Forearm ◽  
After Cancer ◽  
Microvascular Free Flap ◽  
Tissue Defects

Extensive soft tissue defects following trauma, burn or after cancer surgery need coverage by flaps. Sometimes surrounding tissues are not healthy enough or quantity is not favorable to provide adequate pedicle flaps. Microvascular free flap can provide healthy tissue of adequate amount from distant area for those difficult situations.15 microvascular free flaps were performed from October 2011 to February 2013. Radial forearm free flap was done in 8 and Latissimusdorsi (LD) flap in 7 cases. 10 flaps done in foot, ankle & lower leg region (radial forearm-5, LD-5) and 5 flaps were done in face and scalp region (radial forearm-4, LD-1).12 flaps healed uneventfully with good coverage of the defect. Average ischemia time was 135 min (range 100-240 min) and average anastomosis time was 75 min (average 60-100 min). 2 flaps failed. There was necrosis of the tip of 2 LD and cumbersome swelling of the flap was found in 2 cases of LD flaps.Large soft tissue defect of body where local or regional flaps are not feasible; can be easily covered with free flaps. Its capacity to cover huge soft tissue defect has neutralizes its technical demand. Though complications are still high in our hands; can be reduced performing more number of cases. DOI: http://dx.doi.org/10.3329/bdjps.v3i2.18242 Bangladesh Journal of Plastic Surgery July 2012, 3(2): 33-37

S154 – Primary TEP and Patch Free-Flap Laryngectomy Reconstruction

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P128-P128 ◽  
Author(s):  
Tamer Abdel-Halim Ghanem ◽  
Justin McLarty ◽  
Farhad Ardeshirpour ◽  
Christopher F Baranano ◽  
Eben L Rosenthal ◽  
...  
Keyword(s):  
Free Flap ◽  
Total Laryngectomy ◽  
Demographic Data ◽  
Free Flaps ◽  
Fistula Formation ◽  
Increased Risk ◽  
Radial Forearm ◽  
Speech Therapist ◽  
Fistula Rate ◽  
Tracheoesophageal Puncture

Objectives 1. Assess speech outcomes for patients undergoing primary tracheoesophageal puncture (TEP) following total laryngectomy (TL) with patch free flap reconstruction. 2. Evaluate risk of fistulization following primary TEP vs. no TEP in patch free flap TL reconstruction. Methods Patients undergoing reconstruction with patch free-flaps following TL were studied retrospectively. Demographic data, surgical procedures, speech outcomes, and postoperative complications were collected. Patients were divided in 2 groups depending on whether TEP was performed at the time of ablation (primary TEP). Voice outcomes were assessed by a speech therapist. Results 77 patients underwent TL, mean age of 63 years. Glottis (60%), followed by hypopharynx (18%), and supraglottis (17%) were the most common tumor sites. Most patients had T3 and T4 disease (71%) on initial presentation, and there were 57% undergoing salvage total laryngectomy. The radial forearm fascioucutaneous free flap was used in 90% of the cases. Primary TEP was performed in 44 patients (57%), and only 1 of 33 patients underwent a TEP procedure secondarily. Voice outcomes for the TEP group were good. The overall fistula rate was 39%, half of which healed spontaneously. The fistula rate in the primary TEP group was 41%, and in the group not receiving primary TEP it was 36.7% (p=0.87). Conclusions Primary TEP performed at the time of free-flap patch reconstruction after TL enhances speech outcomes for patients, and does not lead to an increased risk in fistula formation.

Is there an ideal way to close the donor site of radial forearm free flaps?

2018 ◽  
Vol 56 (6) ◽  
pp. 444-452 ◽  
Author(s):  
A.M. Pabst ◽  
R. Werkmeister ◽  
J. Steegmann ◽  
F. Hölzle ◽  
A. Bartella
Keyword(s):  
Donor Site ◽  
Free Flaps ◽  
Radial Forearm

The Radial Forearm Flap

2019 ◽  
pp. 375-382
Author(s):  
Brogan G. A. Evans ◽  
Gregory R. D. Evans
Keyword(s):  
Patient Management ◽  
Free Tissue Transfer ◽  
Free Flaps ◽  
Radial Forearm Flap ◽  
Forearm Flap ◽  
Preoperative Marking ◽  
Great Utility ◽  
Radial Forearm ◽  
Good Cosmesis ◽  
Tissue Defects

Radial forearm free-flaps (RFFF) offer great utility in the reconstruction of intraoral soft tissue defects. The use of a free tissue transfer with the radial forearm flap can obviate poor wound healing and replace previously irradiated tissue with well-perfused normal fascia and skin. Considerable care must be taken by the surgeon to preserve adequate function of speech and swallow, as well as to obtain good cosmesis. Knowledge of proper anatomical orientation and preoperative marking provide keys to a successful flap dissection and intraoral reconstruction. After reading this chapter, the reader should have an understanding of the assessment of intraoral defects, indications for RFFF, intraoperative techniques, and marking, as well as postoperative patient management.

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