Beavertail modification of the radial forearm free flap in base of tongue reconstruction: Technique and functional outcomes

Head & Neck ◽  
2009 ◽  
Vol 31 (2) ◽  
pp. 213-219 ◽  
Author(s):  
Hadi Seikaly ◽  
Jana Rieger ◽  
Daniel O'Connell ◽  
Khalid Ansari ◽  
Khalid AlQahtani ◽  
...  
Head & Neck ◽  
2007 ◽  
Vol 29 (11) ◽  
pp. 1024-1032 ◽  
Author(s):  
Jana M. Rieger ◽  
Jana G. Zalmanowitz ◽  
Shirley Y. Y. Li ◽  
Anna Sytsanko ◽  
Jeffrey Harris ◽  
...  

2019 ◽  
Vol 133 (05) ◽  
pp. 413-418 ◽  
Author(s):  
P Sittitrai ◽  
D Reunmakkaew ◽  
C Srivanitchapoom

AbstractObjectiveThis study compared the complications and functional outcomes of patients with oral tongue cancer who had undergone reconstruction using a submental island flap or a radial forearm free flap.MethodOf the 54 patients, 29 underwent reconstruction with a submental island flap and 25 patients with a radial forearm free flap. The complications and outcomes of speech and swallowing were evaluated.ResultsIn the submental island flap group, all the flaps were successfully transferred with no donor site complications. In the radial forearm free flap group, partial skin graft loss and arm function restriction were recorded. Mean operative time and duration of hospital stay were significantly shorter in the submental island flap group. Speech and swallowing function were comparable between the two groups. There was no significant difference in locoregional recurrence between the groups.ConclusionThe submental island flap is reliable and is suitable for oral tongue reconstruction. It has a lower complication incidence when compared to the radial forearm free flap, while maintaining speech and swallowing function.


Oral Oncology ◽  
2019 ◽  
Vol 96 ◽  
pp. 71-76 ◽  
Author(s):  
Peter T. Dziegielewski ◽  
Jana Rieger ◽  
Mohamed A. Shama ◽  
Daniel A. O'Connell ◽  
Jeffrey R. Harris ◽  
...  

EMJ Urology ◽  
2020 ◽  
Author(s):  
Philip Brazio ◽  
Irene Ma ◽  
Gordon Lee

Phalloplasty has matured considerably over the last decades in reconstructive options and technical refinements, thanks to increasing recognition of gender dysphoria. The primary goals of performing a phalloplasty are to facilitate sexual penetration, protective sensation, orgasm, standing micturition, and natural aesthetic, ideally in few stages and with minimal morbidity. Radial forearm free flap, anterolateral flap, and metoidioplasty are the most common options, each with a unique profile of complications, aesthetic, and functional outcomes. Choices for reconstruction must be tailored to the individual patient’s goals and available tissue characteristics.


2008 ◽  
Vol 134 (8) ◽  
pp. 857 ◽  
Author(s):  
Daniel Ambrose O’Connell ◽  
Jana Rieger ◽  
Jeffrey Richard Harris ◽  
Peter Dziegielewski ◽  
Jana Zalmanowitz ◽  
...  

Author(s):  
V Monish ◽  
V Jaya ◽  
R Johnsi Rani

This study is aimed to investigate the articulatory functions of patients who have undergone tongue reconstruction following hemiglossectomy. The second aim of the study is to compare the speech intelligibility between hemiglossectomy patients who have undergone tongue reconstruction using pectoralis major myocutaneous with those hemiglossectomy patients who had undergone tongue reconstruction using radial forearm free flap.Fourteen patients who have undergone tongue reconstruction following hemiglossectomy as a treatment for oral cancer between the age of 30 to 60 years were taken up for this study. Tamil Articulation Test was used for assessing the articulatory functions of patients. The speech intelligibility of each patient was assessed using the Ali Yavar Jung National Institute for the Hearing Handicapped intelligibility rating scale. Analysis of articulatory errors revealed linguoalveolar consonants were more impaired when compared to other consonants. Patients with radial forearm free flap had somewhat better speech intelligibility compared to patients with pectoralis major myocutaneous flap reconstruction.The type of reconstruction also impacts the speech intelligibility. Effective intervention can be planned based on the comprehensive speech evaluation and analysis of articulatory error relative to place and manner of production.


ORL ◽  
2019 ◽  
Vol 81 (5-6) ◽  
pp. 252-264 ◽  
Author(s):  
Yong-Cong Cai ◽  
Chao Li ◽  
Din-fen Zeng ◽  
Yu Qiu Zhou ◽  
Rong Hao Sun ◽  
...  

2003 ◽  
Vol 113 (5) ◽  
pp. 897-904 ◽  
Author(s):  
Hadi Seikaly ◽  
Jana Rieger ◽  
John Wolfaardt ◽  
Gerald Moysa ◽  
Jeffery Harris ◽  
...  

2008 ◽  
Vol 23 (2) ◽  
pp. 43-45
Author(s):  
Rodney Oliver J. Aragon ◽  
Samantha Soriano –Castaneda ◽  
Joselito F. David

Objective: To present a case of tongue reconstruction using radial forearm free flap. Methods: Design: Case Report Setting:  Tertiary government hospital Patient: One Results: A 52-year- old female with a T3N2cM0 Stage IVa right tongue carcinoma underwent tracheotomy, right hemiglossectomy with modified radical neck dissection type III and extended supraomohyoid neck dissection on the left with radial forearm free flap reconstruction. After 1 month, the radial forearm free flap reconstruction in the tongue had acceptable appearance and good tongue mobility with intelligible speech. The patient did not complain about the appearance and function of the left forearm. Conclusion: The radial forearm free flap is a viable reconstructive option for tongue defects especially where a thin, pliable flap is needed. There is acceptable form and functional restoration with minimal donor site morbidity. Keywords: radial forearm free flap, tongue reconstruction


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