Use of Radial Forearm Free Flap With Palmaris Longus Tendon in Reconstruction of Total Maxillectomy With Sparing of Orbital Contents

2003 ◽  
Vol 14 (2) ◽  
pp. 220-227 ◽  
Author(s):  
Ibrahim Askar ◽  
M. Faruk Oktay ◽  
Nihal Kilinc
Keyword(s):  
Free Flap ◽  
Radial Forearm Free Flap ◽  
Longus Tendon ◽  
Palmaris Longus ◽  
Total Maxillectomy ◽  
Radial Forearm ◽  
Palmaris Longus Tendon

Reconstruction of Total Lower Lip and Chin Defects Using the Composite Radial Forearm—Palmaris Longus Tendon Free Flap

2000 ◽  
Vol 2 (1) ◽  
pp. 53-56 ◽  
Author(s):  
Camilla M. A. Carroll ◽  
Irvin Pathak ◽  
Jonathan Irish ◽  
Peter C. Neligan ◽  
Patrick J. Gullane
Keyword(s):  
Free Flap ◽  
Lower Lip ◽  
Longus Tendon ◽  
Palmaris Longus ◽  
Radial Forearm ◽  
Palmaris Longus Tendon

scholarly journals Versatility of radial forearm free flap for intraoral reconstruction

2015 ◽  
Vol 143 (5-6) ◽  
pp. 256-260 ◽  
Author(s):  
Jelena Jeremic ◽  
Zivorad Nikolic
Keyword(s):  
Free Flap ◽  
Donor Site ◽  
Free Flaps ◽  
Radial Forearm Free Flap ◽  
Sphincter Reconstruction ◽  
Vein Thrombosis ◽  
Single Donor ◽  
Radial Forearm ◽  
Acceptable Method ◽  
Palmaris Longus Tendon

Introduction. The radial forearm free flap has an important role in reconstruction of the oncologic defects in the region of head and neck. Objective. The aim was to present and evaluate clinical experience and results in the radial forearm free transfer for intraoral reconstructions after resections due to malignancies. Methods. This article illustrates the versatility and reliability of forearm single donor site in 21 patients with a variety of intraoral oncologic defects who underwent immediate (19 patients, 90.5%) or delayed (2 patients, 9.5%) reconstruction using free flaps from the radial forearm. Fascio-cutaneous flaps were used in patients with floor of the mouth (6 cases), buccal mucosa (5 cases), lip (1 case) and a retromolar triangle (2 cases) defects, or after hemiglossectomy (7 cases). In addition, the palmaris longus tendon was included with the flap in 2 patients that required oral sphincter reconstruction. Results. An overall success rate was 90.5%. Flap failures were detected in two (9.5%) patients, in one patient due to late ischemic necrosis, which appeared one week after the surgery, and in another patient due to venous congestion, which could not be salvaged after immediate re-exploration. Two patients required re-exploration due to vein thrombosis. The donor site healed uneventfully in all patients, except one, who had partial loss of skin graft. Conclusion. The radial forearm free flap is, due to multiple advantages, an acceptable method for reconstructions after resection of intraoral malignancies.

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