Fistula Analysis After Radial Forearm Free Flap Reconstruction of Hypopharyngeal Defects

2008 ◽  
Vol 118 (7) ◽  
pp. 1157-1163 ◽  
Author(s):  
Patricio Andrades ◽  
Stephen F. Pehler ◽  
Christopher F. Baranano ◽  
Jeffery S. Magnuson ◽  
William R. Carroll ◽  
...  
Keyword(s):  
Free Flap ◽  
Radial Forearm Free Flap ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Radial Forearm

Endoscopic Adipofascial Radial Forearm Free Flap Reconstruction of the Skull Base: A Technical Update

2020 ◽  
Author(s):  
Patrik Pipkorn ◽  
Jake J. Lee ◽  
Joseph Zenga ◽  
Michael R. Chicoine
Keyword(s):  
Skull Base ◽  
Free Flap ◽  
Wide Resection ◽  
Radial Forearm Free Flap ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Endoscopic Endonasal ◽  
Skin Paddle ◽  
Radial Forearm ◽  
Technical Modifications

Abstract Objectives While most defects after endoscopic endonasal resections can be closed with local or locoregional options, rare cases require free tissue transfer. In this setting, while minimally invasive techniques have been described, the essential procedural details are lacking. The objective of this report is to describe several key technical modifications to free flap harvest and endoscopic-assisted inset which decrease morbidity and improve reliability and efficiency. Methods A retrospective chart review was performed of consecutive patients treated at Washington University in St. Louis with endoscopic free flap reconstruction through a Caldwell–Luc/transbuccal approach between January 2016 and September 2019. Results A total of six patients underwent adipofascial radial forearm free flap with this technique, five for recalcitrant cerebrospinal fluid leak or pneumocephalus and one for osteoradionecrosis. All flaps survived and there were no flap-related complications. Five patients (83%) achieved successful healing and separation of the sinonasal cavity and intracranial space. One patient developed recurrent pneumocephalus. Three key technical modifications were identified that improve efficiency and reliability of flap delivery and inset: (1) use of an adipofascial radial forearm flap, without skin paddle; (2) wide resection of the anterior and lateral maxillary face to facilitate flap delivery; and (3) precise defect measurement and flap contouring prior to inset to prevent any need to debulk the flap in situ. Conclusion Endoscopic adipofascial radial forearm free flap delivered to the skull base through a Caldwell–Luc/transbuccal corridor is a feasible option with a high success rate and low morbidity when other reconstructive attempts have failed.

Oral sensation and function: A comparison of patients with innervated radial forearm free flap reconstruction to healthy matched controls

Head & Neck ◽  
2009 ◽  
pp. NA-NA ◽  
Author(s):  
Irene J. Loewen ◽  
Carol A. Boliek ◽  
Jeffrey Harris ◽  
Hadi Seikaly ◽  
Jana M. Rieger
Keyword(s):  
Free Flap ◽  
Radial Forearm Free Flap ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Radial Forearm ◽  
And Function

scholarly journals Radial Forearm Flap for Tongue Reconstruction

2008 ◽  
Vol 23 (2) ◽  
pp. 43-45
Author(s):  
Rodney Oliver J. Aragon ◽  
Samantha Soriano –Castaneda ◽  
Joselito F. David
Keyword(s):  
Neck Dissection ◽  
Free Flap ◽  
Donor Site ◽  
Radical Neck Dissection ◽  
Functional Restoration ◽  
Radial Forearm Free Flap ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Radial Forearm ◽  
Tongue Reconstruction

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

A comparison of radial forearm free-flap reconstruction and non-reconstruction after partial maxillectomy

2016 ◽  
Vol 28 (2) ◽  
pp. 111-117
Author(s):  
Masaya Akashi ◽  
Yasuyuki Shibuya ◽  
Yusuke Takahashi ◽  
Junya Kusumoto ◽  
Akiko Sakakibara ◽  
...  
Keyword(s):  
Free Flap ◽  
Radial Forearm Free Flap ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Radial Forearm

Radial Forearm Free‐Flap Reconstruction Following Radiotherapy and Total Laryngectomy

1999 ◽  
Vol 15 (01) ◽  
pp. 15-18 ◽  
Author(s):  
Yuhei Yamamoto ◽  
Hiroshi Furukawa ◽  
Tsuneki Sugihara ◽  
Satoshi Fukuda ◽  
Yasushi Furuta ◽  
...  
Keyword(s):  
Free Flap ◽  
Total Laryngectomy ◽  
Radial Forearm Free Flap ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Radial Forearm

Prefabricated auricular cartilage radial forearm free flap reconstruction for cricoid chondrosarcoma

2015 ◽  
Vol 125 (11) ◽  
pp. 2514-2517 ◽  
Author(s):  
Ryan S. Jackson ◽  
Eliot J. Martin ◽  
Eric J. Moore
Keyword(s):  
Free Flap ◽  
Radial Forearm Free Flap ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Auricular Cartilage ◽  
Radial Forearm
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