scholarly journals Dorsalis Pedis Free Flap: The Salvage Option following Failure of the Radial Forearm Flap in Total Lower Lip Reconstruction

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Theodoros Stathas ◽  
Georgios Tsinias ◽  
Dimitra Tsiliboti ◽  
Aris Tsiros ◽  
Nicholas Mastronikolis ◽  
...  
Keyword(s):  
Free Flap ◽  
Free Flaps ◽  
Radial Forearm Flap ◽  
Lower Lip ◽  
Lip Reconstruction ◽  
Forearm Flap ◽  
Radial Forearm ◽  
Lip Carcinoma ◽  
The Aesthetic ◽  
Lip Defect

Reconstruction after resection of large tumors of the lower lip requires the use of free flaps in order to restore the shape and the function of the lip, with the free radial forearm flap being the most popular. In this study we describe our experience in using the dorsalis pedis free flap as a salvage option in reconstruction of total lower lip defect in a patient with an extended lower lip carcinoma after failure of the radial forearm free flap, that was initially used. The flap was integrated excellently and on the followup the patient was free of disease and fully satisfied with the aesthetic and functional result.

scholarly journals Total Lip Reconstruction with Tendinofasciocutaneous Radial Forearm Flap

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Eldad Silberstein ◽  
Yuval Krieger ◽  
Yaron Shoham ◽  
Ofer Arnon ◽  
Amiram Sagi ◽  
...  
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Radial Forearm Flap ◽  
Lower Lip ◽  
Lip Reconstruction ◽  
Aesthetic Result ◽  
Forearm Flap ◽  
Palmaris Longus ◽  
Radial Forearm

Introduction.Squamous cell carcinoma is a common tumour of lower lip. Small defects created by surgical resection may be readily reconstructed by linear closure or with local flaps. However, large tumours resection often results with microstomia and oral incompetence, drooling, and speech incomprehension. The goal of this study is to describe our experience with composite free radial forearm-palmaris longus tendon flap for total or near total lower lip reconstruction.Patients and Methods.This procedure was used in 5 patients with 80–100% lip defect resulting from Squamous cell carcinoma. Patients’ age ranged from 46 to 82 years. They are three male patients and two female. In 3 cases chin skin was reconstructed as well and in one case a 5 cm segment of mandible was reconstructed using radius bone. In one case where palmaris longus was missing hemi-flexor carpi radialis tendon was used instead. All patients tolerated the procedure well.Results.All flaps totally survived. No patient suffered from drooling. All patients regained normal diet and normal speech. Cosmetic result was fair to good in all patients accept one.Conclusion.We conclude that tendino-fasciocutaneous radial forearm flap for total lower lip reconstruction is safe. Functional and aesthetic result approaches reconstructive goals.

Total Lower Lip Reconstruction Using Sensate Composite Radial Forearm Flap

2003 ◽  
Vol 14 (3) ◽  
pp. 393-405 ◽  
Author(s):  
Ragip Özdemir ◽  
Turgut Ortak ◽  
Uğur Koçer ◽  
Selim Çelebioğlu ◽  
Ömer Şensöz ◽  
...  
Keyword(s):  
Radial Forearm Flap ◽  
Lower Lip ◽  
Lip Reconstruction ◽  
Forearm Flap ◽  
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.

Total Lower Lip Reconstruction with a Sensate Composite Radial Forearm-Palmaris Longus Free Flap and a Tongue Flap

1997 ◽  
Vol 99 (2) ◽  
pp. 559-561 ◽  
Author(s):  
Joseph M. Serletti ◽  
Ellis Tavin ◽  
Steven L. Moran ◽  
John U. Coniglio
Keyword(s):  
Free Flap ◽  
Lower Lip ◽  
Lip Reconstruction ◽  
Tongue Flap ◽  
Palmaris Longus ◽  
Radial Forearm

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.

scholarly journals Microvascular skin coverage in wounds that expose the Achilles tendon

2021 ◽  
Vol 9 (12) ◽  
pp. 3733
Author(s):  
Baltazar Barrera-Mera ◽  
Israel Salgado-Adame ◽  
Obed Horacio Grajeda-Chávez ◽  
Jazmín Danaé Chávez-Hernández ◽  
Cuauhtémoc Aguilar-Barragán ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Achilles Tendon Rupture ◽  
Free Flaps ◽  
The Body ◽  
Radial Forearm Flap ◽  
Forearm Flap ◽  
Skin Defects ◽  
Free Radial Forearm Flap ◽  
Radial Forearm ◽  
Skin Coverage

Achilles tendon rupture is one of the most frequent tendon ruptures. Surgical intervention is the best option, but it has a high rate of complications leading to skin infections and necrosis. Extensive and aggressive debridement is necessary, producing tendon exposure and large skin defects. There are many alternatives for the skin coverage of the Achilles tendon, like sequential closures, vacuum assisted closure, local flaps, regional flaps, and more recently and efficiently microsurgery flaps. Skin defects in the Achilles tendon region have many peculiarities in comparison with other parts of the body: it is a zone that is always under mechanical stress due to footwear, this is why it must be highly resistant but thin. Its coverage must have sensitive properties, endure tendon gliding and allow early rehabilitation. Sometimes tendon reinforcement or creation or a neo tendon will be needed. For fulfilling these requirements free flaps by microsurgery are the only option in 90% of the cases. In this review article, we analyze three of the most frequently used free flaps in reconstructive medicine for complex Achilles tendon defects; free radial forearm flap, free radial forearm flap with vascularized flexor carpi radialis tendon and free anterolateral thigh (ALT) flap with vascularized fascia lata. This choice will be determined by the number of tissues involved, size of the defect, etiology of the defect, overall condition of the affected extremity and quality of neighboring tissues.

scholarly journals Radial forearm free flap as the last resort for oesophageal reconstruction

2018 ◽  
Vol 100 (8) ◽  
pp. e194-e196
Author(s):  
EA Griffiths ◽  
N Iqbal ◽  
T Martin ◽  
A Ranasinghe ◽  
S Parmar
Keyword(s):  
Free Flap ◽  
Radial Forearm Flap ◽  
Radial Forearm Free Flap ◽  
Patient Factors ◽  
Forearm Flap ◽  
Radial Forearm ◽  
Specific Management

Strategies for oesophageal reconstruction following resection vary according to the nature of the pathology encountered, patient factors and surgeon preference. However, reconstruction in patients with multiple previous failed attempts poses specific management challenges. We present the case of a 61-year-old man who underwent oesophageal reconstruction with a radial forearm flap as a last resort.

The Radial Forearm Free Flap: Workhorse Flap of the 1990s

1995 ◽  
Vol 112 (5) ◽  
pp. P79-P79
Author(s):  
Gerry F. Funk ◽  
Joseph Valentino
Keyword(s):  
Head And Neck ◽  
Free Flap ◽  
Postoperative Care ◽  
Radial Forearm Flap ◽  
Radial Forearm Free Flap ◽  
Flap Reconstruction ◽  
Preoperative Workup ◽  
Forearm Flap ◽  
Intraoperative Management ◽  
Radial Forearm

Educational objectives: To identify specific head and neck defects ideally suited for radial forearm flap reconstruction and to better understand and participate in the preoperative workup, intraoperative management, and postoperative care of patients with forearm flaps.

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