scholarly journals Application of radial forearm free flap in extraoral soft tissue head and neck reconstruction

2009 ◽  
Vol 66 (4) ◽  
pp. 290-294
Author(s):  
Jelena Jeremic ◽  
Zivorad Nikolic ◽  
Lazar Drcic ◽  
Aleksandar Petrovic ◽  
Katarina Jeremic ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Head And Neck ◽  
Free Flap ◽  
Reconstructive Surgery ◽  
Neck Region ◽  
Radial Forearm Flap ◽  
Radial Forearm Free Flap ◽  
Head And Neck Region ◽  
Forearm Flap ◽  
Radial Forearm

Background/Aim. Radial forearm free flap, highly regarded in head and neck reconstructive surgery, is known to be one of the most reliable and versatile flaps. The aim of this study was to illustrate the versatility and reliability of a radial forearm flap in reconstruction of a variety of extraoral head and neck defects. Methods. During a period 2001-2007 at the Clinic for Maxillofacial Surgery, Faculty of Dentistry and the Center for Burns, Plastic and Reconstructive Surgery in Belgrade, 19 patients underwent microsurgical reconstructions after extraoral tumor ablation in the head and neck region, using fasciocutaneous radial forearm free flap. Results. The overall flap survival rate was 89,5%. The complications that appeared were one partial necrosis and one venous thrombosis that in spite of reanastomosis resulted in a complete flap failure. The donor site healed uneventfully in all patients, except one, who had a partial skin graft failure, that ended in a secondary skin grafting. Conclusion. For reconstruction in head and neck surgery, with the need for thin, pliable tissues and a long vascular pedicle, radial forearm flap still remains a primary choice. Because of their multiple advantages, free flaps from the radial forearm is a safe method for reconstruction of a variety of extensive extraoral soft tissue defects in the head and neck region.

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.

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.

scholarly journals Versatility of Radial Forearm Free Flap in Reconstruction of Buccal Defect

2015 ◽  
Vol 27 (1) ◽  
pp. 27-29
Author(s):  
Muhammad Mizanur Rahaman ◽  
Mohammad Iqbal Kabir ◽  
Md Atiqul Islam Rabby ◽  
KM Ahasanul Kabir ◽  
Shamim Hasan ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Free Flap ◽  
Reliable Method ◽  
Radial Forearm Flap ◽  
Radial Forearm Free Flap ◽  
Related Literature ◽  
Forearm Flap ◽  
Radial Forearm ◽  
Ideal Method ◽  
The Ideal

The ideal method for buccal defects reconstruction should provide good outcome of both function and appearance; our goal is to highlight the reliability of radial forearm flap in buccal reconstruction. This retrospective study was conducted from July 2013 to June 2014, 04 radial forearm flaps were used to repair the defects. We analyzed the superiority and reliability of the flap; in addition, we reviewed some related literature. All radial forearm flaps totally survived. Radial forearm flap is a reliable method for buccal defect reconstruction.Medicine Today 2015 Vol.27(1): 27-29

Coverage of Tendon Exposure after Radial Forearm Free Flap by the Dorsoulnar Artery Perforator Flap

2017 ◽  
Vol 156 (5) ◽  
pp. 822-827 ◽  
Author(s):  
Rémi Foissac ◽  
Marc Benatar ◽  
Olivier Dassonville ◽  
Alexandre Bozec ◽  
Gilles Poissonnet ◽  
...  
Keyword(s):  
Head And Neck ◽  
Grip Strength ◽  
Skin Graft ◽  
Free Flap ◽  
Reconstructive Surgery ◽  
Perforator Flap ◽  
Radial Forearm Free Flap ◽  
Cold Intolerance ◽  
Radial Forearm ◽  
Artery Perforator

Objective This study was designed to assess the effectiveness of an alternative technique using a perforator flap to manage secondary tendon exposure after a radial forearm free flap in head and neck oncologic surgery. Study Design Prospective cohort study. Setting Plastic Reconstructive Surgery Unit, Nice University Hospital, Pasteur 2 Hospital, France. Subjects and Methods Despite its numerous advantages, the radial forearm free flap is associated with significant donor site morbidity and the risk of secondary tendon exposure. Conventional skin grafts for secondary tendon exposure can lead to diminished wrist range of motion and grip strength, with residual pain and cold intolerance. Between 2012 and 2015, we prospectively studied 20 patients with secondary tendon exposure after a forearm radial free flap for head and neck reconstruction. Two techniques of secondary coverage were compared: a reference technique with a secondary full skin graft (10 patients) and a dorsoulnar artery perforator (DUAP) flap (10 patients). Results Maximum wrist extension (100%) was observed for the DUAP group compared with only 87% for the skin graft (SG) group ( P = .001). An improvement in grip strength (+14 kg) ( P = .028) and a decrease in pain or cold intolerance ( P = .002) were also observed in the DUAP group, in addition to a better aesthetic appearance. Conclusion The perforator flap procedure is an interesting tool in reconstructive surgery. The DUAP flap is a reliable, useful flap for secondary tendon exposure coverage after a radial forearm free flap. Level of Evidence III (case-control analytic studies of 1 center).

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