Osteocutaneous radial forearm free flap in nonmandible head and neck reconstruction

Faisal I. Ahmad, Casey Means, Alex B. Labby, Scott Troob, Javier D. Gonzalez, Michael Kim, Ryan Li, Mark Wax

Research output: Contribution to journalArticle

Abstract

Background: The osteocutaneous radial forearm free flap (RFFF) is a versatile flap primarily used to reconstruct composite defects involving the mandible. The purpose of this study was to describe our experience with this flap for nonmandible reconstruction. Methods: All patients undergoing nonmandible osseous reconstruction with free-tissue transfer were reviewed. Patients with osteocutaneous RFFF reconstructions were evaluated. The retrospective review of all osteocutaneous RFFFs was performed from 1998 to 2014. Results: One hundred forty-two nonmandible osseous reconstructions were performed. Twenty-five patients underwent nonmandible osteocutaneous RFFF reconstruction. Eleven patients failed previous nonmicrovascular reconstruction. Reconstruction was for defects of the: palatomaxillary complex (n = 15), orbitomaxillary complex (n = 4), nasomaxillary complex (n = 4), larynx (n = 1), and clavicle (n = 1). There were no flap compromises. Postoperative complications included: 2 partial intraoral dehiscences; 1 recipient-site infection; and 1 seroma. Eight reconstructions required secondary procedures to improve functional and/or cosmetic outcomes. Conclusion: The osteocutaneous RFFF is a robust flap that can be used to reconstruct composite defects involving bone and soft-tissue beyond the mandible.

Original languageEnglish (US)
JournalHead and Neck
DOIs
StateAccepted/In press - 2017

Fingerprint

Free Tissue Flaps
Forearm
Neck
Head
Mandible
Seroma
Clavicle
Larynx
Cosmetics
Bone and Bones
Infection

Keywords

  • Free tissue transfer
  • Nonmandible reconstruction
  • Osteocutaneous radial forearm free flap
  • Osteocutaneous reconstruction
  • Radial forearm free flap

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Osteocutaneous radial forearm free flap in nonmandible head and neck reconstruction. / Ahmad, Faisal I.; Means, Casey; Labby, Alex B.; Troob, Scott; Gonzalez, Javier D.; Kim, Michael; Li, Ryan; Wax, Mark.

In: Head and Neck, 2017.

Research output: Contribution to journalArticle

Ahmad, Faisal I. ; Means, Casey ; Labby, Alex B. ; Troob, Scott ; Gonzalez, Javier D. ; Kim, Michael ; Li, Ryan ; Wax, Mark. / Osteocutaneous radial forearm free flap in nonmandible head and neck reconstruction. In: Head and Neck. 2017.
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abstract = "Background: The osteocutaneous radial forearm free flap (RFFF) is a versatile flap primarily used to reconstruct composite defects involving the mandible. The purpose of this study was to describe our experience with this flap for nonmandible reconstruction. Methods: All patients undergoing nonmandible osseous reconstruction with free-tissue transfer were reviewed. Patients with osteocutaneous RFFF reconstructions were evaluated. The retrospective review of all osteocutaneous RFFFs was performed from 1998 to 2014. Results: One hundred forty-two nonmandible osseous reconstructions were performed. Twenty-five patients underwent nonmandible osteocutaneous RFFF reconstruction. Eleven patients failed previous nonmicrovascular reconstruction. Reconstruction was for defects of the: palatomaxillary complex (n = 15), orbitomaxillary complex (n = 4), nasomaxillary complex (n = 4), larynx (n = 1), and clavicle (n = 1). There were no flap compromises. Postoperative complications included: 2 partial intraoral dehiscences; 1 recipient-site infection; and 1 seroma. Eight reconstructions required secondary procedures to improve functional and/or cosmetic outcomes. Conclusion: The osteocutaneous RFFF is a robust flap that can be used to reconstruct composite defects involving bone and soft-tissue beyond the mandible.",
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AU - Ahmad, Faisal I.

AU - Means, Casey

AU - Labby, Alex B.

AU - Troob, Scott

AU - Gonzalez, Javier D.

AU - Kim, Michael

AU - Li, Ryan

AU - Wax, Mark

PY - 2017

Y1 - 2017

N2 - Background: The osteocutaneous radial forearm free flap (RFFF) is a versatile flap primarily used to reconstruct composite defects involving the mandible. The purpose of this study was to describe our experience with this flap for nonmandible reconstruction. Methods: All patients undergoing nonmandible osseous reconstruction with free-tissue transfer were reviewed. Patients with osteocutaneous RFFF reconstructions were evaluated. The retrospective review of all osteocutaneous RFFFs was performed from 1998 to 2014. Results: One hundred forty-two nonmandible osseous reconstructions were performed. Twenty-five patients underwent nonmandible osteocutaneous RFFF reconstruction. Eleven patients failed previous nonmicrovascular reconstruction. Reconstruction was for defects of the: palatomaxillary complex (n = 15), orbitomaxillary complex (n = 4), nasomaxillary complex (n = 4), larynx (n = 1), and clavicle (n = 1). There were no flap compromises. Postoperative complications included: 2 partial intraoral dehiscences; 1 recipient-site infection; and 1 seroma. Eight reconstructions required secondary procedures to improve functional and/or cosmetic outcomes. Conclusion: The osteocutaneous RFFF is a robust flap that can be used to reconstruct composite defects involving bone and soft-tissue beyond the mandible.

AB - Background: The osteocutaneous radial forearm free flap (RFFF) is a versatile flap primarily used to reconstruct composite defects involving the mandible. The purpose of this study was to describe our experience with this flap for nonmandible reconstruction. Methods: All patients undergoing nonmandible osseous reconstruction with free-tissue transfer were reviewed. Patients with osteocutaneous RFFF reconstructions were evaluated. The retrospective review of all osteocutaneous RFFFs was performed from 1998 to 2014. Results: One hundred forty-two nonmandible osseous reconstructions were performed. Twenty-five patients underwent nonmandible osteocutaneous RFFF reconstruction. Eleven patients failed previous nonmicrovascular reconstruction. Reconstruction was for defects of the: palatomaxillary complex (n = 15), orbitomaxillary complex (n = 4), nasomaxillary complex (n = 4), larynx (n = 1), and clavicle (n = 1). There were no flap compromises. Postoperative complications included: 2 partial intraoral dehiscences; 1 recipient-site infection; and 1 seroma. Eight reconstructions required secondary procedures to improve functional and/or cosmetic outcomes. Conclusion: The osteocutaneous RFFF is a robust flap that can be used to reconstruct composite defects involving bone and soft-tissue beyond the mandible.

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KW - Nonmandible reconstruction

KW - Osteocutaneous radial forearm free flap

KW - Osteocutaneous reconstruction

KW - Radial forearm free flap

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