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 language | English (US) |
|---|---|
| Journal | Head and Neck |
| DOIs | |
| State | Accepted/In press - 2017 |
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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 journal › Article
}
TY - JOUR
T1 - Osteocutaneous radial forearm free flap in nonmandible head and neck reconstruction
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.
KW - Free tissue transfer
KW - Nonmandible reconstruction
KW - Osteocutaneous radial forearm free flap
KW - Osteocutaneous reconstruction
KW - Radial forearm free flap
UR - http://www.scopus.com/inward/record.url?scp=85021820590&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85021820590&partnerID=8YFLogxK
U2 - 10.1002/hed.24863
DO - 10.1002/hed.24863
M3 - Article
JO - Head and Neck
JF - Head and Neck
SN - 1043-3074
ER -