Complications of free radial forearm flap transfers for head and neck reconstruction

Chen, Chun‐Ming; Lin, Gau-Tyan; Fu, Yin‐Chih; Shieh, Tien-Yu; Huang, I-Yueh; Shen, Yee-Shyong; Chen, Chung-Ho

doi:10.1016/j.tripleo.2004.10.010

Cited by 57 publications

(44 citation statements)

References 17 publications

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“…Successful long and short term recovery have been reported following radial forearm free flaps, although donor site morbidity does persist in some patients. 5,21,22,24,26 Skoner et al 26 evaluated the early donor site postoperative morbidity following a radial forearm free flap that was harvested in a subfascial plane. The authors report decreased wrist and forearm range of motion 5-8 days following surgery.…”

Section: -412-15mentioning

confidence: 99%

“…There were 54% of patients who reported dysesthesia in the distribution of the radial sensory nerve but in most cases this improved over time. Chen et al 21 evaluated donor site morbidity in 37 patients following 38 radial forearm free flaps using a split thickness skin graft closure. Donor site morbidity included abnormal sensations (26%), decreased grip strength (11%), partial skin graft loss (11%), and poor appearance (8%).…”

Section: -412-15mentioning

confidence: 99%

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Comparison of anterolateral thigh and radial forearm free flap donor site morbidity

et al. 2007

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This study evaluated patient-reported outcome of the donor site in patients following head and neck cancer reconstruction. Patients who had undergone cancer reconstruction using either an anterolateral thigh or a radial forearm free flap and who were at least 6 months postsurgery were included and contacted by telephone. There were 37 patients (mean age 61 years, standard deviation 16 years) with 18 anterolateral thigh flaps and 19 radial forearm flaps. The majority of patients were not bothered by scar appearance, light touch, numbness or pain. Significantly more females (P = 0.038) and more patients with radial forearm flaps (P = 0.045) were bothered by the cold at the donor site and more females reported that the shape of the operated extremity was different (P = 0.009). Donor site morbidity is not significant following a radial forearm or anterolateral thigh free flap and the reconstruction should be based upon individual patient factors and surgeon expertise.

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Section: -412-15mentioning

confidence: 99%

Section: -412-15mentioning

confidence: 99%

Comparison of anterolateral thigh and radial forearm free flap donor site morbidity

et al. 2007

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“…However, this flap has a clear disadvantage associated with donor site morbidity (7). A variety of techniques have been described to achieve wound healing.…”

Section: Discussionmentioning

confidence: 99%

Use of cultured human epithelium for coverage: a defect of radial forearm free flap donor site

Gallego¹,

Junquera²,

Villarreal³

et al. 2009

Med Oral

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“…The entire skin in the volar aspect of the forearm can be harvested with the long pedicle permitting microsurgical anastomosis (MA) to the contralateral neck also. 5 Although attempts have been made to harvest a segment of the radius for bony reconstruction, it fell out of favor due to high chances of radius bone fracture. But this is less frequent after pre-plating the radius and cast immobilization of the arm.…”

Section: Commonly Used Microvascular Free Flaps Radial Forearm Flapmentioning

confidence: 99%

“…14 The major disadvantages of RFFF is the donor site morbidity especially in cases of paratendon damage during flap harvest causing tenting and painful donor site which can be reduced by suprafascial dissection and minimizing paratenton exposure. 5 Other disadvantages are the need to sacrifice a major artery of the forearm, the radial artery, which decreased sensation in the region supplied by antebrachial cutaneous nerve, hand stiffness, pain and large donor site scar.…”

Section: Commonly Used Microvascular Free Flaps Radial Forearm Flapmentioning

confidence: 99%

Microvascular Free Flaps in Oral and Maxillofacial Reconstruction following Cancer Ablation

Yadav

Shrestha

2017

J Nepal Health Res Council

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Microsurgical free flaps have become the first choice for reconstruction of oral and maxillofacial (OMF) defects after tumor resection. Till recently the pectoralis major myocutaneous flap (PMMC) was considered to be the benchmark for OMF reconstruction. This philosophy is changing fast with rapid advancement in reconstructive microsurgery.Years of innovation in reconstructive microsurgery has given us a reasonably good number of excellent flaps. Tremendous work has been put into producing some exceptionally brilliant research articles, sometimes contradicting each other. This has led to the need for clarity in some areas in this field.This article reviews the most common microvascular free flaps (MFF) namely, radial forearm free flap (RFFF), anterolateral thigh flap (ALT) and free fibula flap (FFF) that are commonly used in OMF reconstruction. Since they can cater to almost all sizeable defects we come across after ablative surgery in the OMF region, they can aptly be titled as the workhorses of OMF reconstruction with regard to free flaps.

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Complications of free radial forearm flap transfers for head and neck reconstruction

Cited by 57 publications

References 17 publications

Comparison of anterolateral thigh and radial forearm free flap donor site morbidity

Comparison of anterolateral thigh and radial forearm free flap donor site morbidity

Use of cultured human epithelium for coverage: a defect of radial forearm free flap donor site

Microvascular Free Flaps in Oral and Maxillofacial Reconstruction following Cancer Ablation

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