Intraoral and oropharyngeal reconstruction using a de‐epithelialized forearm flap

Abstract

We have used free forearm flaps for closure of various intraoral and oropharyngeal defects after radical ablation of tumors. A problem remained, however, in that split-thickness skin grafts required to close the forearm defect had to be obtained from other areas. To avoid this disadvantage, we de-epithelialized forearm flaps and the donor defects were closed with the split-thickness skin obtained from flap de-epithelialization. As a result of this procedure, unnecessary scarring has been avoided and postoperative management has been simplified. Such complications as flap loss, fistulae, or scar contracture have not occurred with greater frequency than is seen in normal circumstances. The de-epithelialized forearm flap procedure is explained. Histological findings concerning the de-epithelialized forearm flap are described, and the advantages of this method stated.

Comparison between anterolateral thigh, radial forearm, and peroneal artery flap donor site thickness in Asian patients—A sonographic study

“…Applications of fasciocutaneous flaps have been woven into the daily practice of reconstructive surgeons to fill and reshape a variety of soft tissue defects. The radial forearm flap, first described by Yang et al in 1981 (Yang et al, ), had become a commonly used fasciocutaneous flap in the 1980s (Biemer & Stock, ; Foucher, Van Genechten, Merle, & Michon, ; Kawashima, Harii, Ono, Ebihara, & Yoshizumi, ; Mühlbauer, Herndl, & Stock, ; Soutar & Tanner, ; Soutar, Scheker, Tanner, & McGregor, ; Swanson, Boyd, & Manktelow, ; Takato et al, ; Urken, Weinberg, Vickery, & Biller, ) because it was easy to harvest, thin, and versatile. Even until today, with the availability of various other flaps, this flap still retains its popularity to a certain degree.…”

Lining the mouth floor with prelaminated fascio‐mucosal free flaps: Clinical experience

“…Decreased lubrication of the oral cavity is responsible for unpleasant mouth dryness and more difficult rehabilitation. 37,38 Second, if subcutaneous tis- sue included in the flap is thick, a second intervention of debulking may be needed. The third problem is represented by donor site morbidity.…”

Histomorphometric analysis of intraoral split‐thickness skin grafts

“…18 Kawashima et a1. 19 reported the use of deepithelialized radial forearm free flaps in oral cavity and oropharyngeal reconstruction. The skin appendages in these flaps appear to regrow and, at 6 months postoperative, demonstrate a welldeveloped stratum corneum.…”