Osteocutaneous radial forearm free flap for anterior cranial base reconstruction: Technical note

Haynes, W.I.; Boutray, Marie de; Kennel, Titouan; Boetto, Julien

doi:10.1016/j.neuchi.2021.03.009

Cited by 6 publications

(11 citation statements)

References 27 publications

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“…Reconstruction of the head and neck with microvascular free flaps has been performed since 1959 [1]. In the past, the use of vascularized flaps was considered the most appropriate [2]. Reconstructive methods and techniques have evolved to permit free tissue transfer for the reconstruction of the head and neck [3].…”

Section: Introductionmentioning

confidence: 99%

“…Reconstructive methods and techniques have evolved to permit free tissue transfer for the reconstruction of the head and neck [3]. The use of free vascular-supplied tissue, particularly the radial forearm free flap, is considered the last choice of treatment in case of recurrences [2]. Small defects are usually treated with local xenogenic or allogenic grafts.…”

Section: Introductionmentioning

confidence: 99%

“…Small defects are usually treated with local xenogenic or allogenic grafts. However, in case of extensive defects, dural and osseous structures require a different approach like vascularized tissue transplants [2]. The choice of free flap depends on the tissue type, size, and location of the defect [4,5].…”

Section: Introductionmentioning

confidence: 99%

“…This flap gives a wide surface of up to 9 × 12 cm of pliable and thin soft tissue [4]. Previous studies have illustrated the use of radial forearm free flaps in different surgeries [1][2][3][4]. However, few up-to-date studies have discussed the use of this flap in head and neck reconstruction.…”

Section: Introductionmentioning

confidence: 99%

“…The reconstruction of defects using osteocutaneous radial forearm free flap is indicated when a rigid support system is required, particularly with postoperative radiation or for big bony defects of the skull base in case no other different choice is available. However, multiple considerations should be acknowledged about this procedure [2]. This procedure is advocated to be performed by a multidisciplinary team.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Radial Forearm Free Flap for Head and Neck Defect Reconstruction: An Up-to-date Review of the Literature

Fatani¹

2023

Cureus

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The radial forearm free flap has emerged as the mainstay of free flaps for oral cavity soft tissue reconstructions because of its versatility and ability to be used in the reconstruction of large and mediumsized defects. This flap is commonly used to restore head and neck defects, including full-thickness lip and oral cavity defects. This flap offers the opportunity to cover severe defects of the facial region due to its long vascular pedicle and elasticity. In addition to its ease of being harvested, the radial forearm free flap provides a sensate, pliable, and thin skin paddle with a long vascular pedicle. However, it can cause severe morbidity at the donor site, mainly due to exposure of the flexor tendon that results from a failed harvesting of the skin graft, changed sensation in the radial nerve, aesthetic deformity, and reduced range of motion and grip strength. This article aims to review all the up-to-date studies discussing the use of radial forearm free flap in head and neck reconstruction.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Radial Forearm Free Flap for Head and Neck Defect Reconstruction: An Up-to-date Review of the Literature

Fatani¹

2023

Cureus

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The osteocutaneous radial forearm free flap: A pictorial essay

McCrary,

Farlow,

Alexander

et al. 2024

Head & Neck

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The osteocutaneous radial forearm free flap (OCRFFF) is a versatile flap with the ability to reconstruct complex defects. We detail the techniques necessary to harvest an OCRFFF, including an outline on making 90‐degree osteotomies to maximize bone harvest. In this pictorial essay, we provide illustrations of the anatomy and surgical techniques necessary for OCRFFF harvest. Detailed discussion is provided on how to protect the perforators to the bone and the approach to making osteotomies in a 90‐degree fashion. The approach for prophylactic plating of the radius to prevent radius fractures is outlined. A case presentation on the real‐life utilization of this flap is included. The OCRFFF is an excellent head and neck reconstructive option. While there are limitations to its use for patients requiring dental rehabilitation or long/anterior mandibular defects, for the right patient and indication it has shown great success in reconstructive efforts.

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Reconstruction of Anterior Skull Base Defects with Radial Forearm-Free Flaps

Langston¹,

Moreno²

2023

Matrix Head and Neck Reconstruction

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Osteocutaneous radial forearm free flap for anterior cranial base reconstruction: Technical note

Cited by 6 publications

References 27 publications

Radial Forearm Free Flap for Head and Neck Defect Reconstruction: An Up-to-date Review of the Literature

Radial Forearm Free Flap for Head and Neck Defect Reconstruction: An Up-to-date Review of the Literature

The osteocutaneous radial forearm free flap: A pictorial essay

Reconstruction of Anterior Skull Base Defects with Radial Forearm-Free Flaps

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