Review of the radial free flap: still evolving or facing extinction? Part two: osteocutaneous radial free flap

Avery, C.M.E.

doi:10.1016/j.bjoms.2009.09.017

Cited by 33 publications

(18 citation statements)

References 74 publications

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“…Since then, RFFF has become the flap of choice when it comes to reconstruction of defects of the oropharyngeal region. 24,25 Reviewing literature, we found RFFF is still the most used flap in cleft surgery. As shown in Table 3, RFFF fulfills all requirements for palatal closure.…”

Section: Discussionmentioning

confidence: 98%

Microvascular Tissue Transfer in Cleft Palate Patients

Zemann

Kruse

Luebbers

et al. 2011

Journal of Craniofacial Surgery

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The closure of wide palatal clefts and recurrent oronasal fistulae may be challenging. After repeated failure of conventional techniques, microvascular tissue transfer may be indicated in the closure of such fistulae. Depending on the location and the size of the palatal fistula, different tissues are required to sufficiently close the palatal gaps. A subdivision of common flaps into mucosa, muscular, bony, skin, and fascia flaps was carried out to analyze their suitability for alveolar, hard, and soft palate reconstruction. Furthermore, the bulk of flaps and the length of the vascular pedicle were analyzed to rate the suitability of different flaps for palatal closure. Based on a new classification of oronasal fistulae, all these factors were taken into consideration to introduce a decision guidance of what microvascular flap fits a particular clinical situation. The radial free forearm flap was found to be sufficient in the closure of all classes of oronasal fistulae.

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Section: Discussionmentioning

confidence: 98%

Microvascular Tissue Transfer in Cleft Palate Patients

Zemann

Kruse

Luebbers

et al. 2011

Journal of Craniofacial Surgery

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“…Uno de los principales puntos en contra son las complicaciones que afectan a la "zona dadora" como la dehiscencia de sutura, la exposición de tendón, el requerir curaciones prolongadas o el défi cit esté-tico 16,17 . En algunos casos, cuando no se logra un cierre primario (lesiones > 5 cm), se debe tomar un IDE para cubrir a la zona dadora o realizar colgajos de avance, de rotación, Z plastías, en V-Y o simplemente implementar los sustitutos dérmicos.…”

Section: A B C D E Funclassified

“…El colgajo osteocutáneo nos da un limitado aporte óseo (10 cm), permite utilizar sólo una capa de hueso cortical que no tiene la fortaleza sufi ciente para colocar injertos "osteointegrados" en los casos de reconstrucción maxilar. La "zona dadora" puede verse afectada a largo plazo por fracturas del hueso donante 17 y es por eso que para reducir el riesgo de movimiento la osteotomía debe ser < 40% de la circunferencia del hueso radial y ser cortada en bisel 6 , se sugiere preservar la fascia, cubrir tendones, realizar la osteotomía en quilla y colocar una osteosíntesis profi láctica con inmovilización prolongada de la extremidad…”

Section: A B C D E Funclassified

Colgajo radial: experiencia del equipo de Cirugía Plástica de la Universidad de Chile

et al. 2011

Rev Chil Cir

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Radial forearm fl aps. Experience in ten patientsBackground: Radial forearm fl ap is extraordinarily versatile thanks to its irrigation by the radial artery and its minor pedicles. It provides assorted alternatives for the reconstruction of proximal or distal defects of the arm and can be used as a free fl ap in head, neck, posterior trunk region, lower limb, esophagus and penis. It allows the incorporation of bone, tendons, nerves and muscle for complex lesion repair. Aim: To report our experience with radial forearm fl ap. Patients and Methods: Ten patients aged 20 to 65 years (four women) are reported. The lesions repaired were traumatic in four, infectious in three, secondary to tumors in two (a squamous intra oral adenocarcinoma in both patients) and vascular in one patient. Results: No patient had a partial or total loss of the fl ap. Five patients required complementary dermo epidermic grafts in a second intervention. Mean hospital stay was 30 days. All patients reported a favorable degree of satisfaction with the procedure. Conclusions: Radial forearm fl aps are a good alternative for the repair of a great variety of lesions.

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“…During this period, free tissue transfer has become the preferred reconstruction with success rates of 90-95% or higher [5][6][7][8][9][10][11] , fewer complications and better functional outcomes 5,[12][13][14][15][16][17][18][19] . Recent developments include perforator flaps [20][21][22][23][24] with an emphasis on improving cosmetic, functional and quality-of-life outcomes together with less morbidity 15,23,[25][26][27] .…”

Section: Introductionmentioning

confidence: 99%

A perspective on the role of the pectoralis major flap in oral and maxillofacial oncology surgery

Avery

2014

Oral Surgery

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In general, the pedicled pectoralis major (PPM) flap has become a secondary choice for reconstruction in the developed world while remaining popular within the developing world. The pectoralis major flap is utilised in varying proportions as either the preferred reconstruction or for salvage reconstruction following free flap failure, further disease or complications. Refinements in surgical technique and an experienced surgeon may yield high total flap success rates with modest levels of wound complications. The pectoralis major flap is particularly useful with serious or multiple comorbidities, advanced disease, and previous surgery and/or chemoradiotherapy. It has primarily been used for reconstruction of extended radical neck dissection, posterolateral mandible, large glossectomy and oropharyngeal defects, and occasionally together with a free flap. A second free flap has increasingly been used after initial failure, particularly in the larger centres, but the PPM flap probably remains the most commonly used salvage option. The needs of the local population vary, survival outcomes are improving and patient choice may become an increasing factor in flap selection.

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Review of the radial free flap: still evolving or facing extinction? Part two: osteocutaneous radial free flap

Cited by 33 publications

References 74 publications

Microvascular Tissue Transfer in Cleft Palate Patients

Microvascular Tissue Transfer in Cleft Palate Patients

Colgajo radial: experiencia del equipo de Cirugía Plástica de la Universidad de Chile

A perspective on the role of the pectoralis major flap in oral and maxillofacial oncology surgery

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