Swallowing and speech function after intraoral soft tissue reconstruction with lateral upper arm free flap and radial forearm free flap

Speech outcome after surgical treatment for oral and oropharyngeal cancer: A longitudinal assessment of patients reconstructed by a microvascular flap

“…23, 24 Su et al 25 reported better speech function after reconstruction with RFFF than with the more bulky pectoralis major flap. Intelligibility was also found to be improved for patients who underwent reconstruction by RFFF than those who underwent a somewhat thicker lateral upper arm flap as described by Hara et al 13 Seikaly et al 15 reported that the use of the RFFF is presently the best reconstructive option, especially when the created defect takes up multiple anatomic sites.…”

Speech Handicap Index in patients with oral and pharyngeal cancer: Better understanding of patients' complaints

“…Free flaps such as the radial forearm flap have become the preferred method of reconstruction for larger defects in the oral cavity and oropharynx because of reliable reconstruction and because of improved functional characteristics of dynamic structures such as the tongue and pharynx. 8,11,12,35 In larger tumors (T3 and T4) Allal et al 36 found significant and better outcomes in patients who were treated with radiotherapy alone, as compared with patients who were treated with surgery and radiotherapy. Other treatment modalities such as chemoradiation also aim at improved functional status after treatment.…”

Reconstructive potential of the lateral arm flap after tumor resection

“…For the darker and less colorful nose area, the best color match is achieved with the dorsal pedal flap, but the use of this flap is restricted by the high donor site morbidity. 24 When two teams work simultaneously, we usually harvest the flap from the contralateral arm for a better two-team approach. For small skeletal defects, a flap including a segment of vascularized humerus is well suited and well proven.…”