Expanding the Utilization of the Osteocutaneous Radial Forearm Free Flap beyond Mandibular Reconstruction.

Autor:	Silverman DA; Department of Plastic Surgery, University of Kansas Medical Center, Kansas City, Kansas., Przylecki WH; Department of Plastic Surgery, University of Kansas Medical Center, Kansas City, Kansas., Shnayder Y; Department of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, Kansas City, Kansas., Tsue TT; Department of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, Kansas City, Kansas., Girod DA; Department of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, Kansas City, Kansas., Andrews BT; Department of Plastic Surgery, University of Kansas Medical Center, Kansas City, Kansas.
Jazyk:	angličtina
Zdroj:	Journal of reconstructive microsurgery [J Reconstr Microsurg] 2016 Jun; Vol. 32 (5), pp. 361-5. Date of Electronic Publication: 2016 Feb 05.
DOI:	10.1055/s-0035-1571251
Abstrakt:	Background The osteocutaneous radial forearm free flap (OCRFFF) for mandibular reconstruction has been well described. Despite this flap's utility in the repair of such defects, the indications for the OCRFFF have continued to expand in recent years. The advantages of the OCRFFF allow for a high degree of versatility in the reconstruction of the various anatomical and aesthetic units of the head and neck. In this review, the authors aim to explore the successful utilization of the OCRFFF beyond the reconstruction of composite mandibular defects. Methods A retrospective chart review was performed. All subjects who underwent OCRFFF reconstruction at a tertiary academic center between January 2004 and December 2014 were identified. A total of six patients undergoing this procedure for indications other than composite mandibular defects of the head and neck were included. Results A total of six patients underwent OCRFFF reconstruction for correction of nonmandibular defects. Flap success was experienced in six of six cases (100%). Indications included midface maxillary reconstruction (N = 2), orbit reconstruction (N = 1), frontal sinus and forehead reconstruction (N = 2), and subglottic stenosis reconstruction (N = 1). There were no immediate perioperative complications. On long-term follow-up, one subject developed a nasocutaneous fistula following radiation and eventually required maxillary hardware removal. Conclusion As a result of its growing role and versatility, the OCRFFF should be incorporated as a multipurpose tool in the armamentarium of reconstructive microvascular surgeons in the repair of composite head and neck defects beyond the mandible. (Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.)
Databáze:	MEDLINE
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