The osteocutaneous radial forearm free flap: A multidisciplinary review of the evidence.

Autor: Farlow JL; Department of Otolaryngology - Head and Neck Surgery, The Ohio State University, Columbus, OH, USA; Department of Otolaryngology - Head and Neck Surgery, Indiana University, Indianapolis, IN, USA., McCrary HC; Department of Otolaryngology - Head and Neck Surgery, The Ohio State University, Columbus, OH, USA; Department of Otolaryngology - Head and Neck Surgery, University of Utah, Salt Lake City, UT, USA., Meeker M; College of Medicine, The Ohio State University, Columbus, OH, USA., Alexander J; Department of Orthopaedics, The Ohio State University, Columbus, OH, USA., Haring CT; Department of Otolaryngology - Head and Neck Surgery, The Ohio State University, Columbus, OH, USA., Old MO; Department of Otolaryngology - Head and Neck Surgery, The Ohio State University, Columbus, OH, USA., Kang SY; Department of Otolaryngology - Head and Neck Surgery, The Ohio State University, Columbus, OH, USA., Rohde SL; Department of Otolaryngology - Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, TN, USA., Seim NB; Department of Otolaryngology - Head and Neck Surgery, The Ohio State University, Columbus, OH, USA. Electronic address: nolan.seim@osumc.edu.
Jazyk: angličtina
Zdroj: Oral oncology [Oral Oncol] 2024 Oct; Vol. 157, pp. 106925. Date of Electronic Publication: 2024 Jul 17.
DOI: 10.1016/j.oraloncology.2024.106925
Abstrakt: The osteocutaneous radial forearm (OCRFF) is a versatile free flap option for bony defects of the head and neck, given the thinness and pliability of the forearm cutaneous paddle, pedicle length, reliability, lack of atherosclerosis, and functional concerns common to other osseous donor sites. The OCRFF was once associated with a high risk of radial fracture, in addition to concerns about the quality and durability of bone stock for osseous reconstruction, particularly for the mandible. Following the introduction of prophylactic plating of the radius, the incidence of symptomatic radial fracture has drastically decreased. Furthermore, modifications of the bony osteotomies and other evolutions of this flap harvest have increased the use of the OCRFF throughout the head and neck. Despite these advantages, the OCRFF is not widely utilized by microvascular reconstructive surgeons due to perceived limitations and risks. Herein, we present a multidisciplinary, contemporary review of the harvest technique, outcomes, and perioperative management for the OCRFF.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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