Semi-free radial forearm flap for head and neck reconstruction in vessel-depleted neck after radiotherapy or radical neck dissection

Autor:	Julien, Quilichini, Marc-David, Benjoar, Mikael, Hivelin, Lydia, Brugel, Laurent, Lantieri
Rok vydání:	2011
Předmět:	Aged 80 and over Male Forearm Head and Neck Neoplasms Humans Neck Dissection Female Middle Aged Plastic Surgery Procedures Free Tissue Flaps Aged Retrospective Studies
Zdroj:	Microsurgery. 32(4)
ISSN:	1098-2752
Popis:	Venous thrombosis is the main cause of radial forearm flap failure, especially when recipient vessels are compromised by prior radiation therapy or neck dissection. In such conditions, semi-free radial forearm flap (SF-RFF) can be performed to reduce this risk.We reviewed all SF-RFF procedures performed in our institution for head and neck reconstruction. The flap was harvested as a conventional radial forearm flap but the cephalic vein was dissected along the arm up to the deltopectoral crease and used as the sole drainage vein.Seven SF-RFFs were harvested for head and neck reconstructions. The dissection of the cephalic vein lasted less than 25 min in all cases. No flap loss or thrombosis was observed.The SF-RFF is a reliable and versatile procedure for facial, oral, or larynx reconstruction. This hybrid version of the radial forearm free flap is particularly appropriate when no suitable recipient veins are available as a result of radiation or prior surgery.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=pmid________::a75e0f504437261c4253251334f56827 https://pubmed.ncbi.nlm.nih.gov/22371166 Zobrazit plný text záznamu Plný text