Clinical reliability of radial forearm free flap in repair of buccal defects

Author:

Fang Qi-Gen,Li Zhen-Ning,Zhang Xu,Liu Fa-Yu,Xu Zhong-Fei,Sun Chang-Fu

Abstract

Abstract Background The ideal method for buccal defects should provide good outcome of both function and appearance; our goal is to highlight the reliability of radial forearm flap in buccal reconstruction. Methods A retrospective study was conducted. From 2005 to 2012, 20 radial forearm flaps were used to repair the defects. We analyzed the superiority and reliability of the flap; in addition, we reviewed some related literature and made a comparison between radial forearm flap and platysma flap. Results All radial forearm flaps totally survived, but two flaps suffered venous obstruction, hematoma, respectively. Radial forearm flap preserved the original interincisal distance well. In our follow-up, all patients had sufficient mouth-opening width (mean: 4.3 cm). Conclusion Radial forearm flap is a reliable method for buccal defect reconstruction.

Publisher

Springer Science and Business Media LLC

Subject

Oncology,Surgery

Reference20 articles.

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2. Deconde A, Miller ME, Palla B, Lai C, Elashoff D, Chhetri D, St. John Maie A: Squamous cell carcinoma of buccal mucosa: a 40-year review. Am J Otolaryngol. 33: 673-677.

3. Shah JP, Gil Z: Current concepts in management of oral cancer surgery. Oral Oncol. 2009, 45: 394-401. 10.1016/j.oraloncology.2008.05.017.

4. Özkan Ö, Mardini S, Chen HC, Cigna E, Tang WR, Liu YT: Repair of buccal defects with anterolateral thigh flaps. Microsurgery. 2006, 26: 182-189. 10.1002/micr.20223.

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