Journal article
Clinical reliability of radial forearm free-flap procedure in reconstructive head and neck surgery.
- Kruse AL Department of Craniomaxillofacial and Oral Surgery, University of Zurich, Zurich, Switzerland. astridkruse@gmx.ch
- Bredell MG
- Lübbers HT
- Jacobsen C
- Grätz KW
- Obwegeser JA
- 2011-05-12
Published in:
- The Journal of craniofacial surgery. - 2011
Adult
Aged
Aged, 80 and over
Carcinoma, Squamous Cell
Female
Forearm
Free Tissue Flaps
Head and Neck Neoplasms
Humans
Male
Middle Aged
Postoperative Complications
Treatment Outcome
English
OBJECTIVE
The purpose of the study was to evaluate the indications, reliability, and complications of the radial forearm fasciocutaneous flap (RFFF) procedure in reconstructive head and neck surgery.
METHODS
The records of 81 patients who were treated with an RFFF between 1998 and 2009 were systematically reviewed. Data of recipient localization, previous T status, and postoperative complications were analyzed.
RESULTS
From the 50 male and 31 female patients, 4 patients (3 men and 1 woman) experienced flap failure during the first 36 hours: in 1 patient because of arterial and in 3 patients because of venous complications. None of the 4 patients had preoperative radiotherapy. A dehiscence was observed in 2 patients without a need for further surgery.
CONCLUSIONS
With a success rate of more than 95%, the RFFF is a reliable flap and a workhorse, particularly in defects where thinness is needed to substitute for the oral mucosa, such as on the floor of the mouth or the tongue.
The purpose of the study was to evaluate the indications, reliability, and complications of the radial forearm fasciocutaneous flap (RFFF) procedure in reconstructive head and neck surgery.
METHODS
The records of 81 patients who were treated with an RFFF between 1998 and 2009 were systematically reviewed. Data of recipient localization, previous T status, and postoperative complications were analyzed.
RESULTS
From the 50 male and 31 female patients, 4 patients (3 men and 1 woman) experienced flap failure during the first 36 hours: in 1 patient because of arterial and in 3 patients because of venous complications. None of the 4 patients had preoperative radiotherapy. A dehiscence was observed in 2 patients without a need for further surgery.
CONCLUSIONS
With a success rate of more than 95%, the RFFF is a reliable flap and a workhorse, particularly in defects where thinness is needed to substitute for the oral mucosa, such as on the floor of the mouth or the tongue.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1097/SCS.0b013e31820f36aa
- PMID 21558942
- Persistent URL
- https://sonar.rero.ch/global/documents/141790
Statistics
Document views: 16
File downloads: