Skip to main content
Top
Published in: World Journal of Surgical Oncology 1/2013

Open Access 01-12-2013 | Research

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

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

Published in: World Journal of Surgical Oncology | Issue 1/2013

Login to get access

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.
Literature
1.
go back to reference Song M, Chen FJ, Guo ZM, Zhang Q, Yang AK: Application of various flaps to intraoral reconstruction of buccal defects after resection of buccal mucosa carcinoma. Ai Zheng. 2009, 28: 663-667.PubMed Song M, Chen FJ, Guo ZM, Zhang Q, Yang AK: Application of various flaps to intraoral reconstruction of buccal defects after resection of buccal mucosa carcinoma. Ai Zheng. 2009, 28: 663-667.PubMed
2.
go back to reference 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. 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.
4.
go back to reference 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.CrossRefPubMed 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.CrossRefPubMed
5.
go back to reference Yang G, Chen B, Gao W, Liu XY, Li J, Jiang SX, He SP: Forearm free skin flap transplantation. Natl Med J China. 1981, 61: 139-141. Yang G, Chen B, Gao W, Liu XY, Li J, Jiang SX, He SP: Forearm free skin flap transplantation. Natl Med J China. 1981, 61: 139-141.
6.
go back to reference Kruse AL, Bredell MG, Lübbers HT, Jacobsen C, Grätz KW, Obwegeser JA: Clinical reliability of radial forearm free-flap procedure in reconstructive head and neck surgery. J Craniofac Surg. 2011, 22: 822-825. 10.1097/SCS.0b013e31820f36aa.CrossRefPubMed Kruse AL, Bredell MG, Lübbers HT, Jacobsen C, Grätz KW, Obwegeser JA: Clinical reliability of radial forearm free-flap procedure in reconstructive head and neck surgery. J Craniofac Surg. 2011, 22: 822-825. 10.1097/SCS.0b013e31820f36aa.CrossRefPubMed
7.
go back to reference Yang GF, Chen PJ, Gao YZ, Liu XY, Li J, He SP: Forearm free skin flap transplantation: a report of 56 cases. Br J Plast Surg. 1997, 50: 162-165. 10.1016/S0007-1226(97)91363-1.CrossRefPubMed Yang GF, Chen PJ, Gao YZ, Liu XY, Li J, He SP: Forearm free skin flap transplantation: a report of 56 cases. Br J Plast Surg. 1997, 50: 162-165. 10.1016/S0007-1226(97)91363-1.CrossRefPubMed
8.
go back to reference James PH: A reassessment of the role of the radial forearm flap in upper extremity reconstruction. J Hand Surg. 2011, 36A: 1237-1240. James PH: A reassessment of the role of the radial forearm flap in upper extremity reconstruction. J Hand Surg. 2011, 36A: 1237-1240.
9.
go back to reference Martin D, Pascal JF, Baudet J, Mondie JM, Farhat JB, Athoum A, Le Gaillard P, Peri G: The submental island flap: a new donor site. Anatomy and clinical applications as a free or pedicled flap. Plast Reconstr Surg. 1993, 92: 867-873.CrossRefPubMed Martin D, Pascal JF, Baudet J, Mondie JM, Farhat JB, Athoum A, Le Gaillard P, Peri G: The submental island flap: a new donor site. Anatomy and clinical applications as a free or pedicled flap. Plast Reconstr Surg. 1993, 92: 867-873.CrossRefPubMed
10.
go back to reference You YH, Chen WL, Wang YP, Liang J: The feasibility of facial-submental artery island myocutaneous flaps for reconstructing defects of the oral floor following cancer ablation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010, 109: 12-16. 10.1016/j.tripleo.2009.09.024.CrossRef You YH, Chen WL, Wang YP, Liang J: The feasibility of facial-submental artery island myocutaneous flaps for reconstructing defects of the oral floor following cancer ablation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010, 109: 12-16. 10.1016/j.tripleo.2009.09.024.CrossRef
11.
go back to reference Sebastian P, Thomas S, Varghese BT, Iype EM, Balagopal PG, Mathew PC: The submental island flap for reconstruction of intraoral defects in oral cancer patients. Oral Oncol. 2008, 44: 1014-1018. 10.1016/j.oraloncology.2008.02.013.CrossRefPubMed Sebastian P, Thomas S, Varghese BT, Iype EM, Balagopal PG, Mathew PC: The submental island flap for reconstruction of intraoral defects in oral cancer patients. Oral Oncol. 2008, 44: 1014-1018. 10.1016/j.oraloncology.2008.02.013.CrossRefPubMed
12.
go back to reference Merten SL, Jiang RP, Caminer D: The submental artery island flap for head and neck reconstruction. ANZ J Surg. 2002, 72: 121-124. 10.1046/j.1445-2197.2002.02318.x.CrossRefPubMed Merten SL, Jiang RP, Caminer D: The submental artery island flap for head and neck reconstruction. ANZ J Surg. 2002, 72: 121-124. 10.1046/j.1445-2197.2002.02318.x.CrossRefPubMed
13.
go back to reference Multinu A, Ferrari S, Bianchi B, Balestreri A, Scozzafava E, Ferri A, Sesenna E: The submental island flap in head and neck reconstruction. Int J Oral Maxillofac Surg. 2007, 36: 716-720. 10.1016/j.ijom.2007.03.008.CrossRefPubMed Multinu A, Ferrari S, Bianchi B, Balestreri A, Scozzafava E, Ferri A, Sesenna E: The submental island flap in head and neck reconstruction. Int J Oral Maxillofac Surg. 2007, 36: 716-720. 10.1016/j.ijom.2007.03.008.CrossRefPubMed
14.
go back to reference Szudek J, Taylor SM: Systematic review of the platysma myocutaneous flap for head and neck reconstruction. Arch Otolaryngol Head Neck Surg. 2007, 133: 655-661. 10.1001/archotol.133.7.655.CrossRefPubMed Szudek J, Taylor SM: Systematic review of the platysma myocutaneous flap for head and neck reconstruction. Arch Otolaryngol Head Neck Surg. 2007, 133: 655-661. 10.1001/archotol.133.7.655.CrossRefPubMed
15.
go back to reference Puxeddu R, Dennis S, Ferreli C, Caldera S, Brennan PA: Platysma myocutaneous flap for reconstruction of skin defects in the head and neck. Br J Oral Maxillofac Surg. 2008, 46: 383-386. 10.1016/j.bjoms.2007.11.015.CrossRefPubMed Puxeddu R, Dennis S, Ferreli C, Caldera S, Brennan PA: Platysma myocutaneous flap for reconstruction of skin defects in the head and neck. Br J Oral Maxillofac Surg. 2008, 46: 383-386. 10.1016/j.bjoms.2007.11.015.CrossRefPubMed
16.
go back to reference Su T, Zhao YF, Liu B, Hu YP, Zhang WF: Clinical review of three types of platysma myocutaneous flap. Int J Oral Maxillofac Surg. 2006, 35: 1011-1015. 10.1016/j.ijom.2006.08.002.CrossRefPubMed Su T, Zhao YF, Liu B, Hu YP, Zhang WF: Clinical review of three types of platysma myocutaneous flap. Int J Oral Maxillofac Surg. 2006, 35: 1011-1015. 10.1016/j.ijom.2006.08.002.CrossRefPubMed
17.
go back to reference Peng LW, Zhang WF, Zhao JH, He SG, Zhao YF: Two designs of platysma myocutaneous flap for reconstruction of oral and facial defects following cancer surgery. Int J Oral Maxillofac Surg. 2005, 34: 507-513. 10.1016/j.ijom.2004.10.022.CrossRefPubMed Peng LW, Zhang WF, Zhao JH, He SG, Zhao YF: Two designs of platysma myocutaneous flap for reconstruction of oral and facial defects following cancer surgery. Int J Oral Maxillofac Surg. 2005, 34: 507-513. 10.1016/j.ijom.2004.10.022.CrossRefPubMed
18.
go back to reference Savant DN, Patel SG, Deshmukh SP, Gujarati R, Bhathena HM, Kavarana NM: Folded free radial forearm flap for reconstruction of full-thickness defects of the cheek. Head Neck. 1995, 17: 293-296. 10.1002/hed.2880170404.CrossRefPubMed Savant DN, Patel SG, Deshmukh SP, Gujarati R, Bhathena HM, Kavarana NM: Folded free radial forearm flap for reconstruction of full-thickness defects of the cheek. Head Neck. 1995, 17: 293-296. 10.1002/hed.2880170404.CrossRefPubMed
19.
go back to reference Shibahara T, Mohammed AF, Katakura A, Nomura T: Long-term results of free radial forearm flap used for oral reconstruction: functional and histological evaluation. J Oral Maxillofac Surg. 2006, 64: 1255-1260. 10.1016/j.joms.2006.04.022.CrossRefPubMed Shibahara T, Mohammed AF, Katakura A, Nomura T: Long-term results of free radial forearm flap used for oral reconstruction: functional and histological evaluation. J Oral Maxillofac Surg. 2006, 64: 1255-1260. 10.1016/j.joms.2006.04.022.CrossRefPubMed
20.
go back to reference Chien CY, Hwang CF, Chuang HC, Jeng SF, Su CY: Comparison of radial forearm free flap, pedicled buccal fat flap and split-thickness skin graft in reconstruction of buccal mucosal defect. Oral Oncol. 2005, 41: 694-697. 10.1016/j.oraloncology.2005.03.002.CrossRefPubMed Chien CY, Hwang CF, Chuang HC, Jeng SF, Su CY: Comparison of radial forearm free flap, pedicled buccal fat flap and split-thickness skin graft in reconstruction of buccal mucosal defect. Oral Oncol. 2005, 41: 694-697. 10.1016/j.oraloncology.2005.03.002.CrossRefPubMed
Metadata
Title
Clinical reliability of radial forearm free flap in repair of buccal defects
Authors
Qi-Gen Fang
Zhen-Ning Li
Xu Zhang
Fa-Yu Liu
Zhong-Fei Xu
Chang-Fu Sun
Publication date
01-12-2013
Publisher
BioMed Central
Published in
World Journal of Surgical Oncology / Issue 1/2013
Electronic ISSN: 1477-7819
DOI
https://doi.org/10.1186/1477-7819-11-26

Other articles of this Issue 1/2013

World Journal of Surgical Oncology 1/2013 Go to the issue