A modified design of the buried radial forearm free flap for use in oral cavity and pharyngeal reconstruction.
Arch Otolaryngol Head Neck Surg
; 120(11): 1233-9, 1994 Nov.
Article
em En
| MEDLINE
| ID: mdl-7917207
ABSTRACT
OBJECTIVE:
We present a new design for the radial forearm flap that includes a small monitor segment that is connected to the primary skin paddle by a fascial subcutaneous segment of tissue. This design modification permits buried flaps to be easily monitored and provides vascularized tissue coverage of the flap vessels as well as the great vessels in the neck. Immediate augmentation of the radical neck deformity can be achieved.SETTING:
This study was conducted at a referral center. PATIENTS Fifteen patients with squamous cell cancer of the pharynx and tongue base were included in this study. The defects in these patients were judged to be best reconstructed with a radial forearm free flap.RESULTS:
All free flaps in this series survived. There was one case, described in detail, in which the fascial subcutaneous portion of the flap was exposed to salivary contamination. The flap vessels remained well protected and flap viability was unimpaired.
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Coleções:
01-internacional
Temas:
Geral
/
Tipos_de_cancer
/
Boca
Base de dados:
MEDLINE
Assunto principal:
Retalhos Cirúrgicos
/
Neoplasias da Língua
/
Carcinoma de Células Escamosas
/
Neoplasias Faríngeas
/
Antebraço
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Arch Otolaryngol Head Neck Surg
Assunto da revista:
OTORRINOLARINGOLOGIA
Ano de publicação:
1994
Tipo de documento:
Article