RESUMO
Thirty consecutive patients treated with a free radial forearm flap are reviewed. The flap was used in the reconstruction of intraoral defect in 24 patients and of extraoral defect in 6 patients. There were no total or partial flap failures. Donor site complication included a partial loss of skin graft in 4 and radial fracture occurred in 1 patient. The authors considered the application of the radial forearm flap a reliable method for resurfacing large skin defects of the face. However, according to their conviction the most important field of the forearm flap is its use in intraoral reconstruction after pull-through operation. Attention is drawn to the limitation of the use of osteocutaneous flap in the replacement of segmental mandibular defect.
Assuntos
Carcinoma Basocelular/cirurgia , Traumatismos Faciais/cirurgia , Neoplasias Faciais/cirurgia , Mandíbula/efeitos da radiação , Neoplasias Orofaríngeas/cirurgia , Osteorradionecrose/cirurgia , Neoplasias Cutâneas/cirurgia , Retalhos Cirúrgicos/métodos , Adulto , Idoso , Idoso de 80 Anos ou mais , Anastomose Cirúrgica/métodos , Transplante Ósseo/métodos , Feminino , Sobrevivência de Enxerto/fisiologia , Humanos , Masculino , Microcirurgia/métodos , Pessoa de Meia-IdadeRESUMO
Thirty consecutive patients treated with a free radial forearm flap were reviewed. This flap was used in the reconstruction of intraoral defect in 24 patients and of extraoral defect in 6 patients. There were no total or partial flap failures. Donor site complication included a partial loss of skin graft in 4 and radial fracture occurred in 1 patient. The authors considered the application of the radial forearm flap a reliable method for resurfacing large skin defect of the face. However, according to their conviction the most important field of the forearm flap is its use in intraoral reconstruction after pull-through operation. They drew attention to the limitation of the use of osteocutaneous flap in the replacement of segmental mandibular defect.
Assuntos
Face/cirurgia , Antebraço , Procedimentos Cirúrgicos Ortognáticos , Retalhos Cirúrgicos/métodos , Adulto , Idoso , Idoso de 80 Anos ou mais , Anastomose Cirúrgica/métodos , Transplante Ósseo , Neoplasias Faciais/reabilitação , Neoplasias Faciais/cirurgia , Feminino , Antebraço/irrigação sanguínea , Antebraço/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias Bucais/reabilitação , Neoplasias Bucais/cirurgia , Músculo Esquelético/transplante , Transplante de Pele , Retalhos Cirúrgicos/patologiaRESUMO
Free radial forearm flap was used to replace the tissue defect caused by pull-through operation for cancer of the mouth in 13 cases. There was no total or partial flap failure. The greatest advantage of the method is that the restriction of the tongue movement is less when compared to the results of other methods since the thin forearm flaps are well adaptable and are of a pliable nature. The newly developed lower alveolar crest makes the prosthetic rehabilitation possible.