Research open access reconstruction of scalp defects with the radial forearm free flap larissa sweeny1, brendan eby1, j scott magnuson1, william r carroll1 and eben l rosenthal1,2 abstract. Doublelayered collagen graft to the radial forearm free. What is the abbreviation for radial forearm free flap. Free flaps did not, however, become widely used for hypopharyngeal reconstruction until after the refinement of microvascular techniques during the 1970s. Free radial forearm flap failure due to unautonomization. Osteocutaneous radial forearm free flap harvest and. We report a modified technique of folding the radial forearm flap for. Radial forearm free flap free download as powerpoint presentation. A radial forearm flap is then used to cover the muscle of the flap as well as the defect in the lateral.
Case report survival of a free radial forearm flap without venous. Radial forearm flap an overview sciencedirect topics. Several types of free flaps can be used to restore defects within the oral cavity. Free radial artery forearm flap in reconstruction of oral cavity cancers our experience 88 int j res med. Reconstruction of the cranial base after resection of complex. Clinical reliability of radial forearm free flap in repair. The free radial forearm flap frff has become a workhorse flap as a. In the fifth patient, 2 simultaneous free radial forearm flaps were. If you dont have a registration, then register for. Use of the radial forearm microvascular freeflap graft. When this socalled chinese flap was originally described by yang. Revisiting radial forearm free flap for successful venous drainage. Phallic reconstruction to treat this devastating condition is a major challenge to the reconstructive surgeon. Even in publications from the past 15 months, the radial forearm free flap remains an uncommon choice for.
Free radial forearm flap how is free radial forearm flap. Fifty patients who underwent at least 6 months before a reconstruction using a free vascularized radial forearm flap were asked to fill out two. Indications the forearm flap has been used for just about everything imaginable in the area of head. Reconstructive surgery for severe penile inadequacy. To assess the functional donor site morbidity of the forearm free flap in patients surviving at least 2 years after ablative head and neck cancer surgery in a tertiary care centre. Radial forearm free flap harvest causes significant longterm donor site disability in head and neck tumour patients. This elearning course provides a step by step approach, lessons on.
Functional reconstruction of subtotal glossectomy defects. Radial forearm flap british association of oral and. A, postoperative appearance 5 years after a radial forearm free flap donor site was. Rafff is defined as radial artery forearm free flap very rarely. Tissue defect reconstruction using radial forearm free flap rfff is a common surgical technique whose success or failure is mainly. Unsubscribe from microsurgery made easy cancel unsubscribe. Radial forearm free flap is the most reliable flap for intraoral soft tissue reconstruction after cancer ablation surgery. The skin of the volar forearm provides relatively thin and reliable coverage for a wide variety of defects. The microsurgery is usually easy to perform due to large. Osseocutaneous radial forearm free tissue transfer for repair of complex midfacial defects. Rafff radial artery forearm free flap acronymfinder. Radial forearm free flap postoperative instructions. Radial artery forearm free flap how is radial artery. The radial forearm free flap, highly regarded in head and neck reconstructive surgery, is known to be one of the most reliable and versatile flaps.
Radial forearm free flap what is a radial forearm free flap. The ideal method for buccal defects should provide good outcome of both function and appearance. The ulnar forearm flap has the advantages of thin and pliable skin, constant and large pedicle, and the teclinical possibility of combination with the muscles, sensory or motor nerve, and ulna. The radial forearm free flap rfff has been widely used as a reliable reconstructive solution as it provides thin soft tissues, particularly useful to reconstruct the oral cavity and other head. The patient did not complain about the appearance and. Complications of free radial forearm flap transfers for. Doctors often use this surgery to reconstruct an area in the head and neck.
Donor site morbidity of the fasciocutaneous radial forearm flap. The fasciocutaneous radial forearm free flap fcrfff is the most common free flap used in head and neck reconstruction. The reverseflow radial forearm flap for soft tissue. Radial forearm flap microsurgery made easy loading. Surprisingly, the radial forearm free flap was rarely used 8%, 44567 124. Despite the increasing development of thin perforator flaps and continuous sophistication of flapraising techniques at nearly any donor site of the body, the rff remains the most commonly. Because the radial aspect of the arm is hair bearing, the amount and quality of the hair is a consideration in using this flap for resurfacing. This chapter talks about free tissue transfer indicated for the replacement of moderate to large soft tissue defects associated with ablative wounds. Osteocutaneous radial forearm flap free tissue transfer. The reverse radial forearm rrf flap can be used to cover moderatesized defects. In 1978, a fasciocutaneous free flap from the volar aspect of the forearm and pedicled on the radial artery was first used in china. Nevertheless, other forearm flaps, less expensive in terms of vascular. Single stage reconstruction of fullthickness defects of the cheek with the folded free radial forearm flap is reliable and produces.
Submental island flap versus radial forearm free flap for. Flap choice should be dictated by the needs of the patient and those of the site to be reconstructed. Radial forearm free flap rfff is a versatile reconstructive method, first described by yang et al. Longterm functional donor site morbidity of the free. The use of the reversed flow radial forearm fasciocutaneous flap in the. Used as an island flap, the pitfalls of the microsurgical procedures required for a free.
It presents a list of the radial forearm flap layers, and explains the radial forearm flap technique. The disabilities of the arm, shoulder and hand questionnaire is a concise tool for. The mission of the ahns is to advance education, research, and quality of care for the head and neck oncology patient. Submental island flap versus radial forearm free flap for oral tongue reconstruction. It is one of the most common ways of replacing tissue in the head and neck, particularly after mouth cancers have been removed. Reconstruction of scalp defects with the radial forearm. Radial forearm versus anterolateral thigh fl ap reconstruction after hemiglossectomy. Pedicled and free radial forearm flaps for reconstruction of the elbow, wrist, and hand. A radial forearm free flap is one way of filling a hole which is left when a cancer has been removed.
A comparison of the donorsite morbidity after using the. The radial forearm fasciocutaneous flap was first described by yang and colleagues in the chinese literature in 1981 and was coined the chinese flap. When this socalled chinese flap was originally described by yang et al. In general, the results of soft palate obturation have been satisfactory, with most patients achieving velopharyngeal competence during speech and swallowing. Radial forearm free flap iowa head and neck protocols. Radial forearm free flap musculoskeletal system medicine. Defects of the soft palate resulting from head and neck oncologic surgery traditionally have been rehabilitated using a prosthetic obturator. Pdf folded free radial forearm flap for reconstruction of full. Free radial forearm flap failure due to unautonomization in a 105year old patient. Free radial artery forearm flap in reconstruction of oral. Radial forearm free flap atlas of operative oral and.
Free radial forearm flap after partial glossectomy for squamous cell carcinoma of the tongue chuah uc,kamarul t,sara t department of orthopaedic surgery,university of malaya. Previous attempts to use an osteocutaneous radial forearm free flap. Download as an information leaflet pdf radial forearm flap. The radial forearm free flap should not be used for every head and neck defect. Surgical technique ottie van zyl the radial free forearm flap rfff was. However, unesthetic scar of the donor site and the need for a second. Rfff abbreviation stands for radial forearm free flap. A single patient in this group had a partial brachioradialis muscle flap raised as chimeric component to the composite radial forearm flap. Radial forearm free flap pharyngoesophageal reconstruction. Microvascular surgery protocols general considerations. Radial forearm free flap for soft palate reconstruction.
Radial forearm free flap is regularly used in reconstruction. When this socalled chinese flap was originally described by. Free tissue transfer using microvascular anastomosis has been established as an accepted maxillofacial reconstructive procedure. In order to reduce the congestion in the flap, an endtoend anastomosis between the distal end of the radial artery and the ipsilateral lingual vein was performed.
1517 13 1317 1160 1604 774 534 348 1584 935 1433 1268 702 1309 1016 701 1183 679 292 425 1333 317 1351 547 551 823 354 352 818 206 521 1264 1117 1448 370 524 763