Complications of free radial forearm flap transfers for head and neck reconstruction

被引：44
作者：
Chen, CM [1 ]
Lin, GT [1 ]
Fu, YC [1 ]
Shieh, TY [1 ]
Huang, IY [1 ]
Shen, YS [1 ]
Chen, CH [1 ]
机构：
[1] Kaohsiung Med Univ, Dept Oral Maxillofacial Surg, Kaohsiung 807, Taiwan
来源：
ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTICS | 2005年 / 99卷 / 06期
关键词：
D O I：
10.1016/j.tripleo.2004.10.010
中图分类号：
R78 [口腔科学];
学科分类号：
1003 ;
摘要：
Free tissue transfer using microvascular anastomosis has been established as an accepted maxiliofaciai reconstructive procedure. The free radial forearm flap (FRFF) has become a workhorse flap as a means of reconstructing surgical defects in the head and neck region. Since 1992, we have carried out 38 FRFF transfers in 37 patients for reconstruction after head and neck cancer ablative surgery. We present our clinical experience with head and neck reconstruction using the FRFF and the morbidity of the donor sites. Of the 38 FRFFs, 35 FRFFs were performed successfully. The survival rate of FRFF was 92%. Donor site complications included partial loss of skin graft in 4 donor sites (11%), abnormal sensations in 10 (26%), poor appearance in 3 (8%), and reduced grip strength in 4 (11%). Therefore, we believe that, because of the reliability, functional characteristics, and low donor site morbidity, the FRFF is a useful and versatile flap for reconstruction of head and neck defects.
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页码：671 / 676
页数：6
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