Alternative reconstruction of donor defect of free radial forearm flap in head and neck cancer

被引：8

作者：

Chang, Kao-Ping ^{[1
,2
]}

Lai, Ching-Hung ^{[1
]}

Liang, Wen-Lung ^{[3
]}

Lai, Chung-Sheng ^{[1
,2
]}

Lin, Sin-Daw ^{[1
,2
]}

机构：

[1] Kaohsiung Med Univ, Coll Med, Dept Surg, Div Plast & Reconstruct Surg, Kaohsiung, Taiwan

[2] Kaohsiung Med Univ, Coll Med, Fac Med, Kaohsiung, Taiwan

[3] Kaohsiung Med Univ Hosp, Dept Rehabil Med, Div Occupat Therapy, Kaohsiung 807, Taiwan

来源：

JOURNAL OF PLASTIC SURGERY AND HAND SURGERY | 2010年 / 44卷 / 01期

关键词：

Free radial forearm flap; donor defect; anterolateral thigh flap; head and neck cancer; ANTEROLATERAL THIGH FLAPS; CONSECUTIVE PATIENTS; PRIMARY CLOSURE; SKIN; PERFORATOR; EXPERIENCE;

D O I：

10.3109/02844310903351251

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

We report our method of restoration of the radial artery in the use of the anterolateral thigh.(ALT) flap to overcome the important drawback of sacrificing the radial artery in cases of free radial forearm flap (FRFF), which is indicated for reconstruction of the tongue and other intraoral defects. There were 12 patients in our series, but only seven completed their postoperative evaluations. We harvested FRFF and ALT flaps simultaneously. The former was used for palatal or lip reconstruction and the latter was anastomosed as a flow-through flap to salvage the radial artery. All major donor site problems of the FRFF were solved by coverage by the ALT flap, except for abnormal sensation on the radial side of the donor hand. The FRFF is a proper choice for small tongue or lip defects. When it is chosen for its unique merits, the ALT flap can also serve as an alternative in reconstructing the donor site with least morbidity, including the restoration of patency to the radial artery.

引用

页码：31 / 36

页数：6

共 20 条

[1] Effects of thinning the anterolateral thigh flap on the blood supply to the skin [J].

Alkureishi, LWT ;

Shaw-Dunn, J ;

Ross, GL .

BRITISH JOURNAL OF PLASTIC SURGERY, 2003, 56 (04) :401-408

[2] REDUCTION OF COMPLICATION RATE AT RADIAL FOREARM FLAP DONOR SITES [J].

BOOTZ, F ;

BIESINGER, E .

ORL-JOURNAL FOR OTO-RHINO-LARYNGOLOGY AND ITS RELATED SPECIALTIES, 1991, 53 (03) :160-164

[3] Flow-through flaps: A review of current knowledge and a novel classification system [J].

Bullocks, Jamal ;

Naik, Bindi ;

Lee, Edward ;

Hollier, Larry, Jr. .

MICROSURGERY, 2006, 26 (06) :439-449

[4] Anterolateral thigh flaps for reconstruction of head and neck defects [J].

Chen, CM ;

Chen, CH ;

Lai, CS ;

Lin, SD ;

Huang, IY ;

Shieh, TY .

JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2005, 63 (07) :948-952

[5] Complications of free radial forearm flap transfers for head and neck reconstruction [J].

Chen, CM ;

Lin, GT ;

Fu, YC ;

Shieh, TY ;

Huang, IY ;

Shen, YS ;

Chen, CH .

ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTICS, 2005, 99 (06) :671-676

[6] Analysis of flow changes in forearm arteries after raising the radial forearm flap:: a prospective study using colour duplex imaging [J].

Ciria-Lloréns, G ;

Gómez-Cía, T ;

Talegón-Melèndez, A .

BRITISH JOURNAL OF PLASTIC SURGERY, 1999, 52 (06) :440-444

[7] Radial forearm free flap donor site outcomes comparison by closure methods [J].

Ho, T ;

Couch, M ;

Carson, K ;

Schimberg, A ;

Manley, K ;

Byrne, PJ .

OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2006, 134 (02) :309-315

[8] Primary closure versus radial forearm flap reconstruction after hemiglossectomy: Functional assessment of swallowing and speech [J].

Hsiao, HT ;

Leu, YS ;

Lin, CC .

ANNALS OF PLASTIC SURGERY, 2002, 49 (06) :612-616

[9] Primary closure of radial forearm flap donor defects with a bilobed flap based on the fasciocutaneous perforator of the ulnar artery [J].

Hsieh, CH ;

Kuo, YR ;

Yao, SF ;

Liang, CC ;

Jeng, SF .

PLASTIC AND RECONSTRUCTIVE SURGERY, 2004, 113 (05) :1355-1360

[10] Current Options in Head and Neck Reconstruction [J].

Hurvitz, Keith A. ;

Kobayashi, Mark ;

Evans, Gregory R. D. .

PLASTIC AND RECONSTRUCTIVE SURGERY, 2006, 118 (05) :122E-133E

← 1 2 →