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Related Experiment Videos

Dual free flap transfer using forearm flap for mandibular reconstruction.

T Nakatsuka1, K Harii, A Yamada

  • 1Department of Surgical Oncology, National Cancer Center Hospital, Tokyo, Japan.

Head & Neck
|November 1, 1992
PubMed
Summary

This study presents a dual free tissue transfer technique using a vascularized bone graft and a radial forearm flap for mandibular reconstruction. This method effectively restores the alveolar ridge in oral cancer patients.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Plastic and Reconstructive Surgery
  • Oncology

Background:

  • Composite mandibular defects often result from oral cancer treatment, necessitating complex reconstruction.
  • Traditional methods may face limitations in achieving functional and aesthetic restoration.
  • The radial forearm flap offers unique advantages for mucosal lining and vascular bridging.

Observation:

  • A dual free tissue transfer technique was employed, combining a vascularized bone graft with a radial forearm flap.
  • This procedure was utilized in 17 patients with mandibular defects post-oral cancer treatment between 1982 and 1989.
  • The radial forearm flap served as mucosal lining and/or an interpositional flap, acting as a vascular bridge.

Findings:

  • The dual free tissue transfer technique demonstrated significant advantages for mandibular reconstruction.

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  • It proved effective in creating a satisfactory alveolar ridge for patients with composite mandibular defects.
  • The procedure is applicable even with a single pair of recipient vessels, potentially located at a distance from the defect.

    • Implications:

    • This technique offers a viable solution for complex mandibular reconstruction, particularly after oncological resections.
    • It expands reconstructive options for patients with limited recipient vessel availability.
    • The method facilitates improved functional outcomes, including restoration of the alveolar ridge and masticatory function.