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The radial forearm free flap: our experience in solving donor site problems
1Maxillo-Facial Surgery Clinic, Dept. of Plastic Surgery, Clinical Hospital Centre, Rijeka, Yugoslavia.
Summary
Forearm island skin flaps offer improved surgical techniques for orofacial cancer reconstruction. This method resulted in excellent aesthetic and functional outcomes with no complications in 15 patients.
Area of Science:
- Plastic Surgery
- Oncology
- Reconstructive Surgery
Background:
- Orofacial malignancies require complex surgical excision.
- Donor site morbidity is a significant concern in reconstructive surgery.
- Forearm flaps are commonly used but present challenges.
Purpose of the Study:
- To evaluate the outcomes of island skin flaps from the ulnar forearm as a donor site for orofacial reconstruction.
- To assess the complications and functional/aesthetic results of this specific flap technique.
Main Methods:
- A retrospective review of 75 patients undergoing orofacial malignancy excision.
- Detailed analysis of 15 patients who received an island skin flap from the ulnar forearm.
- Assessment of donor site healing, flap viability, and patient outcomes.
Main Results:
- The ulnar forearm island skin flap demonstrated no healing complications in the donor site.
- Excellent aesthetic and functional results were achieved in patients receiving this flap.
- The technique was considered an improvement in surgical management.
Conclusions:
- The ulnar forearm island skin flap is a safe and effective option for orofacial reconstruction.
- This method minimizes donor site morbidity and enhances patient outcomes.
- It represents a valuable advancement in reconstructive surgery for orofacial defects.