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Mandibular reconstruction using osteocutaneous radial forearm flap.

Mamoon Rashid1, Muhammad Sarmad Tamimy, Sabeen Masroor

  • 1Department of Plastic Surgery, Shifa International Hospital, Islamabad. ltcolmamoon@yahoo.com

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|August 8, 2012
PubMed
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The radial forearm osteocutaneous flap is effective for reconstructing complex mandibular defects, particularly those with significant soft tissue loss. This method achieved satisfactory outcomes in lateral and anterior mandible reconstructions.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Reconstructive Surgery

Background:

  • Complex mandibular defects often require specialized reconstructive techniques.
  • Large soft tissue components pose a significant challenge in oromandibular reconstruction.

Purpose of the Study:

  • To evaluate the efficacy of the radial forearm osteocutaneous free flap in complex mandibular reconstruction.
  • To describe the application of this flap in defects with substantial soft tissue loss.

Main Methods:

  • A case series design was utilized.
  • Patients with small bony and large soft tissue mandibular defects were selected.
  • The radial forearm osteocutaneous free flap was the chosen reconstructive method.

Main Results:

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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
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  • Follow-up averaged 28 months.
  • Complications occurred in 8 patients, most commonly wound infection and partial dehiscence (3 patients).
  • Two patients experienced non-union at the recipient site, while the donor site healed well in all cases.

    • Conclusions:

    • The radial forearm osteocutaneous flap is a viable option for oromandibular defects with extensive intra- and extra-oral soft tissue deficits.
    • Satisfactory reconstruction of lateral and anterior mandibular defects was achieved.