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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
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The Radial Forearm Flap: A Technique Modification for Oral Cavity Composite Defects Involving a Marginal
Baber Khatib1, Ashish Patel2, Eric J Dierks3
1Fellow, Head and Neck Oncologic and Microvascular Reconstructive Surgery, Providence Cancer Center, Head and Neck Institute, Portland, OR.
Abstract:
The radial forearm flap is a versatile reconstructive option for oral cavity defects with highly reliable success rates. We encountered more than one flap compromise when we used a radial forearm flap to reconstruct the soft tissue and provide coverage over the mandible, after a marginal mandibulectomy. From this observation, we modified our technique for radial forearm harvest and inset to avoid placing the pedicle in compression against the mandible. The purpose of this article is to present the cases that led to this observation, and present the technique modification in design and execution that we have used.
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