Oral and pharyngeal reconstruction using the free forearm flap

Area of Science:

• Reconstructive surgery
• Head and neck oncology
• Microsurgery

Background:

• Advancements in myocutaneous and free flaps enable complex defect closure after head and neck cancer ablative surgery.
• Musculocutaneous flaps, like pectoralis major and latissimus dorsi, demonstrate significant versatility.
• Forearm free flaps provide thin, pliable skin ideal for intraoral and oropharyngeal defect reconstruction.

Observation:

• The study retrospectively analyzed 74 free forearm flap transfers performed between November 1982 and August 1985.
• These reconstructions were for patients undergoing ablative surgery for head and neck cancers.
• Clinical applications of the free forearm flap were documented.

Findings:

• The free forearm flap is a viable option for reconstructing complex defects in head and neck cancer patients.
• The flap offers thin and pliable skin, beneficial for intraoral defect repair.
• Potential disadvantages, particularly hand morbidity following flap elevation, were noted.

Implications:

• Free forearm flaps represent a valuable tool in the reconstructive surgeon's armamentarium for head and neck cancer.
• Further investigation into minimizing hand morbidity associated with forearm flap elevation is warranted.
• This technique enhances functional and aesthetic outcomes in complex oncologic reconstructions.