The radial forearm flap in head and neck reconstruction

Area of Science:

• Plastic Surgery
• Head and Neck Surgery
• Reconstructive Surgery

Background:

• Head and neck defects often require complex reconstruction.
• Reconstruction in radiated tissue presents unique challenges.
• The radial forearm flap offers a versatile solution for these issues.

Purpose of the Study:

• To evaluate the efficacy and versatility of the radial forearm flap in head and neck reconstruction.
• To highlight its benefits in specific defect types, including segmental bone and mucosal defects.
• To assess its utility in post-irradiation defects.

Main Methods:

• Utilizing the radial forearm flap for single-stage reconstruction of head and neck defects.
• Incorporating the radial bone as a strut for mandibular reconstruction.
• Assessing flap vascularity and tissue characteristics for optimal wound healing.

Main Results:

• The radial forearm flap provides reliable reconstruction for head and neck defects, including segmental mandible and intraoral mucosa.
• It allows for denture fitting due to good skin draping over the bone.
• The flap is highly vascular, promoting healing in radiated beds, and its low bulk aids inset healing.
• Early patient mobilization is possible due to the upper extremity donor site.

Conclusions:

• The radial forearm flap is a highly reliable and versatile technique for head and neck reconstruction.
• It is particularly valuable for defects involving bone, mucosa, and post-irradiation sites.
• Consideration should be given to potential radius fracture risk in postmenopausal women.