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Experience with the radial forearm flap in 14 cases
Scandinavian Journal of Plastic and Reconstructive Surgery
|January 1, 1984
Summary
The radial forearm flap is a versatile option for reconstruction, even in challenging cases involving infection or radiation. This study details its successful application in 14 patients, highlighting key surgical considerations.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Microsurgery
Background:
- The radial forearm flap is a well-established reconstructive option.
- Its use in complex cases, including those with hostile environments, requires careful planning.
- Evaluating flap viability and reconstructive outcomes is crucial.
Observation:
- Fourteen patients (aged 9-79 years) underwent reconstruction using the radial forearm flap.
- Flaps were utilized for intra-oral lining, mandibular reconstruction (with hemi-radius), and other reconstructive needs.
- Most reconstructions were performed in patients with chronic infection, radiotherapy, or fast neutron therapy exposure.
Findings:
- Two flaps failed, including one osseocutaneous free flap, indicating a success rate of approximately 86%.
- The study details anatomical considerations, pre-operative assessments (including the timed Allen test), and operative techniques.
- Potential pitfalls and refinements for optimizing outcomes with radial forearm flaps are discussed.
Implications:
- The radial forearm flap demonstrates utility in diverse and challenging reconstructive scenarios.
- Understanding anatomical landmarks and employing specific pre-operative tests like the Allen test can improve flap success.
- This flap offers a viable solution for complex head and neck reconstructions, even in post-radiation or infected fields.