The osteocutaneous radial forearm free flap: A pictorial essay.
| Title: | The osteocutaneous radial forearm free flap: A pictorial essay. |
|---|---|
| Authors: | McCrary HC; Department of Otolaryngology - Head and Neck Surgery, The Ohio State University, Columbus, Ohio, USA.; Department of Otolaryngology - Head and Neck Surgery, University of Utah, Salt Lake City, Utah, USA.; Farlow JL; Department of Otolaryngology - Head and Neck Surgery, The Ohio State University, Columbus, Ohio, USA.; Department of Otolaryngology - Head and Neck Surgery, Indiana University, Indianapolis, Indiana, USA.; Alexander J; Department of Orthopaedic Surgery, The Ohio State University, Columbus, Ohio, USA.; Haring CT; Department of Otolaryngology - Head and Neck Surgery, The Ohio State University, Columbus, Ohio, USA.; Kang SY; Department of Otolaryngology - Head and Neck Surgery, The Ohio State University, Columbus, Ohio, USA.; Old MO; Department of Otolaryngology - Head and Neck Surgery, The Ohio State University, Columbus, Ohio, USA.; Seim NB; Department of Otolaryngology - Head and Neck Surgery, The Ohio State University, Columbus, Ohio, USA. |
| Source: | Head & neck [Head Neck] 2024 Jun; Vol. 46 (6), pp. 1533-1541. Date of Electronic Publication: 2024 Apr 10. |
| Publication Type: | Case Reports; Journal Article |
| Language: | English |
| Journal Info: | Publisher: John Wiley And Sons Country of Publication: United States NLM ID: 8902541 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-0347 (Electronic) Linking ISSN: 10433074 NLM ISO Abbreviation: Head Neck Subsets: MEDLINE |
| Imprint Name(s): | Publication: New York, NY : John Wiley And Sons; Original Publication: New York, NY : J. Wiley, c1989- |
| MeSH Terms: | Forearm*/surgery ; Plastic Surgery Procedures*/methods ; Free Tissue Flaps*; Bone Transplantation/methods ; Carcinoma, Squamous Cell/surgery ; Head and Neck Neoplasms/surgery ; Osteotomy/methods ; Radius/surgery ; Tissue and Organ Harvesting/methods ; Female ; Humans ; Aged, 80 and over |
| Abstract: | The osteocutaneous radial forearm free flap (OCRFFF) is a versatile flap with the ability to reconstruct complex defects. We detail the techniques necessary to harvest an OCRFFF, including an outline on making 90-degree osteotomies to maximize bone harvest. In this pictorial essay, we provide illustrations of the anatomy and surgical techniques necessary for OCRFFF harvest. Detailed discussion is provided on how to protect the perforators to the bone and the approach to making osteotomies in a 90-degree fashion. The approach for prophylactic plating of the radius to prevent radius fractures is outlined. A case presentation on the real-life utilization of this flap is included. The OCRFFF is an excellent head and neck reconstructive option. While there are limitations to its use for patients requiring dental rehabilitation or long/anterior mandibular defects, for the right patient and indication it has shown great success in reconstructive efforts.; (© 2024 The Authors. Head & Neck published by Wiley Periodicals LLC.) |
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| Contributed Indexing: | Keywords: free flap; head and neck cancer; head and neck surgery; microvascular reconstruction; osteocutaneous radial forearm free flap |
| Entry Date(s): | Date Created: 20240410 Date Completed: 20240513 Latest Revision: 20240828 |
| Update Code: | 20260130 |
| DOI: | 10.1002/hed.27745 |
| PMID: | 38595113 |
| Database: | MEDLINE |
Case Reports; Journal Article