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Outcomes after free tissue transfer for composite oral cavity resections involving skin
Ist Teil von
Head & neck, 2018-05, Vol.40 (5), p.973-984
Ort / Verlag
United States: Wiley Subscription Services, Inc
Erscheinungsjahr
2018
Link zum Volltext
Quelle
Wiley-Blackwell Journals
Beschreibungen/Notizen
Background
Resections involving oral cavity mucosa, bone, and skin present a unique challenge. Optimizing outcomes often requires technically demanding reconstruction. The purpose of this study is to evaluate outcomes of several reconstructive approaches for patients with composite through‐and‐through defects, with a focus on the osteocutaneous radial forearm free flap (RFFF).
Methods
We conducted a retrospective evaluation of the cohort of patients treated for composite through‐and‐through defects with cutaneous involvement who underwent free flap reconstruction from August 2012 through October 2015.
Results
Seventeen patients received a single flap (12 cases of osteocutaneous RFFF), whereas 10 patients underwent a combination of flaps. Complication rates and functional outcomes were favorable in patients who underwent osteocutaneous RFFFs. The supraclavicular artery island flap (SCAIF) was used as a second flap in 3 cases.
Conclusion
The osteocutaneous RFFF provides a valuable reconstructive option for complex composite resection defects involving skin. When 2 flaps are required, the SCAIF is a viable alternative to a second free flap or pectoralis flap.