Abstract
A variety of reconstructive techniques have been described for buccal defects. The first-line reconstructive option is the fasciocutaneous radial forearm free flap (RFFF). The goal of reconstructive surgery includes restoration of function and cosmesis. In that regard, the RFFF has many advantages including suitable skin thinness and pliability, relative sparsity of hair, the ability to design multiple skin paddles, and simultaneous ablation and flap harvest by two surgical teams. It has been shown that most patients preserve open-mouth width and ultimately return to an oral diet with intelligible speech after reconstruction. With success rates of 95–100%, the RFFF provides a reliable and versatile reconstructive option for buccal defects.
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Fang QG, Li ZN, Zhang X, Liu FY, Xu ZF, Sun CF. Clinical reliability of radial forearm free flap in repair of buccal defects. World J Surg Oncol. 2013;11:26. Published 2013 Jan 30. https://doi.org/10.1186/1477-7819-11-26.
Fenton O, Roberts J: Improving the donor site of the radial forearm flap. Br J Plast Surg. 1985;38:504.
Kruse AL, Bredell MG, Lübbers HT, Jacobsen C, Grätz KW, Obwegeser JA. Clinical reliability of radial forearm free-flap procedure in reconstructive head and neck surgery. J Craniofac Surg. 2011;22:822–825. https://doi.org/10.1097/SCS.0b013e31820f36aa.
Liu F, Wang L, Pang S, Kan Q. Reconstruction of full-thickness buccal defects with folded radial forearm flaps: A retrospective clinical study. Medicine (Baltimore). 2017;96(32):e7344. https://doi.org/10.1097/MD.0000000000007344.
Savant DN, Patel SG, Deshmukh SP, et al. Folded free radial forearm flap for reconstruction of full-thickness defects of the cheek. Head Neck 1995;17:293–6.
Shibahara T, Mohammed AF, Katakura A, Nomura T. Long-term results of free radial forearm flap used for oral reconstruction: functional and histological evaluation. J Oral Maxillofac Surg. 2006;64:1255–1260. https://doi.org/10.1016/j.joms.2006.04.022.
Wehage IC, Fansa H. Complex reconstructions in head and neck cancer surgery: decision making. Head Neck Oncol. 2011;3:14. Published 2011 Mar 8. https://doi.org/10.1186/1758-3284-3-14.
Yang G, Chen B, Gao W, et al. Forearm free skin flap transplantation. Natl Med J China 1981;61:139–41.
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Hollowoa, B.R., Moreno, M.A. (2023). Reconstruction of Buccal Defects with Radial Forearm Free Flaps. In: Stack Jr., B.C., Moreno, M.A., Boyette, J.R., Vural, E.A. (eds) Matrix Head and Neck Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-031-24981-5_81
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DOI: https://doi.org/10.1007/978-3-031-24981-5_81
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