+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Full-thickness cheek and lip reconstruction with the radial forearm free flap



Full-thickness cheek and lip reconstruction with the radial forearm free flap



Annals of Plastic Surgery 25(4): 287-294



The radial forearm free flap has proven versatility in head and neck reconstruction. It is superior to regional alternatives such as the pectoralis flap because it is thin, pliable, and predominantly hairless. A more recent application is the use of the folded forearm flap to replace both the skin and inner lining, simultaneously, in full-thickness cheek and lip defects. Nine such cases are presented in this report. Each patient had a recurrent lesion that had been reconstructed previously with local flaps, and all but one were treated with postoperative radiation therapy. The average size of the external defects after resection was 27 cm2, and of the intraoral defects, 18 cm2. All free flaps survived completely. The folded forearm flap solved the reconstructive problem for each patient in a single-stage procedure, providing good contour and a reasonable color match. The flap is easy to raise, has a long pedicle with large-diameter vessels, and has an acceptable donor site defect not associated with long-term morbidity.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 040177941

Download citation: RISBibTeXText

PMID: 2244739

DOI: 10.1097/00000637-199010000-00008


Related references

Folded free radial forearm flap for reconstruction of full-thickness defects of the cheek. Head & Neck. 17(4): 293-296, 1995

Reconstruction of full-thickness cheek defects with using free osseocutaneous radial forearm flap. Journal of Craniofacial Surgery 23(4): E357-E359, 2012

Reconstruction of the lips, oral commissure, and full-thickness cheek with a composite radial forearm palmaris longus free flap. Annals of Plastic Surgery 33(5): 544-547, 1994

Reconstruction of full-thickness cheek defects with a bipaddled radial forearm flap. British Journal of Oral & Maxillofacial Surgery 31(2): 108-112, 1993

Double continuous radial forearm flap for the reconstruction of full-thickness buccal cheek defect. Journal of Plastic Reconstructive and Aesthetic Surgery 62(5): E95-E96, 2009

Immediate full-thickness facial defects reconstruction using the radial forearm free flap. European Journal of Plastic Surgery 16(6): 287-291, 1993

Reconstructing a full-thickness cheek defect of electrical burn with a folding radial forearm flap. Journal of Oral and Maxillofacial Surgery 71(10): 1811.E1-3, 2013

Reconstruction of the cheek using a "suspended" radial forearm free flap. British Journal of Plastic Surgery 43(3): 365-366, 1990

Full-thickness reconstruction of cheek defect involving oral commissure with forearm tendinocutaneous flap. British Journal Of Oral & Maxillofacial Surgery. 34(1): 26-27, 1996

Reconstruction of large intraoral and adjacent cheek defects by free radial forearm flap. European Journal of Plastic Surgery 15(5): 230-232, 1992

One-stage reconstruction of a defect of the oral commissure and of the cheek with a radial forearm free flap. Journal of Craniofacial Surgery 19(6): 1508-1511, 2008

Reconstruction of the floor of the mouth with a fascial radial forearm flap, prelaminated with full thickness pieces of buccal mucosa. International Journal of Oral and Maxillofacial Surgery 28(1): 74-75, 1999

Clinical application of folded free radial forearm flaps for reconstruction of full-tickness cheek defects after resection of buccal carcinoma. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 32(13): 1002-1005, 2018

Local full-thickness skin graft to cover the radial forearm free flap donor site. International Journal of Oral and Maxillofacial Surgery 45(1): 132-133, 2016

Closure of radial forearm free flap donor site with local full-thickness skin graft. British Journal of Oral & Maxillofacial Surgery 37(2): 119-122, 1999