Ettl, Tobias and Gottsauner, Maximilian and Kuehnel, Thomas and Maurer, Michael and Schuderer, Johannes G. and Spoerl, Steffen and Taxis, Juergen and Reichert, Torsten E. and Fiedler, Mathias and Meier, Johannes K. (2023) The Folded Radial Forearm Flap in Lip and Nose Reconstruction-Still a Unique Choice. JOURNAL OF CLINICAL MEDICINE, 12 (11): 3636. ISSN , 2077-0383
Full text not available from this repository. (Request a copy)Abstract
(1) Background: The radial forearm flap (RFF) has evolved as the flap of choice for intraoral mucosal reconstructions, providing thin and pliable skin with a safe blood supply. Perforator flaps such as the anterolateral thigh (ALT) flap are increasingly being discussed for the same applications. (2) Methods: Patient history, treatment details, and outcome of 12 patents with moderate to extended defects of the lip and/or nose area that were reconstructed by a folded radial forearm flap were retrospectively evaluated for oncologic and functional outcomes. (3) Results: The mean oncologic and functional follow-up were 21.1 (min. 3.8; max. 83.3) and 31.2 (min. 6; max. 96) months, respectively. All flaps survived without revision. In eight cases, major lip defects were reconstructed by an RFF; in six patients, the palmaris longus tendon was included for lip suspension. The functional results in terms of eating, drinking, and mouth opening were good in five cases, while three patients were graded as fair due to moderate drooling. In seven cases, the major parts of the nose were reconstructed with two good and five fair (nostril constriction in three cases) functional results. (4) Conclusions: The folded RFF remains a unique free flap option for complex three-dimensional lip and nose reconstructions in terms of flexibility, versatility, and robustness.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | SOFT PALATE RECONSTRUCTION; EXPERIENCE; OUTCOMES; DEFECTS; GRAFTS; REPAIR; radial forearm flap; folded; lip; nose; flexible |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Hals-Nasen-Ohren-Heilkunde Medicine > Lehrstuhl für Mund-, Kiefer- und Gesichtschirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 09 Mar 2024 13:42 |
| Last Modified: | 09 Mar 2024 13:42 |
| URI: | https://pred.uni-regensburg.de/id/eprint/59383 |
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