scholarly journals Refinement of the free radial forearm flap reconstructive technique after resection of large oropharyngeal malignancies with excellent functional results

Head & Neck ◽  
2003 ◽  
Vol 25 (9) ◽  
pp. 772-777 ◽  
Author(s):  
Mieke Moerman ◽  
Hubert Vermeersch ◽  
Kristiane Van Lierde ◽  
Hossein Fahimi ◽  
Paul Van Cauwenberge
2008 ◽  
Vol 2008 ◽  
pp. 1-5 ◽  
Author(s):  
N. Lumen ◽  
S. Monstrey ◽  
P. Ceulemans ◽  
E. van Laecke ◽  
P. Hoebeke

Objectives. Severe penile inadequacy in adolescents is rare. Phallic reconstruction to treat this devastating condition is a major challenge to the reconstructive surgeon. Phallic reconstruction using the free radial forearm flap (RFF) or the pedicled anterolateral thigh flap (ALTF) has been routinely used in female-to-male transsexuals. Recently we started to use these techniques in the treatment of severe penile inadequacy.Methods. Eleven males (age 15 to 42 years) were treated with a phallic reconstruction. The RFF is our method of choice; the ALTF is an alternative when a free flap is contraindicated or less desired by the patient. The RFF was used in 7 patients, the ALTF in 4 patients. Mean followup was 25 months (range: 4–49 months). Aesthetic and functional results were evaluated.Results. There were no complications related to the flap. Aesthetic results were judged as “good” in 9 patients and “moderate” in 2 patients. Sensitivity in the RFF was superior compared to the ALTF. Four patients developed urinary complications (stricture and/or fistula). Six patients underwent erectile implant surgery. In 2 patients the erectile implant had to be removed due to infection or erosion.Conclusion. In case of severe penile inadequacy due to whatever condition, a phalloplasty is the preferred treatment nowadays. The free radial forearm flap is still the method of choice. The anterolateral thigh flap can be a good alternative, especially when free flaps are contraindicated, but sensitivity is markedly inferior in these flaps.


1986 ◽  
Vol 32 (11) ◽  
pp. 2133-2139 ◽  
Author(s):  
Yukihiro MICHIWAKI ◽  
Kohsuke OHNO ◽  
Hiroshi YOSHIDA ◽  
Kenichi SAITOH ◽  
Takeaki OHSAWA ◽  
...  

2010 ◽  
Vol 63 (3) ◽  
pp. 539-543 ◽  
Author(s):  
Akira Yanagisawa ◽  
Kazunobu Hashikawa ◽  
Daisuke Sugiyama ◽  
Takaya Makiguchi ◽  
Hideyuki Yanagi ◽  
...  

Oral Oncology ◽  
2004 ◽  
Vol 40 (1) ◽  
pp. 99-102 ◽  
Author(s):  
Remco de Bree ◽  
Jasper J Quak ◽  
J.Alain Kummer ◽  
Suat Simsek ◽  
C.René Leemans

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