Aesthetic and functional results of harvesting radial forearm flap, especially with regard to hand function

2001 ◽  
Vol 30 (1) ◽  
pp. 42-48 ◽  
Author(s):  
Hengameh Toschka ◽  
Hartmut Feifel ◽  
Hans-Josef Erli ◽  
Ralf Minkenberg ◽  
Othmar Paar ◽  
...  
Keyword(s):  
Hand Function ◽  
Functional Results ◽  
Radial Forearm Flap ◽  
Forearm Flap ◽  
Radial Forearm

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
Keyword(s):  
Functional Results ◽  
Radial Forearm Flap ◽  
Forearm Flap ◽  
Free Radial Forearm Flap ◽  
Radial Forearm ◽  
Reconstructive Technique

scholarly journals Reconstructive Surgery for Severe Penile Inadequacy: Phalloplasty with a Free Radial Forearm Flap or a Pedicled Anterolateral Thigh Flap

2008 ◽  
Vol 2008 ◽  
pp. 1-5 ◽  
Author(s):  
N. Lumen ◽  
S. Monstrey ◽  
P. Ceulemans ◽  
E. van Laecke ◽  
P. Hoebeke
Keyword(s):  
Free Flaps ◽  
Functional Results ◽  
Good Alternative ◽  
Radial Forearm Flap ◽  
Anterolateral Thigh Flap ◽  
Forearm Flap ◽  
Free Radial Forearm Flap ◽  
Anterolateral Thigh ◽  
Aesthetic Results ◽  
Radial Forearm

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.

A Head-to-Head Comparison of the Medial Sural Artery Perforator versus Radial Forearm Flap for Tongue Reconstruction

2020 ◽  
Author(s):  
Marcus J.M. Ng ◽  
Cindy S.L. Goh ◽  
Ngian Chye Tan ◽  
David H. Song ◽  
Adrian S.H. Ooi
Keyword(s):  
Donor Site ◽  
Functional Results ◽  
Radial Forearm Flap ◽  
Tertiary Referral Center ◽  
Forearm Flap ◽  
Radial Forearm ◽  
Tongue Reconstruction ◽  
Sural Artery ◽  
Artery Perforator ◽  
Partial Glossectomy

Abstract Background For tongue reconstruction, the radial forearm flap (RFF) is commonly used. In the last decade, the medial sural artery perforator (MSAP) flap has been successfully used with reportedly superior donor-site outcomes. Our study is the first to compare the RFF and MSAP for reconstruction of partial glossectomy defects (<50% of tongue). Methods We conducted a retrospective review of 20 patients with partial glossectomy defects reconstructed at a tertiary referral center. Patient demographics, perioperative data, and postoperative complications were analyzed. Objective measures of speech, swallowing, and subjective patient satisfaction with their donor site were recorded. Results Ten RFF and MSAP were each used, with a mean partial glossectomy defect size of 40.5 and 43.5%, respectively. The MSAP was significantly thicker (7.8 vs. 4.3 mm, p < 0.05) with a longer harvest time (122.5 vs. 75.0 minutes, p < 0.05). There were no cases of free flap failure. Donor-site healing times were comparable, but the MSAP group experienced significantly less donor-site complications (n = 1 vs. n = 7, p < 0.05). Functional outcomes were comparable with 13 patients achieving normal speech and diet after 3 months (MSAP = 6 vs. RFF = 7, p = 1.00). All patients were satisfied with their donor-site outcome with the MSAP group having a marginally higher score. Conclusion Both flaps are good options for partial glossectomy reconstruction. Though more challenging to harvest, the MSAP gives comparable functional results and has become our first reconstructive option given its superior donor-site outcomes.

Total Ear Reconstruction with Prelaminated Radial Forearm Flap

2006 ◽  
Vol 22 (03) ◽  
Author(s):  
Catarina Rober ◽  
Fabio Aki ◽  
Luis Ishida ◽  
Julio Morais
Keyword(s):  
Radial Forearm Flap ◽  
Ear Reconstruction ◽  
Forearm Flap ◽  
Radial Forearm

Reconstruction of palate with radial forearm flap; a report of 3 cases

1990 ◽  
Vol 43 (3) ◽  
pp. 350-354 ◽  
Author(s):  
Mitsuo Hatoko ◽  
Takao Harashina ◽  
Takeo Inoue ◽  
Ichiro Tanaka ◽  
Keisuke Imai
Keyword(s):  
Radial Forearm Flap ◽  
Forearm Flap ◽  
Radial Forearm
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