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Research Article| Volume 40, ISSUE 4, P391-395, July 1987

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The free radial forearm flap with and without bone for closure of large palatal fistulae

  • A.M. MacLeod
    Correspondence
    Requests for reprints to: Mr A. MacLeod, FRACS, Microsurgery Research Centre, St Vincent's Hospital, Victoria Pde, Fitzroy, Victoria 3065, Australia.
    Affiliations
    Microsurgery Research Centre, St Vincent's Hospital, Victoria ,Australia
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  • W.A. Morrison
    Affiliations
    Microsurgery Research Centre, St Vincent's Hospital, Victoria ,Australia
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  • Author Footnotes
    * formerly Research Fellow in Microsurgery and Clinical Assistant in Plastic Surgery
    J.J. McCann
    Footnotes
    * formerly Research Fellow in Microsurgery and Clinical Assistant in Plastic Surgery
    Affiliations
    Microsurgery Research Centre, St Vincent's Hospital, Victoria ,Australia
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  • Author Footnotes
    ** formerly Plastic Surgery Registrar
    S. Thistlethwaite
    Footnotes
    ** formerly Plastic Surgery Registrar
    Affiliations
    Microsurgery Research Centre, St Vincent's Hospital, Victoria ,Australia
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  • Author Footnotes
    ‡ formerly Research Fellow in Microsurgery, and Clinical Assistant in Microsurgery
    C.A. VanderKolk
    Footnotes
    ‡ formerly Research Fellow in Microsurgery, and Clinical Assistant in Microsurgery
    Affiliations
    Microsurgery Research Centre, St Vincent's Hospital, Victoria ,Australia
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  • A.D. Ryan
    Affiliations
    Microsurgery Research Centre, St Vincent's Hospital, Victoria ,Australia
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  • Author Footnotes
    * formerly Research Fellow in Microsurgery and Clinical Assistant in Plastic Surgery
    ** formerly Plastic Surgery Registrar
    ‡ formerly Research Fellow in Microsurgery, and Clinical Assistant in Microsurgery
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      Abstract

      Three cases of palatal fistulae closed by microvascular transfer of radial forearm flaps are presented. Vascularised bone was included in one flap and all operations were free of complications.
      Facial scarring is minimal and the secondary deformity in the arm has not been significant.
      It is suggested that this procedure presents fewer difficulties than other techniques for treating the large palatal fistula and may prevent the collapse of the alveolar arch which follows the scarring associated with closure by local tissue.

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