Nowadays, microsurgery performed for oral reconstruction of cancer patients, has become the standard treatment in restoring oral functions. The free radial forearm flap (FRFF) is still apparently the first reconstructive choice in oral cavity cancers. Recently the anterolateral thigh flap (ALTF) seemed to challenge the superiority of FRFF. The lack of functional data on which to base this recent supposition is the reason for this new research. Twenty reconstructed patients were enrolled for this study. Speech, swallowing, and donor site complications were studied to assess differences between the two techniques. Results show that difference in function between ALTF and FRFF groups is statistically insignificant. Donor site risks and complications seem to be the only variables among groups. These variables may be used as indicators when making a surgical choice.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Journal of Plastic, Reconstructive & Aesthetic Surgery
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Comparison of cost and function in reconstruction of the posterior oral cavity and oropharynx.Arch Otolaryngol Head Neck Surg. 1997; 123: 731-737
- Forearm free skin transplantation.Natl Med J China. 1981; 61: 139
- The radial forearm flap: a versatile method for intra-oral reconstruction.Br J Plast Surg. 1983; 36: 1-8
- The radial forearm flap in intraoral reconstruction: the experience of 60 consecutive cases.Plast Reconstr Surg. 1986; 78: 1-8
- Vascular dominance in the forearm.Plast Reconstr Surg. 2003; 111: 1891-1898
- Have we found an ideal soft-tissue flap? An experience with 672 anterolateral thigh flaps.Plast Reconstr Surg. 2002; 109 ([discussion 2227–30]): 2219-2226
- Role of the anterolateral thigh flap in head and neck reconstruction: advantages of moderate skin and subcutaneous thickness.J Reconstr Microsurg. 2002; 18: 141-146
- Anterolateral thigh flap: an ideal soft tissue flap.Clin Plast Surg. 2003; 30: 383-401
- Comparison of the radial forearm flap and the thinned anterolateral thigh cutaneous flap for reconstruction of tongue defects: an evaluation of donor-site morbidity.Plast Reconstr Surg. 2004; 114: 1704-1710
- To thin or not to thin: the use of the anterolateral thigh flap in the reconstruction of intraoral defects.Br J Plast Surg. 2003; 56: 409-413
- Complications of the free flap donor site from a community hospital perspective.J Reconstr Microsurg. 1991; 7: 331-334
- Direct closure of the radial forearm flap donor defect.Br J Plast Surg. 1988; 41: 358-360
- Reducing morbidity in the radial forearm flap donor site.Plast Reconstr Surg. 1990; 86 ([discussion 293–4]): 287-292
- Evaluation of donor site function and morbidity of the fasciocutaneous radial forearm flap.Laryngoscope. 2004; 114: 1973-1976
- Anterolateral thigh flap donor-site complications and morbidity.Plast Reconstr Surg. 2000; 106: 584-589
- Clinical experience of 1284 free anterolateral thigh flaps.Handchir Mikrochir Plast Chir. 2002; 34: 239-244
- Free anterolateral thigh flap for reconstruction of head and neck defects following cancer ablation.Plast Reconstr Surg. 2000; 105 ([discussion 2358–60]): 2349-2357
Published online: January 27, 2007
Accepted: November 14, 2006
Received: March 16, 2006
© 2007 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.