Evaluation of objective and subjective functional follow-up results of intraoral radial forearm free flap reconstructions.
A total of 149 patients had received radial forearm free flaps between January 1996 and December 2005. Seventy-two patients completed a European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-H&N35 (EORTC H&N35) in the follow-up study. Patients were divided according to location of defect (anterior or posterior) or irradiation. Thirty-nine patients with anterior positioned flaps received standardised physical examinations.
Flap survival was 99.3%. Complications were divided in early (<2 weeks; 23%) and late complications (20%). Most common complications were dehiscence or fistula, responding well to conservative treatment. Analysis of questionnaire subscales showed no statistically significant differences between anterior and posterior defects. Irradiation showed significant impairment for the ability to smell and taste. No important donor site impairment was found.
The radial forearm free flap is an adequate method for reconstructions after resection of intraoral malignancies. Subjective functional outcome seemed to be defined by adjuvant radiotherapy, patient coping and, to a lesser extent, flap bulk for anterior defects.
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
- The radial forearm flap in intraoral reconstruction: the experience of 60 consecutive cases.Plast Reconstr Surg. 1986; 78: 1-8
- The radial forearm free flap for head and neck reconstruction: a review.Am J Surg. 1994; 168: 446-450
- Primary closure versus radial forearm flap reconstruction after hemiglossectomy: functional assessment of swallowing and speech.Ann Plast Surg. 2002; 49: 612-616
- Utility of the lateral arm flap in head and neck reconstruction.Ann Plast Surg. 2001; 46: 501-505
- Have we found an ideal soft-tissue flap? An experience with 672 anterolateral thigh flaps.Plast Reconstr Surg. 2002; 109: 2219-2226
- Mucosal prelaminated flaps for physiological reconstruction of intraoral defects after tumour resection.Br J Plast Surg. 1997; 50: 303-307
- Supra-fascial elevated free forearm flap-indications, surgical technique and follow-up examination of the donor site defect.Handchir Mikrochir Plast Chir. 1999; 31: 10-14
- Closure of the donor site of the free radial forearm flap: a comparison of full thickness graft and split thickness skin graft.Ann Plast Surg. 2005; 55: 612-616
- Measures of health-related quality of life and functional status in survivors of oral cavity cancer who have had defects reconstructed with radial forearm free flaps.Br J Oral Maxillofac Surg. 2006; 44: 187-192
- A comparison of aesthetic, functional and patient subjective outcomes following lip-split mandibulotomy and mandibular lingual releasing access procedures.Int J Oral Maxillofac Surg. 2001; 30: 199-204
- Quality of life in head and neck cancer patients: validation of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-H&N35.J Clin Oncol. 1999; 17: 1008-1019
- Oral functional outcome after intraoral reconstruction with nasolabial flaps.Br J Plast Surg. 2004; 57: 150-155
- Results after resection of intraoral cancer and reconstruction with the free radial forearm flap.ORL J Otorhinolaryngol Relat Spec. 1998; 60: 212-217
- Clinical outcome and technical aspects of 263 radial forearm free flaps used in reconstruction of the oral cavity.Br J Oral Maxillofac Surg. 2005; 43: 199-204
- Oromandibular reconstruction with vascularized free flaps: a review of 50 cases.Microsurgery. 2004; 24: 374-377
- Analysis of outcome and complications in 400 cases of microvascular head and neck reconstruction.Arch Otolaryngol Head Neck Surg. 2004; 130: 962-966
- Swallowing function in patients who underwent hemiglossectomy: comparison of primary closure and free radial forearm flap reconstruction with videofluoroscopy.Ann Plast Surg. 2003; 50: 450-455
Published online: February 26, 2007
Accepted: October 15, 2006
Received: September 10, 2006
© 2007 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.