Evaluation of bone length and number of osteotomies utilizing the osteocutaneous radial forearm free flap for mandible reconstruction: An 8-year review of complications and flap survival

Background The purpose of this study was to assess the impact of bone harvest length and multiple osteotomies on osteocutaneous radial forearm free flap (RFFF) complication rates. Methods A retrospective chart review was conducted for patients undergoing osteocutaneous RFFF reconstruction during an...

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Published in:Head & neck 2016-03, Vol.38 (3), p.434-438
Main Authors: Silverman, Dustin A., Przylecki, Wojciech H., Arganbright, Jill M., Shnayder, Yelizaveta, Kakarala, Kiran, Nazir, Niaman, Tsue, Terance T., Girod, Douglas A., Andrews, Brian T.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
bone length
complications
Female
Forearm - surgery
Free Tissue Flaps - adverse effects
Graft Survival
Humans
Male
Mandible - surgery
mandible reconstruction
Mandibular Reconstruction - adverse effects
Mandibular Reconstruction - methods
Middle Aged
osteocutaneous radial forearm free flap (RFFF)
osteotomies
Osteotomy - statistics & numerical data
Postoperative Complications
Retrospective Studies
Young Adult
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Summary:Background The purpose of this study was to assess the impact of bone harvest length and multiple osteotomies on osteocutaneous radial forearm free flap (RFFF) complication rates. Methods A retrospective chart review was conducted for patients undergoing osteocutaneous RFFF reconstruction during an 8‐year period. Results One hundred fifty‐five osteocutaneous RFFF procedures were performed. Recipient‐site flap complications were 18 of 55 (32.7%) when bone harvest length was less than 7 cm and 40 of 100 (40.0%) when it was ≥7 cm. No osteotomies were performed in 69 of 155 cases with a corresponding complication rate of 30.4% (21 of 69). One osteotomy was utilized in 69 of 155 flaps, whereas 17 of 155 required more than 1 osteotomy; complications were experienced in 42% (29 of 69) and 47% (8 of 17) of these cases, respectively. Conclusion Osteocutaneous RFFF complication rates were only slightly higher when the bone length was ≥7 cm or when multiple osteotomies were required. © 2015 Wiley Periodicals, Inc. Head Neck 38: 434–438, 2016
ISSN:1043-3074
1097-0347
DOI:10.1002/hed.23919