Three-dimensional reconstruction after oral oncologic surgery using single free radial forearm flaps or free rectus abdominis musculocutaneous flaps

This study reviews reconstruction of complex three-dimensional oral and maxillofacial defects using the single free radial forearm flap or the single free rectus abdominis musculocutaneous flap. Between 1996 and 2003, 124 patients underwent oral and maxillofacial reconstruction in the Department of...

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Bibliographic Details
Published in:Journal of Oral Science 2004, Vol.46(1), pp.65-70
Main Authors: Yokoo, Satoshi, Komori, Takahide, Furudoi, Syungo, Umeda, Masahiro, Nomura, Tadashi, Hashikawa, Kazunobu, Ichinose, Akihiro, Tahara, Shinya
Format: Article
Language:English
Subjects:
Activities of Daily Living
Adult
Aged
Aged, 80 and over
Bone Transplantation - methods
Carcinoma, Basal Cell - surgery
Carcinoma, Squamous Cell - surgery
Dentistry
Esthetics
Facial Neoplasms - surgery
Female
free radial forearm flap
free rectus abdominis musculocutaneous flap
Graft Survival
Humans
Male
Middle Aged
Mouth Neoplasms - surgery
oral oncologic surgery
Reconstructive Surgical Procedures
Rectus Abdominis - transplantation
single flap
Skin Transplantation - methods
Surgical Flaps
three-dimensional reconstruction
Treatment Outcome
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Summary:This study reviews reconstruction of complex three-dimensional oral and maxillofacial defects using the single free radial forearm flap or the single free rectus abdominis musculocutaneous flap. Between 1996 and 2003, 124 patients underwent oral and maxillofacial reconstruction in the Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine. Outcomes for 22 patients who underwent three-dimensional reconstruction of multiple surfaces were evaluated. Reconstruction was performed after resection of malignant tumors in all 22 patients. Single FAFs were utilized for 11 patients and single RAMs for the remaining 11. Flap survival rate was 100%. No major donor morbidity was observed, and all surviving patients (20/22) were able to perform normal daily living activities. Single FAF and RAM are useful materials for one-stage reconstruction of complex three-dimensional oral and maxillofacial defects requiring replacement of skin, mucosa, and intervening soft tissues. Good to excellent aesthetic results can be attained in most patients. (J. Oral Sci. 46, 65-70, 2004)
ISSN:1343-4934
1880-4926
DOI:10.2334/josnusd.46.65