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Retrospective analysis of 75 consecutive cases of free radical forearm flap for reconstruction of oral and maxillofacial defects

SUN Bin, PAN Ju-li, WANG Feng, WANG Xue-jiu, TAN Bao-sheng, Xing Ru-dong.Department of Oral and Maxillofacial Surgery, Faculty of Stomatology, Capital University of Medical Sciences, Beijing 100050  
Objective To review the application of 75 consecutive cases of free radical forearm flap transferred for oral and maxillofacial reconstruction and to discuss the method and the influencing factors of the free radical forearm flap.Methods Seventy-five consecutive case who recieved free radical forearm flaps from February 2001 to September 2004 were reviewed.There were 50 male and 25 female with the age ranged from 32 to 81. Except for one facial soft tissue defect from trauma, all the defects were the results of excision of malignant tumors. Results Seventy-three cases survived. The overall success rate was 97.3%. Vessel thrombosis occurred in 3 cases,one saved, the other two cases failed. Conclusion The free forearm flaps is a preferable choice for the reconstruction of oral and maxillofacial defects, especially for the defect from the excision of the buccal malignant tumors.
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