RADIAL FOREARM FREE FLAP FOR ORAL AND MAXILLOFACIAL RECONSTRUCTION ——CLINICAL ANALYSIS OF 725 CASES
Zhang Zhiyuan, Tang Youshen, Zhu Huanguang, et alDept of OMS, Ninth People's Hospital, School of StomatologyShanghai Second Medical University, Shanghai 200011
Objective: A retrospective study was performed so as to present the details of flap anatomy, technique of flap harvest, application in oral and maxillofacial surgery and recent advances in donor site closure methods. Methods: The medical records of 705 cases of the radial free forearm flap for the oral and maxillofacial reconstruction were summed up and analyzed. Results: The radial forearm free flap is the most useful where a thin pliable covering is required for its good texture, reliable blood supply and easy harvest, with the overall success rate of 96.6%. The main disadvantage is sacrifice of the radial artery, and the donor scar is not beautifully seen. Conclusion: The radial forearm free flap is our first choice in the reconstruction of soft tissue defects of oral and maxillofacial region.
【CateGory Index】： R782.26