Dual free flap transfer using forearm flap for mandibular reconstruction.
To reconstruct a composite mandibular defect, we have simultaneously transferred a vascularized bone graft or osteocutaneous flap together with a forearm flap. The radial forearm flap, being thin, pliable, and having a long vascular stalk, served as mucosal lining and/or an interpositional flap acting as a vascular bridge. Between 1982 and 1989, we used this procedure in 17 patients with a mandibular defect or deformity which developed following treatment of oral cancer. Our clinical experience has demonstrated that this dual free tissue transfer has many advantages. It is useful for obtaining a good alveolar ridge in patients with a composite mandibular defect. It is applicable in cases where only a single pair of recipient vessels are present and may be useful when the recipient vessels are positioned some distance from the defect.
Nakatsuka
T
T
Department of Surgical Oncology, National Cancer Center Hospital, Tokyo, Japan.
Harii
K
K
Yamada
A
A
Ueda
K
K
Ebihara
S
S
D000328:Adult; D000368:Aged; D016025:Bone Transplantation; D005260:Female; D005542:Forearm / Q000098:blood supply; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery*; D008875:Middle Aged; D009061:Mouth Mucosa / Q000601:surgery; D009062:Mouth Neoplasms / Q000534:rehabilitation / Q000601:surgery; D009336:Necrosis; D010025:Osteoradionecrosis / Q000534:rehabilitation / Q000601:surgery; D013065:Speech Intelligibility; D013524:Surgical Flaps / Q000009:adverse effects / Q000379:methods*; D016896:Treatment Outcome