title: Use of the radial forearm flap for deep, central, midfacial defects.
abstract: Six cases that required soft-tissue replacement in the central midface are presented. The greatest number of flaps were used for large defects in patients with cleft palates who had undergone multiple previous operations. Several were for palatal defects attributable to cocaine abuse, and one was used for lining in a nasal reconstruction. There were no flap losses and, on the basis of these experiences, it is concluded that this is an excellent method for providing soft tissue in these difficult situations.
authors.affiliation: Division of Plastic and Reconstructive Surgery, University of Miami School of Medicine, and the Miami Children's Hospital, Fla, USA.
authors.forename: D M
authors.initials: DM
authors.lastname: Marshall
authors.forename: I
authors.initials: I
authors.lastname: Amjad
authors.forename: S Anthony
authors.initials: SA
authors.lastname: Wolfe
mesh_terms: D000293:Adolescent; D000368:Aged; D002648:Child; D002971:Cleft Lip / Q000601:surgery; D019970:Cocaine-Related Disorders / Q000150:complications; D005542:Forearm; D006801:Humans; D008297:Male; D008875:Middle Aged; D009666:Nose / Q000601:surgery*; D009669:Nose Neoplasms / Q000601:surgery; D016155:Oral Fistula / Q000209:etiology / Q000601:surgery; D010159:Palate / Q000293:injuries / Q000473:pathology / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods; D013524:Surgical Flaps