title: Reconstruction of the hard palate using the radial forearm free flap: indications and outcomes.
abstract: BACKGROUND
  Although prosthetic obturation is the "gold standard" for restoration of hard-palate defects, obturators can be problematic. We present 10 cases of palatal reconstruction with the radial forearm free flap and compare patient satisfaction with defect-matched patients rehabilitated with prosthetic obturation.
  
  
  METHODS
  Twelve patients who underwent radial forearm free flap (RFFF) reconstruction of a hard-palate defect and eight patients, with similar-sized defects who were rehabilitated with a prosthetic obturator, were evaluated for donor site and recipient site complications, diet, and patient satisfaction.
  
  
  RESULTS
  All the patients in both groups were able to resume an unrestricted diet with normal mastication and articulation. Both groups achieved equivalent satisfaction scores with regard to appearance, chewing, and taste; however, the patients reconstructed with an RFFF reported higher satisfaction scores in speech, comfort, convenience, and social interaction.
  
  
  CONCLUSIONS
  RFFF reconstruction of hard-palate defects provides a functional alternative to conventional prosthetic obturators.
authors.affiliation: Department of Otolaryngology--Head and Neck Surgery, Mount Sinai School of Medicine, New York, NY, USA.
authors.forename: Eric M
authors.initials: EM
authors.lastname: Genden
authors.forename: Derrick I
authors.initials: DI
authors.lastname: Wallace
authors.forename: Devin
authors.initials: D
authors.lastname: Okay
authors.forename: Mark L
authors.initials: ML
authors.lastname: Urken
mesh_terms: D005260:Female; D005542:Forearm / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010157:Palatal Neoplasms / Q000601:surgery; D010158:Palatal Obturators; D021362:Palate, Hard / Q000473:pathology / Q000601:surgery*; D017060:Patient Satisfaction; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D016896:Treatment Outcome