The ulnar forearm free flap for the reconstruction of soft tissue defects in the head and neck area: free flap outcome and donor site outcome.
OBJECTIVE
The objective of this study was to evaluate the outcome of the Ulnar Forearm Free Flap (UFFF). The UFFF was applied for reconstruction of soft tissue defects in the head and neck area in 15 patients.


METHODS
The outcome was registered from the patients' notes, evaluated by clinical examination, and patients were interviewed. The statistics were descriptive.


RESULTS
All 15 UFFFs appeared successful. Thirteen donor sites healed without wound-healing problems. Two donor sites showed minor wound-healing problems. No patient suffered abnormal sensation in the distribution area of the ulnar nerve. All patients were satisfied with the appearance of the scar and the shape of the donor site.


CONCLUSIONS
The UFFF should be considered as a reconstruction method for soft tissue defects in the head and neck area instead of the radial forearm free flap, as the donor site of the UFFF is hardly noticeable, which makes acceptance easier for the patient.
Department of Oral and Maxillofacial Surgery, University Medical Centre Utrecht, Utrecht, the Netherlands. e.m.vancann@umcutrecht.nl
Ellen M
EM
Van Cann
Ronald
R
Koole
D002294:Carcinoma, Squamous Cell / Q000534:rehabilitation* / Q000601:surgery; D005542:Forearm / Q000601:surgery; D006801:Humans; D009062:Mouth Neoplasms / Q000534:rehabilitation* / Q000601:surgery; D009959:Oropharyngeal Neoplasms / Q000534:rehabilitation* / Q000601:surgery; D017060:Patient Satisfaction; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply; D016896:Treatment Outcome; D017535:Ulnar Artery; D014945:Wound Healing