title: Osteocutaneous radial forearm free flap in subtotal nasal reconstruction.
abstract: A 66-year-old man presented with a large squamous cell carcinoma of the right nasal vestibule. He underwent partial rhinectomy and medial maxillectomy followed by staged reconstruction. Reconstruction of a full-thickness nasal defect requires repair of three distinct layers: the skin-soft tissue envelope, subsurface framework and intranasal lining. We report the first use in the UK of an osteocutaneous radial forearm free flap in the reconstruction of a subtotal nasal deficit. The skin of the radial forearm free flap was tubed to recreate the nasal lining and the radial bone reconstructed the dorsal contour of the nose. A full-thickness paramedian forehead flap supplied external coverage. The osteocutaneous radial forearm free flap and forehead flap is a viable option for large nasal defects requiring reconstruction of framework, nasal lining and external covering.
authors.affiliation: Department of Otolaryngology, Southern General Hospital, Glasgow, UK.
authors.forename: Alexander Michael
authors.initials: AM
authors.lastname: Moore
authors.affiliation: Department of Otolaryngology, Southern General Hospital, Glasgow, UK.
authors.forename: Jenny
authors.initials: J
authors.lastname: Montgomery
authors.affiliation: Department of Maxillofacial Surgery, Southern General Hospital, Glasgow, UK.
authors.forename: Jeremy
authors.initials: J
authors.lastname: McMahon
authors.affiliation: Department of Otolaryngology, Southern General Hospital, Glasgow, UK.
authors.forename: Saghir
authors.initials: S
authors.lastname: Sheikh
mesh_terms: D000368:Aged; D016025:Bone Transplantation / Q000379:methods*; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005542:Forearm; D058752:Free Tissue Flaps / Q000637:transplantation*; D006801:Humans; D008297:Male; D009669:Nose Neoplasms / Q000601:surgery*; D011884:Radius / Q000637:transplantation*; D012225:Rhinoplasty / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods*