Reconstruction of the naso-orbital-ethmoid (NOE) complex using the osteocutaneous radial forearm flap (OCRFF).
OBJECTIVE
Describe the utility of osteocutaneous forearm flaps in reconstruction of naso-orbito-ethmoid (NOE) defects.


METHODS
Case series with chart review.


METHODS
Tertiary medical centers.


METHODS
The study was conducted on patients treated between the years 2000 and 2014 undergoing NOE resection with reconstruction using the radial forearm flap. Decision making, technical feasibility, need for revisions, and patient disease outcomes were included to assess the durability of reconstruction over remaining survival period.


RESULTS
Fifteen patients underwent NOE reconstruction in the timeframe studied. Five recent patients reported poor nasal airway but no diplopia or immediately clinically evident enopthalmus after NOE reconstruction in mean follow-up of 17.3 months. One-third of patients succumbed to disease in the study period, 3 without revision, and all but 2 surviving patients required revisions.


CONCLUSIONS
Osteocutaneous radial forearm flap (OCRFF) is a cosmetically acceptable method of reconstructing NOE defects. Though a 1-step reconstruction can be serviceable without multiple additional procedures, longer surviving patients frequently receive revision surgery as with more traditional planned staged procedures.
Department of Otorhinolaryngolgy, The University of Pennsylvania, Philadelphia, Pennsylvania, USA cannadysb@gmail.com.
Steven B
SB
Cannady
Department of Otorhinolaryngolgy, The University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Oren
O
Friedman
Department of Otorhinolaryngolgy, The University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Ara A
AA
Chalian
Department of Otorhinolaryngolgy, The University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Jason G
JG
Newman
Department of Otolaryngology, Oregon Health and Sciences University, Portland, Oregon, USA.
Ted
T
Cook
Department of Otolaryngology, Oregon Health and Sciences University, Portland, Oregon, USA.
Mark K
MK
Wax
D002294:Carcinoma, Squamous Cell / Q000601:surgery; D005151:Facial Injuries / Q000601:surgery*; D058752:Free Tissue Flaps; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D019647:Oral Surgical Procedures / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D000077195:Squamous Cell Carcinoma of Head and Neck; D014948:Wounds, Gunshot / Q000601:surgery*
nasal reconstruction; naso-orbito-ethmoid defect; osteocutaneous forearm free flap