title: Bi-paddled radial forearm free flap in the reconstruction of bilateral buccal mucosal defects-a case series.
abstract: Oral submucous fibrosis is a commonly encountered clinical problem in the Indian subcontinent. Treatment with surgery and reconstruction with appropriate flap, followed by vigorous physiotherapy is the ideal management. We report three advanced cases that were successfully managed and rehabilitated with bi-paddled radial forearm free flaps. Mean preoperative mouth opening was 3 mm, and mean postoperative mouth opening was found to be 27 mm after 18 months of follow-up. Thus, instead of two flaps, use of a single-donor-site, bi-paddled radial forearm free flap, is recommended for the reconstruction of bilateral buccal defects resulting from oral submucous fibrosis release.
authors.affiliation: Fellow, Head Neck Surgical Oncology, Mazumdar Shaw Medical Centre, Narayana Health, Bangalore, India.
authors.forename: Naveen B
authors.initials: NB
authors.lastname: Shivanand
authors.affiliation: Consultant, Plastic Surgeon, Mazumdar Shaw Medical Centre, Narayana Health, Bangalore, India. Electronic address: sachinchavre@gmail.com.
authors.forename: Sachin
authors.initials: S
authors.lastname: Chavre
authors.affiliation: Consultant, Head Neck Surgical Oncology, Mazumdar Shaw Medical Centre, Narayana Health, Bangalore, India.
authors.forename: Naveen Hedne
authors.initials: NH
authors.lastname: Chandrashekar
authors.affiliation: Fellow, Head Neck Surgical Oncology, Mazumdar Shaw Medical Centre, Narayana Health, Bangalore, India.
authors.forename: Shubhra
authors.initials: S
authors.lastname: Chauhan
mesh_terms: D000328:Adult; D005260:Female; D005542:Forearm; D058752:Free Tissue Flaps; D006801:Humans; D007194:India; D008297:Male; D009061:Mouth Mucosa / Q000473:pathology / Q000601:surgery*; D009914:Oral Submucous Fibrosis / Q000473:pathology / Q000601:surgery*; D014030:Tobacco, Smokeless / Q000009:adverse effects; D016896:Treatment Outcome; D014313:Trismus / Q000601:surgery