title: Osseocutaneous radial forearm flap with beavertail modification; a case report of a novel, single, reconstructive free flap for the tongue, floor of mouth and mandible.
abstract: BACKGROUND
  Complex hard and soft tissue defects produced as a result of ablative resection of head and neck malignancy can represent a reconstructive challenge, especially when patients are medically compromised.
  
  
  METHODS
  We present the case of 72-year-old women presenting with an oral squamous cell carcinoma of the right floor of mouth invading the right mandible. Surgical management of the disease required ablative surgery with complex free tissue transfer reconstruction to provide restoration of form and function. Potential reconstructive options were limited by her medical comorbidities and poor vessel patency in the lower limbs, requiring novel thinking and adaptation of established techniques.
  
  
  CONCLUSIONS
  We describe the first reported use of an osseofasciocutaneous radial forearm flap with a 'beavertail modification' to provide a single and combined reconstructive option to reconstruct a complex hard and soft tissue defect.
  
  
  CONCLUSIONS
  This novel free-flap technique adds to the reconstructive armamentarium of the head and neck surgeon.
authors.affiliation: The Royal Marsden Hospital, Fulham Rd, London SW3 6JJ, United Kingdom.
authors.forename: Alastair
authors.initials: A
authors.lastname: Henry
authors.affiliation: The Royal Marsden Hospital, Fulham Rd, London SW3 6JJ, United Kingdom. Electronic address: jim.mccaul@mac.com.
authors.forename: James A
authors.initials: JA
authors.lastname: McCaul
keywords: Case report; Novel technique; Osseocutaneous; Radial forearm flap