The disadvantages of this flap center around the donor site morbidity relative to the size and quality of bone available for harvest. The advantages of the osteocutaneous radial forearm free flap are its skin paddle thinness, pliability, long vascular pedicle, and reliable vascular anatomy.
Alternatives to this flap include the osteocutaneous fibular free flap, osteocutaneous scapular free flap, and the osteocutaneous iliac crest free flap. The osteocutaneous radial forearm flap is a variant of the fasciocutaneous radial forearm free flap wherein partial thickness of the radius is harvested and perfused by preserving the lateral intermuscular septum and the perforating vessels to the bone. It is a good option for bony reconstruction of the mandible or midface. The osteocutaneous radial forearm free flap (OCRFFF) is most commonly used in head and neck reconstruction. Many studies have demonstrated the benefits of the radial forearm flap in intraoral reconstruction. Though generally raised as a fasciocutaneous flap, the radial forearm is extremely versatile and can also be harvested as an adipofascial flap or with bone from the radius as an osteofasciocutaneous flap. Gao at the Shenyang Military Hospital in the early 1980s, the radial forearm free flap has since been popularized as a workhorse flap.
0 kommentar(er)
