The Forearm Flap

Mühlbauer, W.; Herndl, E.; Stock, Wolfgang G.

doi:10.1097/00006534-198209000-00007

Cited by 280 publications

(76 citation statements)

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“…Compared to regional flaps, microvascular reanastomosed free flaps offer a wide variety of reconstructive possibilities in the oral cavity and the oropharynx. For this purpose the radial forearm-flap [1,2] is an ideal transplant, since it is thin and pliable and thus fits nicely into the oral cavity and oropharynx [3][4][5][6]. Further it is easily harvested with a low rate of donor morbidity [7].…”

Section: Discussionmentioning

confidence: 99%

Reconstructive Surgery after Tumor Resection in the Oral Cavity and Oropharynx

Keiner¹,

Bootz²,

Flisek³

et al. 2000

Oncol Res Treat

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Background: Surgery is the most effective therapy of squamous-cell carcinoma of most sides of the head and neck. Tumor resection in the oral cavity and oropharynx often leaves large defects, requiring reconstructive procedures to avoid major functional impairment. Patients and Methods: We report about 150 patients in whom we performed a reconstruction of the oral cavity and oropharynx with a radial forearm-flap after resection of squamous-cell carcinoma. The forearm-flap was harvested from the distal volar aspect of the forearm based on the radial artery and comitant veins. Results: 49 patients (32.7%) had carcinomas of the oral cavity, 101 patients (67.3%) had carcinomas of the oropharynx. 132 patients (88%) showed an uneventful postoperative course. In 18 patients we found a flap necrosis due to thrombosis of the reanastomosed vessels. These patients had to undergo further reconstructive procedures, either with another microvascular free flap or a pedicled flap. Functional impairment was found especially in tumors of the base of tongue and other sites of the oropharynx. This includes, besides swallowing problems, also disturbances of speech and, in a few cases, of respiration. 3 patients could not be decannulated. The 50% survival rate over all stages (Kaplan-Meier) is 44 months. Conclusions: Despite wide tumor resection margins during surgery, enabled by the possibility of reconstructive procedures, the survival time did not improve, compared to a large group of patients reported in the literature who did not undergo reconstructive procedures. However, this time-consuming operative technique is justified by the improved functional result.

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Section: Discussionmentioning

confidence: 99%

Reconstructive Surgery after Tumor Resection in the Oral Cavity and Oropharynx

Keiner¹,

Bootz²,

Flisek³

et al. 2000

Oncol Res Treat

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“…In 1981, they described a study of 60 patients with a single transplant loss only. Mühlbauer et al (1982) were the first who reported upon this transplant outside of China. Stock and contributors raised an innervated flap in 1981 and in 1983, Biemer and Stock utilised an osteocutaneous pedicled transplant for thumb reconstruction.…”

Section: Historical Descriptionmentioning

confidence: 99%

The Forearm Flap - Indications, Appropriate Selection, Complications and Functional Outcome

Ciuman¹,

Dost²

2012

Maxillofacial Surgery

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“…The technique was developed in China by Yang et al in 1978 (154) and soon entered into clinical usage. Based on the radial artery and its concomitant veins or superficial forearm veins (22), it can be raised as a composite flap including vascularized bone, tendons or the lateral antebrachial cutaneous nerve (107). Because of its pliability and good response to radiotherapy the free radial forearm flap is nowadays the first choice for head and neck cancer reconstruction (26,113,156).…”

Section: Free Radial Forearm Flapmentioning

confidence: 99%