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Oral and Pharyngeal Reconstruction Using the Free Forearm Flap
Tsuyoshi Takato, MD;
Kiyonori Harii, MD;
Satoshi Ebihara, MD;
Isamu Ono, MD;
Takashi Yoshizumi, MD;
Takashi Nakatsuka, MD
Arch Otolaryngol Head Neck Surg. 1987;113(8):873-879.
Abstract
• Recent progress in myocutaneous and free flaps has facilitated the primary closure of various complex defects resulting from ablative surgery of head and neck cancers. The musculocutaneous flap (such as the pectoralis major flap or the latissimus dorsi flap) has in particular proved its greater versatility. The forearm free flap for intraoral defects can provide thin and pliable skin and has great potential in the reconstruction of oropharyngeal defects. Between November 1982 and August 1985, we achieved 74 free forearm flap transfers for patients with head and neck cancers. Herein we present several clinical applications of the free forearm flap and discuss its advantages and disadvantages, especially hand morbidity after flap elevation.
(Arch Otolaryngol Head Neck Surg 1987;113:873-879)
Author Affiliations
From the Department of Plastic Surgery, Faculty of Medicine, University of Tokyo (Drs Takato and Harii), and the Division of Head and Neck Surgery, National Cancer Center Hospital (Drs Ebihara, Ono, Yoshizumi, and Nakatsuka).
Footnotes
Accepted for publication Oct 10, 1986.
Read before the Eighth Symposium, International Society of Reconstructive Microsurgery, Paris, July 3, 1985.
Reprint requests to Department of Plastic Surgery, Faculty of Medicine, University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo 113, Japan (Dr Harii).
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ABSTRACT
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