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Mark L. Urken, MD; Neal Futran, MD; Juan F. Moscoso, MD; Hugh F. Biller, MD

Arch Otolaryngol Head Neck Surg. 1994;120(11):1233-1239.

Abstract
Objective
We present a new design for the radial forearm flap that includes a small monitor segment that is connected to the primary skin paddle by a fascial subcutaneous segment of tissue. This design modification permits buried flaps to be easily monitored and provides vascularized tissue coverage of the flap vessels as well as the great vessels in the neck. Immediate augmentation of the radical neck deformity can be achieved.

Setting
This study was conducted at a referral center.

Patients
Fifteen patients with squamous cell cancer of the pharynx and tongue base were included in this study. The defects in these patients were judged to be best reconstructed with a radial forearm free flap.

Results
All free flaps in this series survived. There was one case, described in detail, in which the fascial subcutaneous portion of the flap was exposed to salivary contamination. The flap vessels remained well protected and flap viability was unimpaired.

(Arch Otolaryngol Head Neck Surg. 1994;120:1233-1239)

Author Affiliations
From the Department of Otolaryngology, Mount Sinai Medical Center, New York, NY.

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Reconstruction of the Laryngopharynx After Hemicricoid/Hemithyroid Cartilage Resection: Preliminary Functional Results
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Arch Otolaryngol Head Neck Surg 1997;123:1213-1222.
ABSTRACT