THE RADIAL FOREARM FLAP - RECONSTRUCTIVE APPLICATIONS AND DONOR-SITE DEFECTS IN 35 CONSECUTIVE PATIENTS

被引:212
作者
SWANSON, E
BOYD, JB
MANKTELOW, RT
机构
[1] TORONTO GEN HOSP,DEPT SURG,DIV PLAST SURG,200 ELIZABETH ST,TORONTO M5G 2C4,ONTARIO,CANADA
[2] UNIV TORONTO,TORONTO M5S 1A1,ONTARIO,CANADA
关键词
D O I
10.1097/00006534-199002000-00016
中图分类号
R61 [外科手术学];
学科分类号
摘要
Thirty-five consecutive patients treated with the radial forearm flap were reviewed. This flap was used in head and neck reconstruction in 25 patients, soft-tissue cover of an extremity in 9 patients, and as a new technique for penile reconstruction in 1 patient. Osteocutaneous flaps were used for mandibular reconstruction in 13 patients. In 6 patients innervated flaps were used to provide sensation on the dorsum of the hand or on the weightbearing surface of the foot. There was only one total flap failure and no partial failures. Recipient-site complications were few, with prompt healing and very acceptable appearance. Donor-site complications included partial loss of the skin graft with tendon exposure in 10 patients (33 percent), an unsatisfactory appearance in 5 patients (17 percent), and one case of radial fracture (8 percent). On functional testing, there was no significant loss of strength or joint mobility in the donor extremity in 19/20 patients. The authors recommend measures to reduce donor-site morbidity and conclude that, with an acceptable donor site, this flap is valuable in a variety of reconstructive applications. © 1990 American Society of Plastic Surgeons.
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页码:258 / 266
页数:9
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