Journal article
Evaluation of bone length and number of osteotomies utilizing the osteocutaneous radial forearm free flap for mandible reconstruction: An 8-year review of complications and flap survival
Head & neck, Vol.38(3), pp.434-438
03/2016
DOI: 10.1002/hed.23919
PMID: 25354911
Abstract
The purpose of this study was to assess the impact of bone harvest length and multiple osteotomies on osteocutaneous radial forearm free flap (RFFF) complication rates.
A retrospective chart review was conducted for patients undergoing osteocutaneous RFFF reconstruction during an 8-year period.
One hundred fifty-five osteocutaneous RFFF procedures were performed. Recipient-site flap complications were 18 of 55 (32.7%) when bone harvest length was less than 7 cm and 40 of 100 (40.0%) when it was ≥7 cm. No osteotomies were performed in 69 of 155 cases with a corresponding complication rate of 30.4% (21 of 69). One osteotomy was utilized in 69 of 155 flaps, whereas 17 of 155 required more than 1 osteotomy; complications were experienced in 42% (29 of 69) and 47% (8 of 17) of these cases, respectively.
Osteocutaneous RFFF complication rates were only slightly higher when the bone length was ≥7 cm or when multiple osteotomies were required.
Details
- Title: Subtitle
- Evaluation of bone length and number of osteotomies utilizing the osteocutaneous radial forearm free flap for mandible reconstruction: An 8-year review of complications and flap survival
- Creators
- Dustin A Silverman - Department of Plastic Surgery, University of Kansas Medical Center, Kansas City, KansasWojciech H Przylecki - Department of Plastic Surgery, University of Kansas Medical Center, Kansas City, KansasJill M Arganbright - Department of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, Kansas City, KansasYelizaveta Shnayder - Department of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, Kansas City, KansasKiran Kakarala - Department of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, Kansas City, KansasNiaman Nazir - Department of Preventive Medicine and Public Health, Kansas City, KansasTerance T Tsue - Department of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, Kansas City, KansasDouglas A Girod - Department of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, Kansas City, KansasBrian T Andrews - Department of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, Kansas City, Kansas
- Resource Type
- Journal article
- Publication Details
- Head & neck, Vol.38(3), pp.434-438
- DOI
- 10.1002/hed.23919
- PMID
- 25354911
- NLM abbreviation
- Head Neck
- ISSN
- 1043-3074
- eISSN
- 1097-0347
- Language
- English
- Date published
- 03/2016
- Academic Unit
- Craniofacial Anomalies Research Center; Neurosurgery; Otolaryngology
- Record Identifier
- 9984107424002771
Metrics
19 Record Views