Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
권호 표지

The Results of the Radial Forearm Free Flap for Head and Neck Reconstruction

전완유리피판의 두경부재건술 적용결과

  • Cho Sung-Dong (Department of Otorhinolaryngology-Head & Neck Surgery, College of Medicine, Korea University) ;
  • Kim Jeong-Joon (Department of Otorhinolaryngology-Head & Neck Surgery, College of Medicine, Korea University) ;
  • Kim Hyung-Jin (Department of Otorhinolaryngology-Head & Neck Surgery, College of Medicine, Korea University) ;
  • Paeng Jae-Phil (Department of Otorhinolaryngology-Head & Neck Surgery, College of Medicine, Korea University) ;
  • Park Ji-Hoon (Department of Otorhinolaryngology-Head & Neck Surgery, College of Medicine, Korea University) ;
  • Kwon Soon-Young (Department of Otorhinolaryngology-Head & Neck Surgery, College of Medicine, Korea University) ;
  • Choi Jong-Ouck (Department of Otorhinolaryngology-Head & Neck Surgery, College of Medicine, Korea University) ;
  • Ahn Deok-Sun ;
  • Jung Kwang-Yoon (Department of Otorhinolaryngology-Head & Neck Surgery, College of Medicine, Korea University)
  • 조성동 (고려대학교 의과대학 이비인후-두경부외과학교실) ;
  • 김정준 (고려대학교 의과대학 이비인후-두경부외과학교실) ;
  • 김형진 (고려대학교 의과대학 이비인후-두경부외과학교실) ;
  • 팽재필 (고려대학교 의과대학 이비인후-두경부외과학교실) ;
  • 박지훈 (고려대학교 의과대학 이비인후-두경부외과학교실) ;
  • 권순영 (고려대학교 의과대학 이비인후-두경부외과학교실) ;
  • 최종욱 (고려대학교 의과대학 이비인후-두경부외과학교실) ;
  • 안덕선 (고려대학교 의과대학 성형외과학교실) ;
  • 정광윤 (고려대학교 의과대학 이비인후-두경부외과학교실)
  • Published : 2002.05.01
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Abstract

Background: Free flaps have become a very important role in the ablative head and neck surgery with functional preservation of defect sites. The forearm free flap has many advantage of lack of bulk, ease of dissection, vascularity, and malleability. Patients and Methods: A review of 51 radial forearm free flaps performed between may 1990 and feburary 2001 at the Korea University was undertaken to determine outcome. Patient age ranged 27 to 72 years (mean 56). There were 44 men and 7 women. The most prevalent neoplasm was squamous cell carcinoma. Results: The tans verse cervical artery and the external jugular vein were the most frequent receipient sites for microvascular anastomosis. Total flap loss occurred in 2 cases (4%) and other complications were seen in 42%. Fifteen patients received preoperative irradiation and the complication was higher than non-irradiation patients, but statistically not significant. Conclusion: The radial forearm free flap offers a variety of reconstructive options for head and neck. Its low flap loss and complication rates offer the best choice for reconstruction of defect of head and neck malignancy.

Keywords

References

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