576 results match your criteria Tissue Transfer Radial Forearm

Acute Thumb Reconstruction With Medial Femoral Condyle and Radial Forearm Free Flaps: A Case Report.

Hand (N Y) 2022 Jun 6:15589447221096705. Epub 2022 Jun 6.

Division of Plastic Surgery, University of British Columbia, Vancouver, Canada.

Traumatic thumb injuries often result in significant functional disability. With segmental bone loss, reconstructive options include antibiotic cement with delayed bone graft, revision amputation with webspace deepening, metacarpal distraction osteogenesis, index pollicization, bone flap, and free toe transfer. We present a case of a subtotal thumb amputation just distal to the metacarpal phalangeal joint resulting in loss of both soft tissue and a segmental bone defect of the proximal and distal phalanx. Read More

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Recipient bed perfusion as a predictor for postoperative complications in irradiated patients with microvascular free tissue transfer of the head and neck area: a clinical analysis of 191 microvascular free flaps.

Oral Maxillofac Surg 2022 May 12. Epub 2022 May 12.

Department of Oral and Maxillofacial Surgery, University Hospital Erlangen, University of Erlangen-Nuremberg, Glückstraße 11, 91054, Erlangen, Germany.

Purpose: Despite microvascular free tissue transfer being the mainstay of care in the reconstruction of larger maxillofacial defects, a significant number of patients experience postoperative complications due to impaired blood supply of the flap. In this context, the early influence of recipient bed perfusion remains unclear, but there is evidence that it is associated with free flap viability immediately after surgery.

Methods: We analyzed flap and recipient bed perfusion within the first 2 weeks after surgery by using the oxygen-to-see device. Read More

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Outcomes of microsurgical free tissue transfer performed on international surgical collaborations in low-income and middle-income countries: A systematic review and meta-analysis.

J Plast Reconstr Aesthet Surg 2022 Apr 19. Epub 2022 Apr 19.

Canniesburn Plastic Surgery and Burns Unit, Glasgow, Scotland, United Kingdom.

Background: Microsurgical free tissue transfer is the gold standard for reconstruction of significant soft tissue and bony defects following cancer resection and trauma. Many reconstructive units in low-income and middle-income countries (LMICs) do not yet have access to the resources or training required to perform microsurgical procedures. Long-term international collaborations have been formed with annual reconstructive programmes conducting microsurgery. Read More

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A 31-year Review of Composite Radial Forearm Free Flaps for Head and Neck Reconstruction.

Br J Oral Maxillofac Surg 2022 Feb 18. Epub 2022 Feb 18.

Faculty of Health and Social Care, Edge Hill University, Ormskirk, L39 4QP and Liverpool Head and Neck Centre, Liverpool University Hospital NHS Foundation Trust, Lower Lane, Liverpool, UK. Electronic address:

The aim of this study was to report the patient characteristics and radial fracture rates in a consecutive series of composite radial forearm free flap (CRFFF) for head and neck reconstruction over a 31-year period. The patients were identified from between 1990 to 2020 inclusive from theatre records and records from previous analyses at the Unit on free flap outcomes. Electronic case notes were accessed where available, to gather information on the operation, histopathology, and radiographs. Read More

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February 2022

Prelamination of the Radial Forearm Free Flap Using Free Full-Thickness Eyelid Skin Grafts: A New Approach for Intraoral Defect Reconstruction.

Ann Plast Surg 2022 Jul 10;89(1):54-58. Epub 2022 Mar 10.

From the Department for Oral and Maxillofacial Surgery, Hannover Medical School, Hannover, Germany.

Abstract: Free flap transfer for reconstruction of intraoral defects is a common procedure in oral and maxillofacial surgery. For tumor-related defects, the radial forearm flap is widely used for soft tissue restoration. However, transfer of free skin grafts to the donor site region is often required for wound closure after free flap harvesting, resulting in esthetic disturbances due to shrinkage of the grafted skin, attendant scarring, or mismatches in skin texture or color. Read More

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The load transfer effect of monopolar and bipolar radial head prosthesis designs on capitellar cartilage: A comparative biomechanical cadaver study.

Acta Orthop Traumatol Turc 2022 Jan;56(1):58-63

Clinic of Orthopaedics and Traumatology, Medical Park Hospital, İzmir, Turkey.

Objective: The aim of this study was to determine whether bipolar radial head arthroplasty may transfer less load to the capitellum than monopolar radial head arthroplasty and native radial heads.

Methods: Six human elbow joints were obtained from six fresh frozen cadavers (3 males, 3 females; mean age = 78 years, age range = 66-80). None of the elbow joints had a previous osseous injury, a chondral defect, osteoarthritis, or instability. Read More

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January 2022

Success of Implantable Doppler Probes for Monitoring Buried Free Flaps.

Otolaryngol Head Neck Surg 2022 Feb 22:1945998221082533. Epub 2022 Feb 22.

Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Utah Hospital, Salt Lake City, Utah, USA.

Objective: The objective of this study is to describe the operative success of completely buried free flaps and to determine the safety/reliability of using implantable dopplers for postoperative monitoring in completely buried free flaps.

Study Design: A retrospective chart review was conducted from 2014 to 2020. Patients were included who had implantable dopplers placed for monitoring a completely buried free flap without a visible skin paddle. Read More

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February 2022

Management of recurrent acquired choanal atresia with radial forearm free flap transfer.

Ear Nose Throat J 2022 Feb 17:1455613211070894. Epub 2022 Feb 17.

Department of Plastic and Reconstructive Surgery, RinggoldID:242612The Jikei University School of Medicine, Tokyo, Japan.

Acquired choanal atresia is a rare complication of pharyngeal surgical interventions. Here, we report the case of a 72-year-old woman who was treated in our institution for acquired choanal atresia after failed previous treatments. We have excised the obstructing fibrotic scar tissue and then reconstructed the area using a mucosal local flap and free radial forearm flap transfer. Read More

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February 2022

Clinical outcomes for microvascular reconstruction in oral cancers: experience from a single surgical centre.

Ann R Coll Surg Engl 2022 Feb 17. Epub 2022 Feb 17.

Jaslok Hospital and Research Centre, Mumbai, India.

Introduction: Reconstruction of a surgical defect is an important part of the management of oral cancers. Microvascular free flap construction provides better functional and cosmetic outcomes.

Methods: Between 2014 and 2020, some 524 patients underwent microvascular reconstruction. Read More

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February 2022

A case report of upper limb loss of substance: Use of functional gracilis free flap, brachioradialis transposition and bioglass for bone regeneration.

Trauma Case Rep 2022 Apr 31;38:100609. Epub 2022 Jan 31.

Department of Reconstructive and Hand Surgery, AOU "Ospedali Riuniti", 60126 Ancona, Italy.

Complex trauma of the upper limb is a common consequence of involvement in serious accidents. Loss of substance including nerve, bone, tendons and vascular defects are challenging surgical issues. A 27- year-old male presented with complex upper limb trauma and loss of a proximal third of the posterior forearm structure as well as loss of active finger extension, ulnar and radial nerve territory anesthesia and ulnar fracture. Read More

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Bone Union of Osseous Microvascular Free Tissue Transfer in Mandibular Reconstruction.

OTO Open 2022 Jan-Mar;6(1):2473974X211070258. Epub 2022 Jan 12.

Department of Otolaryngology-Head and Neck Surgery, The James Cancer Hospital and Solove Research Institute, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.

Objectives: Osseous microvascular free tissue transfer (MFTT) is the gold standard for reconstruction for most segmental mandibulectomy defects. The most common osseous MFTT utilized in reconstruction is the fibular, scapular, and osteocutaneous radial forearm (OCRF) free flap. We evaluated postoperative bone union as well as clinical complications following MFTT and the impact of various patient and reconstructive characteristics, including type of osseous MFTT. Read More

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January 2022

Speech and swallowing function following microsurgical reconstruction of palatal defects in a series of six pediatric patients.

Microsurgery 2022 Mar 5;42(3):246-253. Epub 2022 Jan 5.

Department of Plastic and Reconstructive Surgery, Instituto Nacional de Salud del Niño - San Borja, Lima, Peru.

Background: Reconstruction of extensive palatal defects in growing patients aims to restore speech intelligibility and swallowing function while avoiding excessive scarring formation that may cause growth disturbances in the palate and midface region. Free flaps transfer healthy, well-vascularized tissue to the defect area, and their combination with pharyngeal flaps allow for restoration of the velopharyngeal function. We examined speech and swallowing after microsurgical palate reconstruction in a series of six pediatric patients. Read More

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Salvage of Extensively Scarred Hands: Wide Awake Tenolysis and Interpositional Free Tissue Transfer.

Plast Reconstr Surg Glob Open 2021 Dec 14;9(12):e3949. Epub 2021 Dec 14.

Department of Plastic Surgery, Queen Victoria Hospital, NHS Foundation Trust, UK.

Background: This study introduced a dedicated technical approach to extensive hand adhesions, combined with failed primary nerve reconstruction. Wide awakelocal anesthesia no tourniquet (WALANT) tenolysis and interpositional free tissue transfer forge the main facets of the proposed reconstructive strategy.

Methods: A prospective study was conducted, including 22 patients diagnosed with extensive tendon adhesions in addition to failed primary nerve repair. Read More

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December 2021

Radial motor nerve conduction studies recorded from triceps brachii and extensor carpi radialis longus: Techniques and reference values.

Muscle Nerve 2022 03 17;65(3):337-340. Epub 2021 Dec 17.

Division of Physical Medicine & Rehabilitation, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.

Introduction/aims: Optimal timing of nerve transfer surgery in cervical spinal cord injury (SCI) depends upon the integrity of lower motor neurons (LMNs) in recipient nerves, which is best predicted by compound muscle action potential (CMAP) amplitude. There are no established techniques for obtaining the CMAP in two recipient muscles: triceps brachii and extensor carpi radialis longus (ECRL). This study aimed to develop recording techniques for radial motor studies to triceps and ECRL, and to determine reference values for CMAP amplitudes in healthy volunteers. Read More

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The role of vein grafts in reconstructive head and neck microsurgery.

Braz J Otorhinolaryngol 2021 Oct 26. Epub 2021 Oct 26.

Taichung Veterans General Hospital, Department of Surgery, Division of Plastic and Reconstructive Surgery, Taichung, Taiwan, Republic of China; HungKuang University, Department of Nursing, Taichung, Taiwan, Republic of China; Taichung Veterans General Hospital, Department of Emergency, Division of Trauma and Critical Care Medicine, Taichung, Taiwan, Republic of China. Electronic address:

Objective: Free tissue transfer is widely used for head and neck reconstruction. In certain circumstances, vein grafting is required to elongate free flap pedicles to connect them to appropriate recipient vessels. Because of controversy regarding the use of interposition vein grafts in free tissue reconstruction, this paper reports vein graft indications, techniques, safety, and outcomes for head and neck microvascular surgery. Read More

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October 2021

Reconstruction of Extensive Oromandibular Defect With Simultaneous Dual Free Flap Transfer.

J Craniofac Surg 2022 May 6;33(3):867-869. Epub 2021 Oct 6.

Department of Plastic and Reconstructive Surgery, Korea University Anam Hospital, Seoul, South Korea.

Abstract: Complex oromandibular defects are usually too extensive or complex to be reconstructed with a single free flap. In this situation, dual free flaps can provide an adequate amount of tissues and a three-dimensional structure for large composite defects.In our institution, a total of 6 patients underwent immediate dual free-flap reconstruction between December 2013 and February 2020. Read More

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Functional reconstructions using only ulnar nerve and ulnar nerve-innervated muscles for traumatic musculocutaneous, median and radial nerve palsies.

BMJ Case Rep 2021 Aug 20;14(8). Epub 2021 Aug 20.

Department of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan.

A 20-year-old right-handed fisherman experienced a severe injury in a high-energy traffic accident. These injuries included a shaft fracture of the right humerus, open comminuted fracture of the right forearm and multiple peripheral nerve palsies involving the musculocutaneous, median and radial nerves. Six months after the initial treatment, the patient was referred to our hand surgeons for further treatment. Read More

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A Double-Barreled Fibular Graft for the Reconstruction of Both Forearm Bones and Humeroradial Joint after a Tumor Resection.

J Hand Surg Asian Pac Vol 2021 Sep;26(3):455-459

Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

A double-barreled fibular graft was used to reconstruct both forearm bones and the humeroradial joint after tumor resection. The patient had a tumor of radius that invaded the ulna and extensor groups. After a wide tumor resection, vascularized fibular autograft and soft tissue reconstruction was performed. Read More

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September 2021

Free Tissue Transfer for Repair of Chronic Esophageal Perforations.

OTO Open 2021 Jul-Sep;5(3):2473974X211031472. Epub 2021 Jul 20.

Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.

Objective: Anterior cervical discectomy and fusion have become a common intervention for cervical spine stabilization. However, complications can cause life-threatening morbidity. Among them, esophageal perforation is associated with severe morbidity, including dysphagia, malnutrition, and infection with the potential development of mediastinitis. Read More

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Endoscopic Adipofascial Radial Forearm Free Flap Reconstruction of the Skull Base: A Technical Update.

J Neurol Surg B Skull Base 2021 Jul 15;82(Suppl 3):e243-e247. Epub 2020 May 15.

Department of Neurosurgery, Washington University in St. Louis, Saint Louis, Missouri, United States.

 While most defects after endoscopic endonasal resections can be closed with local or locoregional options, rare cases require free tissue transfer. In this setting, while minimally invasive techniques have been described, the essential procedural details are lacking. The objective of this report is to describe several key technical modifications to free flap harvest and endoscopic-assisted inset which decrease morbidity and improve reliability and efficiency. Read More

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Free double-paddle posterior tibial artery perforator flap for hypopharynx reconstruction: A case report and literature review.

Microsurgery 2021 Oct 21;41(7):660-665. Epub 2021 Jul 21.

Department of Hand- and Plastic Surgery, Luzerner Kantonsspital, Lucerne, Switzerland.

Microsurgical free tissue transfer is nowadays considered to be one of the main options for head and neck reconstruction. The free posterior tibial artery perforator (PTAP) flap is a well-known reconstructive technique for local defect coverage in the distal leg, and only recently has been employed for head and neck reconstructions. Being a very thin and pliable flap, with low donor site morbidity and constant anatomy, the PTA perforator-based flap could be a great alternative to the more commonly-employed radial forearm free flap (RFFF). Read More

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October 2021

Outcomes of Single Anastomoses for Superficial and Deep-System Venous Drainage of Radial Forearm Free Flaps.

OTO Open 2021 Apr-Jun;5(2):2473974X211006927. Epub 2021 Apr 26.

Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.

Objective: Venous insufficiency occurs in radial forearm free flaps (RFFFs) when either the deep venous system (DVS) or superficial venous system (SVS) is used as the venous outlet. We report our experience using the antecubital perforating vein (APV) in a single-vessel anastomosis to the median-cubital or cephalic vein to drain both systems.

Study Design: Retrospective review. Read More

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Outcomes and Utility of Intracranial Free Tissue Transfer.

Ann Otol Rhinol Laryngol 2022 Jan 21;131(1):94-100. Epub 2021 Apr 21.

Department of Plastic Surgery, University of Kansas Medical Center, Kansas City, KS, USA.

Objective: Complications associated with intracranial vault compromise can be neurologically and systemically devastating. Primary and secondary repair of these deficits require an air and watertight barrier between the intracranial and extracranial environments. This study evaluated the outcomes and utility of using intracranial free tissue transfer as both primary and salvage surgical repair of reconstruction. Read More

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January 2022

Alternatives to free flap surgery for maxillofacial reconstruction: focus on the submental island flap and the pectoralis major myocutaneous flap.

BMC Oral Health 2021 04 19;21(1):198. Epub 2021 Apr 19.

Department of Cranio-Maxillofacial Surgery, University Medical Center Regensburg, 93042, Regensburg, Germany.

Background: Microvascular tissue transfer (MTT) has been established as the gold standard in oral- and maxillofacial reconstruction. However, free flap surgery may be critical in multimorbid elderly patients and after surgery or radiotherapy, which aggravate microsurgery. This study evaluates indications and outcome of the submental island flap (SMIF) and the pectoralis major myocutaneous flap (PMMF) as alternatives to the free radial forearm flap (RFF). Read More

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The Vascular Basis of the Pronator Quadratus Muscle Flap and Its Use in Clinical Cases.

Indian J Plast Surg 2021 Jan 7;54(1):63-68. Epub 2020 Sep 7.

Department of Anatomy and Neurobiology and Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.

 Pronator quadratus (PQ) is a deeply situated muscle in the forearm which may occasionally be utilized for soft-tissue reconstruction. The purpose of this anatomical and clinical study was to confirm vascular supply of PQ muscle (PQM) in order to optimize its transfer and confirm its utility in clinical situations.  In Part A of the anatomical study, fresh human cadavers ( = 7) were prepared with an intra-arterial injection of lead oxide and gelatin solution, and PQM and neurovascular pedicle were dissected ( = 14). Read More

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January 2021

Fabricating Flaps in the Forearm Prior to Tracheal Reconstruction.

Indian J Plast Surg 2021 Jan 30;54(1):53-57. Epub 2020 Nov 30.

Department of Head and Neck Surgery, TATA Medical Center, Kolkata, West Bengal, India.

 The process of reconstruction of tracheal defects is complex and still not optimum. Options range from using staged reconstructions, combining flaps with autologous or alloplastic implants, as well as use of tissue-engineered constructs combined with vascularized tissues which are lined with cell cultures. Staged reconstructions using prelaminated epithelium, and prefabricated flaps, help in reconstruction of this complex structure. Read More

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January 2021

Osteocutaneous radial forearm free flap for anterior cranial base reconstruction: Technical note.

Neurochirurgie 2021 Nov 23;67(6):606-610. Epub 2021 Mar 23.

Département de neurochirurgie, Hôpital Gui-de-Chauliac, Centre hospitalier universitaire de Montpellier, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France.

The reconstruction of anterior skull base defects after carcinologic surgery is challenging. Large defects can require the use of autologous free tissue transfer. Currently, most reconstructions use soft-tissue flaps. Read More

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November 2021

Free tissue transfer for central skull base defect reconstruction: Case series and surgical technique.

Oral Oncol 2021 04 13;115:105220. Epub 2021 Feb 13.

Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University Hospital, United States. Electronic address:

Objectives: Local reconstruction of central skull base defects may be inadequate for large defects or reoperative cases; free tissue transfer may be necessary. Inset of the flap and management of the pedicle can be challenging. We report our experience and approaches. Read More

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Dynamic Hemitongue Defect Reconstruction With Functional Gracilis Muscle Free Transfer.

Ann Plast Surg 2021 03;86(3):308-316

From the Department of Plastic and Reconstructive Surgery, University of Ulsan, College of Medicine, Seoul Asan Medical Center, Seoul, Korea.

Background: Because the tongue consists of 26 intrinsic and extrinsic muscles, even hemiglossectomy, which preserves some of the tongue and its muscles, leads to functional morbidity in speech and swallowing. Subsequent reconstruction using a conventional fasciocutaneous flap results in limited functional recovery. This study compared the functional recovery of patients who underwent hemiglossectomy based on the fasciocutaneous free flap with or without dynamic gracilis muscle flap reconstruction. Read More

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The Anomalous Radial Artery: A Rare Vascular Variant and Its Implications in Radial Forearm Free Tissue Transfer.

Craniomaxillofac Trauma Reconstr 2020 Sep 7;13(3):215-218. Epub 2020 Apr 7.

Department of Otorhinolaryngology-Head and Neck Surgery, Rochester, MN, USA.

The radial forearm free flap (RFFF) has become a workhorse for soft tissue reconstruction following surgical ablation of head and neck cancer. Given the popularity of the RFFF, it is important to understand potential variants of upper extremity vascular anatomy and the effects of these findings on pre- and intraoperative planning. The purpose of this series is to synthesize the existing literature to raise awareness for potential radial artery aberrations during planned reconstruction. Read More

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September 2020