Journal of Oral and Maxillofacial Surgery
Volume 66, Issue 11 , Pages 2270-2275 , November 2008

Microvascular Free Tissue Transfer for Tongue Reconstruction After Hemiglossectomy: A Functional Assessment of Radial Forearm Versus Anterolateral Thigh Flap

  • Juan Carlos de Vicente, MD, PhD, DDS

      Affiliations

    • Professor of Oral and Maxillofacial Surgery, Servicio de Cirugía Maxilofacial, Hospital Universitario Central de Asturias, Facultad de Medicina y Odontología, Instituto Universitario de Oncología del Principado de Asturias (IUOPA), Oviedo, Spain
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr de Vicente: University Hospital, Maxillofacial, c/Catedrático José Serrano s/n, 33006 Oviedo, Asturias, Spain
    • ,
  • Lucas de Villalaín, MD, PhD, DDS

      Affiliations

    • Staff, Maxillofacial Surgeons, Servicio de Cirugía Maxilofacial, Hospital Universitario Central de Asturias, Facultad de Medicina y Odontología, Instituto Universitario de Oncología del Principado de Asturias (IUOPA), Oviedo, Spain
    • ,
  • Aintzane Torre, MD

      Affiliations

    • Staff, Maxillofacial Surgeons, Servicio de Cirugía Maxilofacial, Hospital Universitario Central de Asturias, Facultad de Medicina y Odontología, Instituto Universitario de Oncología del Principado de Asturias (IUOPA), Oviedo, Spain
    • ,
  • Ignacio Peña, MD

      Affiliations

    • Resident, Servicio de Cirugía Maxilofacial, Hospital Universitario Central de Asturias, Facultad de Medicina y Odontología, Instituto Universitario de Oncología del Principado de Asturias (IUOPA), Oviedo, Spain

References 

  1. Ariyan S. The pectoralis major myocutaneous flap (A versatile flap for reconstruction in the head and neck). Plast Reconstr Surg. 1979;63:73
  2. Salibian AH, Allison GR, Rappaport I, et al. Total and subtotal glossectomy: Function after microvascular reconstruction. Plast Reconstr Surg. 1990;85:513
  3. Lyos AT, Evans GRD, Perez D, et al. Tongue reconstruction: Outcomes with the rectus abdominis flap. Plast Rec Surg. 1999;103:442
  4. Yang G, Chen B, Gao Y, et al. Forearm free skin transplantation. Natl Med J China. 1981;61:139
  5. Soutar DS, Scheker LR, Tanner SB, et al. The radial forearm flap: A versatile method for intra-oral reconstruction. Br J Plast Surg. 1983;36:1
  6. Takato T, Harii K, Ebihara S. Oral and pharyngeal reconstruction using the free forearm flap. Arch Otolaryngol Head Neck Surg. 1987;113:873
  7. Song YG, Chen GZ, Song YL. The free thigh flap: A new free flap concept based on the septocutaneous artery. Br J Plast Surg. 1984;37:149
  8. Wei FC, Jain V, Celik N, et al. Have we found an ideal soft-tissue flap? (An experience with 672 anterolateral thigh flaps). Plast Reconstr Surg. 2002;109:2219
  9. Teichgraeber J, Bowman J, Goepfert H. New test series for the functional evaluation of oral cavity cancer. Head Neck Surg. 1985;8:9
  10. Hayden RE. Microvascular free flaps for soft-tissue defects. Otolaryngol Clin N Am. 1991;24:1343
  11. Kuo YR, Jeng SF, Kuo MH, et al. Free anterolateral thigh flap for extremity reconstruction: Clinical experience and functional assessment of donor site. Plast Reconstr Surg. 2001;107:1766
  12. Rodriguez ED, Rosson GD, Bluebond-Langner R, et al. The utility of the anterolateral thigh donor site in reconstructing the United States trauma patient. J Trauma. 2007;62:892
  13. Murray DJ, Gilbert RW, Vesely MJ, et al. Functional outcomes and donor site morbidity following circumferential pharyngoesophageal reconstruction using an anterolateral thigh flap and salivary bypass tube. Head Neck. 2007;29:147
  14. Kimura N, Satoh K. Consideration of a thin flap as an entity and clinical applications of the thin anterolateral thigh flap. Plast Reconstr Surg. 1996;97:985
  15. Demirkan F, Chen HC, Wei FC, et al. The versatile anterolateral thigh flap: A musculocutaneous flap in disguise in head and neck reconstruction. Br J Plast Surg. 2000;53:30
  16. Koshima I, Fukuda H, Yamamoto H, et al. A combined anterolateral thigh flap, anteromedial thigh flap, and vascularized iliac bone graft for a full-thickness defect of the mental region. Ann Plast Surg. 1993;31:175
  17. Richardson VD, Fisher SE, Vaughan ED, et al. Radial forearm free flap donor site complications and morbidity: A prospective study. Plast Reconstr Surg. 1997;99:109
  18. Ahn HC, Choi MS, Hwang WJ, et al. The transverse radial artery forearm flap. Plast Reconstr Surg. 2007;119:2153
  19. Lutz BS, Wei FC, Chang SC, et al. Donor site morbidity after suprafascial elevation of the radial forearm flap: A prospective study in 95 consecutive cases. Plast Reconstr Surg. 1999;103:132
  20. Haerle M, Hafner HM, Dietz K, et al. Vascular dominance in the forearm. Plast Reconstr Surg. 2003;111:1891

PII: S0278-2391(08)00038-4

doi: 10.1016/j.joms.2008.01.018

Journal of Oral and Maxillofacial Surgery
Volume 66, Issue 11 , Pages 2270-2275 , November 2008

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