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Outcomes after free tissue transfer for composite oral cavity resections involving skin
Author(s) -
Alvi Sameer A.,
Hamill Chelsea S.,
Lepse Jason P.,
Ayala Marco,
Girod Douglas A.,
Tsue Terance T.,
Shnayder Yelizaveta,
Kakarala Kiran
Publication year - 2018
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.25062
Subject(s) - medicine , surgery , free flap , oral cavity , retrospective cohort study , complication , forearm , dentistry
Background Resections involving oral cavity mucosa, bone, and skin present a unique challenge. Optimizing outcomes often requires technically demanding reconstruction. The purpose of this study is to evaluate outcomes of several reconstructive approaches for patients with composite through‐and‐through defects, with a focus on the osteocutaneous radial forearm free flap (RFFF). Methods We conducted a retrospective evaluation of the cohort of patients treated for composite through‐and‐through defects with cutaneous involvement who underwent free flap reconstruction from August 2012 through October 2015. Results Seventeen patients received a single flap (12 cases of osteocutaneous RFFF), whereas 10 patients underwent a combination of flaps. Complication rates and functional outcomes were favorable in patients who underwent osteocutaneous RFFFs. The supraclavicular artery island flap (SCAIF) was used as a second flap in 3 cases. Conclusion The osteocutaneous RFFF provides a valuable reconstructive option for complex composite resection defects involving skin. When 2 flaps are required, the SCAIF is a viable alternative to a second free flap or pectoralis flap.