Retrospective review of 400 consecutive free flap
reconstructions for oncologic surgical defects.
The brachial artery used in this procedure provides a robust blood flow, and since the flap is pedicled, this eliminates ischaemia time and re-perfusion injury which can occur when the vasculature is disconnected as in free flaps
A related phosphodiesterase inhibitor, amrinone (6) increased free flap
blood flow in a small group of patients when administered intravenously and decreased vasospasm when applied topically.
One year earlier, he had been treated for a left maxillary sinus tumor with a subtotal maxillectomy and rectus abdominis free flap
to the left malar region.
1) The pectoralis major flap and then the radial forearm free flap
eclipsed the PMF in popularity as reconstructive options for oral cavity defects, and the use of the PMF never became widespread.
We describe what is, to the best of our knowledge, the first use of a double bilobed radial forearm free flap
in reconstructive surgery of the tongue and floor of the mouth following bilateral tumor resection.
The Stacked DIEP free flap
breast reconstruction, the newest addition to their repertoire, will allow women who were previously not candidates for natural tissue reconstruction another option for their breast restoration when facing mastectomy.
In 1981, Yang et al in China became the first to describe the radial artery forearm free flap
, which is also known as the Chinese flap.
Massey, MD, CLT, FACS, is an internationally recognized oncologic reconstruction surgeon with a wide range of experience in perforator free flap
breast reconstruction and Vascularized Lymph Node Transfer for the treatment of lymphedema.
For more destructive lesions, a microvascular free flap
, with or without bone, may be necessary.
The patient was reconstructed with a radial forearm free flap
, left brow lift, static suspension, and gold-weight insertion into the left upper eyelid (figure 3, C).
A tracheostomy was performed, and the defect was reconstructed with a free flap
This study shows that the free flap
is very reliable for covering the prosthetic knee in this type of reconstruction.
The reconstructive options that were considered at the time included placing a bilobed flap, a radial forearm fasciocutaneous free flap
, a pectoralis myocutaneous flap, and a local advancement/rotation flap.
In the secondary group, primary closure was achieved in 13 patients, while 3 patients required closure with a pectoralis flap and 1 required a jejunal free flap