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Dual free flap transfer using forearm flap for mandibular reconstruction

✍ Scribed by Dr. Takashi Nakatsuka; Drs. Kiyonori Harii; Atsushi Yamada; Kazuki Ueda; Dr. Satoshi Ebihara

Publisher: John Wiley and Sons
Year: 1992
Tongue: English
Weight: 562 KB
Volume: 14
Category: Article
ISSN: 1043-3074
DOI: 10.1002/hed.2880140605

No coin nor oath required. For personal study only.

✦ Synopsis

To reconstruct a composite mandibular defect, we have simultaneously transferred a vascularized bone graft or osteocutaneous flap together with a forearm flap. The radial forearm flap, being thin, pliable, and having a long vascular stalk, served as mucosal lining and/or an interpositional flap acting as a vascular bridge. Between 1982 and 1989, we used this procedure in 17 patients with a mandibular defect or deformity which developed following treatment of oral cancer. Our clinical experience has demonstrated that this dual free tissue transfer has many advantages. It is useful for obtaining a good alveolar ridge in patients with a composite mandibular defect. It is applicable in cases where only a single pair of recipient vessels are present and may be useful when the recipient vessels are positioned some distance from the defect.

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