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Reconstruction of maxillary and palatal defects with the free radial forearm flap

✍ Scribed by A. Rollón; T. Gomez Cia; J. D. Gonzalez; J. M. Hernandez; C. L. Salazar; A. Restoy

Publisher
Springer
Year
1995
Tongue
English
Weight
650 KB
Volume
18
Category
Article
ISSN
1435-0130

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✦ Synopsis

We present six patients with maxillary and palate defects that were reconstructed with the radial forearm flap. Four patients had malignant neoplasms involving the maxilla, three with squamous cell carcinoma and the fourth with recurrent basal cell carcinoma. They were treated with excision and immediate reconstruction using a radial forearm free flap. The other two patients presented with large fistulae between the maxilla and nasal sinuses, these being sequelae of previous surgical treatment for malignancies. The fistulae were closed with radial forearm free flaps. This method provides primary wound healing, restoration of palatal function, preservation of facial contour, and a minimal morbidity while obviating the need for palatal prosthesis. In the six cases, the oral cavity has been completely separated from the paranasal sinus and nasal cavity, and all patients demonstrated satisfactory deglutition and intelligible speech.

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