Radial Forearm Osteocutaneous Free Flap in Maxillofacial and Oromandibular Reconstructions
Identifieur interne : 000027 ( Istex/Corpus ); précédent : 000026; suivant : 000028Radial Forearm Osteocutaneous Free Flap in Maxillofacial and Oromandibular Reconstructions
Auteurs : J H. Kim ; E L. Rosenthal ; T. Ellis ; M K. WaxSource :
- The Laryngoscope [ 0023-852X ] ; 2005-09.
English descriptors
- KwdEn :
- Bone length, Complication, Consecutive cases, Defect, Donor, Donor radius, Donor radius bone, Donor radius fractures, Donor site complications, Donor site morbidity, Fixation, Flap, Flap failure, Flaps, Forearm, Fracture, Laryngoscope, Mandible, Mandibular, Maxillectomy, Maxillofacial, Maxillofacial reconstruction, Maxillofacial reconstructions, Morbidity, Oromandibular, Oromandibular reconstruction, Oromandibular reconstructions, Osteocutaneous, Osteotomy, Plast, Plast reconstr surg, Plate exposure, Prophylactic plating, Radial, Radial forearm flap, Radial forearm flap reconstruction, Radial forearm osteocutaneous, Radius bone, Radius bone fracture, Recipient site complications, Reconstr, Rfoff, Skin paddle, Surg, Venous congestion, Volar surface, Wound abscess, Wound dehiscence.
- Teeft :
- Bone length, Complication, Consecutive cases, Defect, Donor, Donor radius, Donor radius bone, Donor radius fractures, Donor site complications, Donor site morbidity, Fixation, Flap, Flap failure, Flaps, Forearm, Fracture, Laryngoscope, Mandible, Mandibular, Maxillectomy, Maxillofacial, Maxillofacial reconstruction, Maxillofacial reconstructions, Morbidity, Oromandibular, Oromandibular reconstruction, Oromandibular reconstructions, Osteocutaneous, Osteotomy, Plast, Plast reconstr surg, Plate exposure, Prophylactic plating, Radial, Radial forearm flap, Radial forearm flap reconstruction, Radial forearm osteocutaneous, Radius bone, Radius bone fracture, Recipient site complications, Reconstr, Rfoff, Skin paddle, Surg, Venous congestion, Volar surface, Wound abscess, Wound dehiscence.
Abstract
Objectives/Hypothesis: The radial forearm osteocutaneous free flap is an excellent reconstructive modality for oromandibular and maxillofacial reconstruction in certain well‐defined circumstances. The initial concern over donor site morbidity and the ability of the bone to reconstruct mandibular defects have led to only a few published series.
Url:
DOI: 10.1097/01.mlg.0000174952.98927.9f
Links to Exploration step
ISTEX:0073AE46FC4BC1065EB6652C49EE0034FCD83FBALe document en format XML
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Ellis</name><affiliation><mods:affiliation>Department of Orthopedic Surgery, Oregon Health Sciences University, Portland, Oregon</mods:affiliation></affiliation></author><author><name sortKey="Wax, M K" sort="Wax, M K" uniqKey="Wax M" first="M K." last="Wax">M K. Wax</name><affiliation><mods:affiliation>Department of Otolaryngology—Head and Neck Surgery, Oregon Health Sciences University, Portland, Oregon</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: waxm@ohsu.edu</mods:affiliation></affiliation><affiliation><mods:affiliation>Correspondence address: Mark K. 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Kim</name><affiliation><mods:affiliation>Department of Otolaryngology—Head and Neck Surgery, Oregon Health Sciences University, Portland, Oregon</mods:affiliation></affiliation></author><author><name sortKey="Rosenthal, E L" sort="Rosenthal, E L" uniqKey="Rosenthal E" first="E L." last="Rosenthal">E L. Rosenthal</name><affiliation><mods:affiliation>Department of Otolaryngology—Head and Neck Surgery, University of Alabama, Birmingham, Alabama, U.S.A.</mods:affiliation></affiliation></author><author><name sortKey="Ellis, T" sort="Ellis, T" uniqKey="Ellis T" first="T" last="Ellis">T. Ellis</name><affiliation><mods:affiliation>Department of Orthopedic Surgery, Oregon Health Sciences University, Portland, Oregon</mods:affiliation></affiliation></author><author><name sortKey="Wax, M K" sort="Wax, M K" uniqKey="Wax M" first="M K." last="Wax">M K. Wax</name><affiliation><mods:affiliation>Department of Otolaryngology—Head and Neck Surgery, Oregon Health Sciences University, Portland, Oregon</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: waxm@ohsu.edu</mods:affiliation></affiliation><affiliation><mods:affiliation>Correspondence address: Mark K. Wax, MD, Department of Otolaryngology—Head and Neck Surgery, Oregon Health Sciences University 3181 Southwest Sam Jackson Park Road, PV 01, Portland, Oregon 97233, U.S.A.</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">The Laryngoscope</title><title level="j" type="alt">LARYNGOSCOPE</title><idno type="ISSN">0023-852X</idno><idno type="eISSN">1531-4995</idno><imprint><biblScope unit="vol">115</biblScope><biblScope unit="issue">9</biblScope><biblScope unit="page" from="1697">1697</biblScope><biblScope unit="page" to="1701">1701</biblScope><biblScope unit="page-count">5</biblScope><publisher>John Wiley & Sons, Inc.</publisher><pubPlace>Hoboken, NJ</pubPlace><date type="published" when="2005-09">2005-09</date></imprint><idno type="ISSN">0023-852X</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0023-852X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Bone length</term><term>Complication</term><term>Consecutive cases</term><term>Defect</term><term>Donor</term><term>Donor radius</term><term>Donor radius bone</term><term>Donor radius fractures</term><term>Donor site complications</term><term>Donor site morbidity</term><term>Fixation</term><term>Flap</term><term>Flap failure</term><term>Flaps</term><term>Forearm</term><term>Fracture</term><term>Laryngoscope</term><term>Mandible</term><term>Mandibular</term><term>Maxillectomy</term><term>Maxillofacial</term><term>Maxillofacial reconstruction</term><term>Maxillofacial reconstructions</term><term>Morbidity</term><term>Oromandibular</term><term>Oromandibular reconstruction</term><term>Oromandibular reconstructions</term><term>Osteocutaneous</term><term>Osteotomy</term><term>Plast</term><term>Plast reconstr surg</term><term>Plate exposure</term><term>Prophylactic plating</term><term>Radial</term><term>Radial forearm flap</term><term>Radial forearm flap reconstruction</term><term>Radial forearm osteocutaneous</term><term>Radius bone</term><term>Radius bone fracture</term><term>Recipient site complications</term><term>Reconstr</term><term>Rfoff</term><term>Skin paddle</term><term>Surg</term><term>Venous congestion</term><term>Volar surface</term><term>Wound abscess</term><term>Wound dehiscence</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Bone length</term><term>Complication</term><term>Consecutive cases</term><term>Defect</term><term>Donor</term><term>Donor radius</term><term>Donor radius bone</term><term>Donor radius fractures</term><term>Donor site complications</term><term>Donor site morbidity</term><term>Fixation</term><term>Flap</term><term>Flap failure</term><term>Flaps</term><term>Forearm</term><term>Fracture</term><term>Laryngoscope</term><term>Mandible</term><term>Mandibular</term><term>Maxillectomy</term><term>Maxillofacial</term><term>Maxillofacial reconstruction</term><term>Maxillofacial reconstructions</term><term>Morbidity</term><term>Oromandibular</term><term>Oromandibular reconstruction</term><term>Oromandibular reconstructions</term><term>Osteocutaneous</term><term>Osteotomy</term><term>Plast</term><term>Plast reconstr surg</term><term>Plate exposure</term><term>Prophylactic plating</term><term>Radial</term><term>Radial forearm flap</term><term>Radial forearm flap reconstruction</term><term>Radial forearm osteocutaneous</term><term>Radius bone</term><term>Radius bone fracture</term><term>Recipient site complications</term><term>Reconstr</term><term>Rfoff</term><term>Skin paddle</term><term>Surg</term><term>Venous congestion</term><term>Volar surface</term><term>Wound abscess</term><term>Wound dehiscence</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Objectives/Hypothesis: The radial forearm osteocutaneous free flap is an excellent reconstructive modality for oromandibular and maxillofacial reconstruction in certain well‐defined circumstances. The initial concern over donor site morbidity and the ability of the bone to reconstruct mandibular defects have led to only a few published series.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>flap</json:string><json:string>osteocutaneous</json:string><json:string>rfoff</json:string><json:string>oromandibular</json:string><json:string>osteotomy</json:string><json:string>maxillofacial</json:string><json:string>surg</json:string><json:string>radius bone</json:string><json:string>radial forearm osteocutaneous</json:string><json:string>morbidity</json:string><json:string>fracture</json:string><json:string>mandibular</json:string><json:string>fixation</json:string><json:string>flaps</json:string><json:string>mandible</json:string><json:string>laryngoscope</json:string><json:string>plast</json:string><json:string>reconstr</json:string><json:string>maxillectomy</json:string><json:string>plate exposure</json:string><json:string>oromandibular reconstruction</json:string><json:string>forearm</json:string><json:string>flap failure</json:string><json:string>maxillofacial reconstructions</json:string><json:string>maxillofacial reconstruction</json:string><json:string>donor radius bone</json:string><json:string>plast reconstr surg</json:string><json:string>oromandibular reconstructions</json:string><json:string>recipient site complications</json:string><json:string>donor site morbidity</json:string><json:string>donor radius</json:string><json:string>wound abscess</json:string><json:string>prophylactic plating</json:string><json:string>bone length</json:string><json:string>donor site complications</json:string><json:string>volar surface</json:string><json:string>skin paddle</json:string><json:string>radial forearm flap</json:string><json:string>wound dehiscence</json:string><json:string>venous congestion</json:string><json:string>consecutive cases</json:string><json:string>donor radius fractures</json:string><json:string>radius bone fracture</json:string><json:string>radial forearm flap reconstruction</json:string><json:string>defect</json:string><json:string>donor</json:string><json:string>complication</json:string><json:string>radial</json:string></teeft></keywords><author><json:item><name>J H. Kim MD</name><affiliations><json:string>Department of Otolaryngology—Head and Neck Surgery, Oregon Health Sciences University, Portland, Oregon</json:string></affiliations></json:item><json:item><name>E L. Rosenthal MD</name><affiliations><json:string>Department of Otolaryngology—Head and Neck Surgery, University of Alabama, Birmingham, Alabama, U.S.A.</json:string></affiliations></json:item><json:item><name>T Ellis</name><affiliations><json:string>Department of Orthopedic Surgery, Oregon Health Sciences University, Portland, Oregon</json:string></affiliations></json:item><json:item><name>M K. Wax MD</name><affiliations><json:string>Department of Otolaryngology—Head and Neck Surgery, Oregon Health Sciences University, Portland, Oregon</json:string><json:string>E-mail: waxm@ohsu.edu</json:string><json:string>Correspondence address: Mark K. Wax, MD, Department of Otolaryngology—Head and Neck Surgery, Oregon Health Sciences University 3181 Southwest Sam Jackson Park Road, PV 01, Portland, Oregon 97233, U.S.A.</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Free flap</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>oromandibular reconstruction</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>maxillofacial reconstruction</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>radical forearm osteocutaneous</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>head and neck reconstruction</value></json:item></subject><articleId><json:string>LARY5541150932</json:string></articleId><arkIstex>ark:/67375/WNG-HBCB0J27-L</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Objectives/Hypothesis: The radial forearm osteocutaneous free flap is an excellent reconstructive modality for oromandibular and maxillofacial reconstruction in certain well‐defined circumstances. The initial concern over donor site morbidity and the ability of the bone to reconstruct mandibular defects have led to only a few published series.</abstract><qualityIndicators><score>5.318</score><pdfWordCount>2766</pdfWordCount><pdfCharCount>17926</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>5</pdfPageCount><pdfPageSize>585 x 783 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>46</abstractWordCount><abstractCharCount>345</abstractCharCount><keywordCount>5</keywordCount></qualityIndicators><title>Radial Forearm Osteocutaneous Free Flap in Maxillofacial and Oromandibular Reconstructions</title><pmid><json:string>16148720</json:string></pmid><genre><json:string>article</json:string></genre><host><title>The Laryngoscope</title><language><json:string>unknown</json:string></language><doi><json:string>10.1002/(ISSN)1531-4995</json:string></doi><issn><json:string>0023-852X</json:string></issn><eissn><json:string>1531-4995</json:string></eissn><publisherId><json:string>LARY</json:string></publisherId><volume>115</volume><issue>9</issue><pages><first>1697</first><last>1701</last><total>5</total></pages><genre><json:string>journal</json:string></genre><subject><json:item><value>Article</value></json:item></subject></host><namedEntities><unitex><date><json:string>2005</json:string><json:string>1990s</json:string><json:string>September 2005 1700</json:string><json:string>1980s</json:string><json:string>between April 2000 and December 2004</json:string></date><geogName></geogName><orgName><json:string>Birmingham</json:string><json:string>University of Alabama</json:string><json:string>American Laryngological, Rhinological and Otological Society</json:string><json:string>Oregon Health Sciences University</json:string><json:string>Department of Otolaryngology</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>Ann Plast</json:string><json:string>Mark K. Wax</json:string><json:string>E. L. Rosenthal</json:string><json:string>U.S.A. Editor</json:string><json:string>M. K. Wax</json:string><json:string>T. Ellis</json:string></persName><placeName><json:string>OR</json:string><json:string>Portland</json:string><json:string>AL</json:string></placeName><ref_url></ref_url><ref_bibl><json:string>Edmonds et al.</json:string><json:string>Weinzweig et al.</json:string><json:string>Thoma et al.</json:string><json:string>Bardsley et al.</json:string><json:string>Kim et al.</json:string><json:string>Funk et al.</json:string><json:string>Werle et al.</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-HBCB0J27-L</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - otorhinolaryngology</json:string><json:string>2 - medicine, research & experimental</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - otorhinolaryngology</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Medicine</json:string><json:string>3 - Otorhinolaryngology</json:string></scopus></categories><publicationDate>2005</publicationDate><copyrightDate>2005</copyrightDate><doi><json:string>10.1097/01.mlg.0000174952.98927.9f</json:string></doi><id>0073AE46FC4BC1065EB6652C49EE0034FCD83FBA</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/0073AE46FC4BC1065EB6652C49EE0034FCD83FBA/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/0073AE46FC4BC1065EB6652C49EE0034FCD83FBA/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/0073AE46FC4BC1065EB6652C49EE0034FCD83FBA/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Radial Forearm Osteocutaneous Free Flap in Maxillofacial and Oromandibular Reconstructions</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>John Wiley & Sons, Inc.</publisher><pubPlace>Hoboken, NJ</pubPlace><availability><licence>Copyright © 2005 The Triological Society</licence></availability><date type="published" when="2005-09"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main" xml:lang="en">Radial Forearm Osteocutaneous Free Flap in Maxillofacial and Oromandibular Reconstructions</title><title level="a" type="short" xml:lang="en">Radial Forearm Osteocutaneous Free Flap in Maxillofacial and Oromandibular Reconstructions</title><author xml:id="author-0000"><persName><forename type="first">J H.</forename><surname>Kim</surname><roleName type="degree">MD</roleName></persName><affiliation>Department of Otolaryngology—Head and Neck Surgery, Oregon Health Sciences University, Portland, Oregon<address><country key="US"></country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">E L.</forename><surname>Rosenthal</surname><roleName type="degree">MD</roleName></persName><affiliation>Department of Otolaryngology—Head and Neck Surgery, University of Alabama, Birmingham, Alabama, U.S.A.<address><country key="US"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">T</forename><surname>Ellis</surname></persName><affiliation>Department of Orthopedic Surgery, Oregon Health Sciences University, Portland, Oregon<address><country key="US"></country></address></affiliation></author><author xml:id="author-0003" role="corresp"><persName><forename type="first">M K.</forename><surname>Wax</surname><roleName type="degree">MD</roleName></persName><email>waxm@ohsu.edu</email><affiliation>Department of Otolaryngology—Head and Neck Surgery, Oregon Health Sciences University, Portland, Oregon<address><country key="US"></country></address></affiliation><affiliation>Mark K. Wax, MD, Department of Otolaryngology—Head and Neck Surgery, Oregon Health Sciences University 3181 Southwest Sam Jackson Park Road, PV 01, Portland, Oregon 97233, U.S.A.</affiliation></author><idno type="istex">0073AE46FC4BC1065EB6652C49EE0034FCD83FBA</idno><idno type="ark">ark:/67375/WNG-HBCB0J27-L</idno><idno type="DOI">10.1097/01.mlg.0000174952.98927.9f</idno><idno type="unit">LARY5541150932</idno><idno type="toTypesetVersion">file:LARY.LARY5541150932.pdf</idno></analytic><monogr><title level="j" type="main">The Laryngoscope</title><title level="j" type="alt">LARYNGOSCOPE</title><idno type="pISSN">0023-852X</idno><idno type="eISSN">1531-4995</idno><idno type="book-DOI">10.1002/(ISSN)1531-4995</idno><idno type="book-part-DOI">10.1002/lary.v115:9</idno><idno type="product">LARY</idno><imprint><biblScope unit="vol">115</biblScope><biblScope unit="issue">9</biblScope><biblScope unit="page" from="1697">1697</biblScope><biblScope unit="page" to="1701">1701</biblScope><biblScope unit="page-count">5</biblScope><publisher>John Wiley & Sons, Inc.</publisher><pubPlace>Hoboken, NJ</pubPlace><date type="published" when="2005-09"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><head>Abstract</head><p><hi rend="bold">Objectives/Hypothesis:</hi> The radial forearm osteocutaneous free flap is an excellent reconstructive modality for oromandibular and maxillofacial reconstruction in certain well‐defined circumstances. The initial concern over donor site morbidity and the ability of the bone to reconstruct mandibular defects have led to only a few published series.</p><p><hi rend="bold">Study Design:</hi> Retrospective study of the experience of two tertiary medical centers with radial forearm osteocutaneous free flap.</p><p><hi rend="bold">Methods:</hi> Retrospectively, 52 patients were studied who underwent radial forearm osteocutaneous free flap reconstruction for cancer (49 cases) and trauma (3 cases). Bone length and skin paddle harvested, general morbidity (hematoma, wound infection, and dehiscence), recipient site morbidity (nonunion of neomandible, flap failure, and bone or plate exposure), and donor site morbidity (radius bone fracture, plate exposure, and skin graft failure) were reviewed.</p><p><hi rend="bold">Results:</hi> The average skin paddle size was 55.1 cm<hi rend="superscript">2</hi> (range, 15–112 cm<hi rend="superscript">2</hi>). The average radius bone harvest length was 6.3 cm (range, 2.5–11 cm). Donor site complications included tendon exposure (3 cases), radius bone fracture (1 case), and exposure of the plate (0). Recipient site complications included nonunion of the mandible (4), exposed mandible (1), exposed mandibular plates (2), exposed maxillary plates or bone (0), venous compromise (1), and flap failure (1). Two patients had perioperative deaths.</p><p><hi rend="bold">Conclusion:</hi> Radial forearm osteocutaneous free flap is a valuable and viable option for oromandibular and maxillofacial reconstruction.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="kwd1">Free flap</term><term xml:id="kwd2">oromandibular reconstruction</term><term xml:id="kwd3">maxillofacial reconstruction</term><term xml:id="kwd4">radical forearm osteocutaneous</term><term xml:id="kwd5">head and neck reconstruction</term></keywords><keywords rend="articleCategory"><term>Article</term></keywords><keywords rend="tocHeading1"><term>Articles</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/0073AE46FC4BC1065EB6652C49EE0034FCD83FBA/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>John Wiley & Sons, Inc.</publisherName><publisherLoc>Hoboken, NJ</publisherLoc></publisherInfo><doi registered="yes">10.1002/(ISSN)1531-4995</doi><issn type="print">0023-852X</issn><issn type="electronic">1531-4995</issn><idGroup><id type="product" value="LARY"></id></idGroup><titleGroup><title type="main" xml:lang="en" sort="LARYNGOSCOPE">The Laryngoscope</title><title type="short">The Laryngoscope</title></titleGroup></publicationMeta><publicationMeta level="part" position="90"><doi origin="wiley" registered="no">10.1002/lary.v115:9</doi><numberingGroup><numbering type="journalVolume" number="115">115</numbering><numbering type="journalIssue">9</numbering></numberingGroup><coverDate startDate="2005-09">September 2005</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="32" status="forIssue"><doi origin="wiley" registered="yes">10.1097/01.mlg.0000174952.98927.9f</doi><idGroup><id type="unit" value="LARY5541150932"></id></idGroup><countGroup><count type="pageTotal" number="5"></count></countGroup><titleGroup><title type="articleCategory">Article</title><title type="tocHeading1">Articles</title></titleGroup><copyright ownership="thirdParty">Copyright © 2005 The Triological Society</copyright><eventGroup><event type="manuscriptAccepted" date="2005-06-08"></event><event type="firstOnline" date="2009-01-03"></event><event type="publishedOnlineFinalForm" date="2009-01-03"></event><event type="xmlConverted" agent="Converter:JWSART34_TO_WML3G version:2.3.1 mode:FullText source:FullText result:FullText" date="2010-02-23"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-02-01"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-11-04"></event></eventGroup><numberingGroup><numbering type="pageFirst">1697</numbering><numbering type="pageLast">1701</numbering></numberingGroup><correspondenceTo>Mark K. Wax, MD, Department of Otolaryngology—Head and Neck Surgery, Oregon Health Sciences University 3181 Southwest Sam Jackson Park Road, PV 01, Portland, Oregon 97233, U.S.A.</correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:LARY.LARY5541150932.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="3"></count><count type="tableTotal" number="1"></count><count type="referenceTotal" number="15"></count></countGroup><titleGroup><title type="main" xml:lang="en">Radial Forearm Osteocutaneous Free Flap in Maxillofacial and Oromandibular Reconstructions</title><title type="short" xml:lang="en">Radial Forearm Osteocutaneous Free Flap in Maxillofacial and Oromandibular Reconstructions</title></titleGroup><creators><creator xml:id="au1" creatorRole="author" affiliationRef="#af1"><personName><givenNames>J H.</givenNames><familyName>Kim</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au2" creatorRole="author" affiliationRef="#af3"><personName><givenNames>E L.</givenNames><familyName>Rosenthal</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au3" creatorRole="author" affiliationRef="#af2"><personName><givenNames>T</givenNames><familyName>Ellis</familyName></personName></creator><creator xml:id="au4" creatorRole="author" affiliationRef="#af1" corresponding="yes"><personName><givenNames>M K.</givenNames><familyName>Wax</familyName><degrees>MD</degrees></personName><contactDetails><email>waxm@ohsu.edu</email></contactDetails></creator></creators><affiliationGroup><affiliation xml:id="af1" countryCode="US" type="organization"><unparsedAffiliation>Department of Otolaryngology—Head and Neck Surgery, Oregon Health Sciences University, Portland, Oregon</unparsedAffiliation></affiliation><affiliation xml:id="af2" countryCode="US" type="organization"><unparsedAffiliation>Department of Orthopedic Surgery, Oregon Health Sciences University, Portland, Oregon</unparsedAffiliation></affiliation><affiliation xml:id="af3" countryCode="US" type="organization"><unparsedAffiliation>Department of Otolaryngology—Head and Neck Surgery, University of Alabama, Birmingham, Alabama, U.S.A.</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en" type="author"><keyword xml:id="kwd1">Free flap</keyword><keyword xml:id="kwd2">oromandibular reconstruction</keyword><keyword xml:id="kwd3">maxillofacial reconstruction</keyword><keyword xml:id="kwd4">radical forearm osteocutaneous</keyword><keyword xml:id="kwd5">head and neck reconstruction</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p><b>Objectives/Hypothesis:</b> The radial forearm osteocutaneous free flap is an excellent reconstructive modality for oromandibular and maxillofacial reconstruction in certain well‐defined circumstances. The initial concern over donor site morbidity and the ability of the bone to reconstruct mandibular defects have led to only a few published series.</p><p><b>Study Design:</b> Retrospective study of the experience of two tertiary medical centers with radial forearm osteocutaneous free flap.</p><p><b>Methods:</b> Retrospectively, 52 patients were studied who underwent radial forearm osteocutaneous free flap reconstruction for cancer (49 cases) and trauma (3 cases). Bone length and skin paddle harvested, general morbidity (hematoma, wound infection, and dehiscence), recipient site morbidity (nonunion of neomandible, flap failure, and bone or plate exposure), and donor site morbidity (radius bone fracture, plate exposure, and skin graft failure) were reviewed.</p><p><b>Results:</b> The average skin paddle size was 55.1 cm<sup>2</sup> (range, 15–112 cm<sup>2</sup>). The average radius bone harvest length was 6.3 cm (range, 2.5–11 cm). Donor site complications included tendon exposure (3 cases), radius bone fracture (1 case), and exposure of the plate (0). Recipient site complications included nonunion of the mandible (4), exposed mandible (1), exposed mandibular plates (2), exposed maxillary plates or bone (0), venous compromise (1), and flap failure (1). Two patients had perioperative deaths.</p><p><b>Conclusion:</b> Radial forearm osteocutaneous free flap is a valuable and viable option for oromandibular and maxillofacial reconstruction.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Radial Forearm Osteocutaneous Free Flap in Maxillofacial and Oromandibular Reconstructions</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Radial Forearm Osteocutaneous Free Flap in Maxillofacial and Oromandibular Reconstructions</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Radial Forearm Osteocutaneous Free Flap in Maxillofacial and Oromandibular Reconstructions</title></titleInfo><name type="personal"><namePart type="given">J H.</namePart><namePart type="family">Kim</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Otolaryngology—Head and Neck Surgery, Oregon Health Sciences University, Portland, Oregon</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">E L.</namePart><namePart type="family">Rosenthal</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Otolaryngology—Head and Neck Surgery, University of Alabama, Birmingham, Alabama, U.S.A.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">T</namePart><namePart type="family">Ellis</namePart><affiliation>Department of Orthopedic Surgery, Oregon Health Sciences University, Portland, Oregon</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">M K.</namePart><namePart type="family">Wax</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Otolaryngology—Head and Neck Surgery, Oregon Health Sciences University, Portland, Oregon</affiliation><affiliation>E-mail: waxm@ohsu.edu</affiliation><affiliation>Correspondence address: Mark K. Wax, MD, Department of Otolaryngology—Head and Neck Surgery, Oregon Health Sciences University 3181 Southwest Sam Jackson Park Road, PV 01, Portland, Oregon 97233, U.S.A.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>John Wiley & Sons, Inc.</publisher><place><placeTerm type="text">Hoboken, NJ</placeTerm></place><dateIssued encoding="w3cdtf">2005-09</dateIssued><dateValid encoding="w3cdtf">2005-06-08</dateValid><copyrightDate encoding="w3cdtf">2005</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">3</extent><extent unit="tables">1</extent><extent unit="references">15</extent></physicalDescription><abstract>Objectives/Hypothesis: The radial forearm osteocutaneous free flap is an excellent reconstructive modality for oromandibular and maxillofacial reconstruction in certain well‐defined circumstances. The initial concern over donor site morbidity and the ability of the bone to reconstruct mandibular defects have led to only a few published series.</abstract><abstract>Study Design: Retrospective study of the experience of two tertiary medical centers with radial forearm osteocutaneous free flap.</abstract><abstract>Methods: Retrospectively, 52 patients were studied who underwent radial forearm osteocutaneous free flap reconstruction for cancer (49 cases) and trauma (3 cases). Bone length and skin paddle harvested, general morbidity (hematoma, wound infection, and dehiscence), recipient site morbidity (nonunion of neomandible, flap failure, and bone or plate exposure), and donor site morbidity (radius bone fracture, plate exposure, and skin graft failure) were reviewed.</abstract><abstract>Results: The average skin paddle size was 55.1 cm2 (range, 15–112 cm2). The average radius bone harvest length was 6.3 cm (range, 2.5–11 cm). Donor site complications included tendon exposure (3 cases), radius bone fracture (1 case), and exposure of the plate (0). Recipient site complications included nonunion of the mandible (4), exposed mandible (1), exposed mandibular plates (2), exposed maxillary plates or bone (0), venous compromise (1), and flap failure (1). Two patients had perioperative deaths.</abstract><abstract>Conclusion: Radial forearm osteocutaneous free flap is a valuable and viable option for oromandibular and maxillofacial reconstruction.</abstract><subject lang="en"><genre>keywords</genre><topic>Free flap</topic><topic>oromandibular reconstruction</topic><topic>maxillofacial reconstruction</topic><topic>radical forearm osteocutaneous</topic><topic>head and neck reconstruction</topic></subject><relatedItem type="host"><titleInfo><title>The Laryngoscope</title></titleInfo><titleInfo type="abbreviated"><title>The Laryngoscope</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>article-category</genre><topic>Article</topic></subject><identifier type="ISSN">0023-852X</identifier><identifier type="eISSN">1531-4995</identifier><identifier type="DOI">10.1002/(ISSN)1531-4995</identifier><identifier type="PublisherID">LARY</identifier><part><date>2005</date><detail type="volume"><caption>vol.</caption><number>115</number></detail><detail type="issue"><caption>no.</caption><number>9</number></detail><extent unit="pages"><start>1697</start><end>1701</end><total>5</total></extent></part></relatedItem><identifier type="istex">0073AE46FC4BC1065EB6652C49EE0034FCD83FBA</identifier><identifier type="ark">ark:/67375/WNG-HBCB0J27-L</identifier><identifier type="DOI">10.1097/01.mlg.0000174952.98927.9f</identifier><identifier type="ArticleID">LARY5541150932</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2005 The Triological Society</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>John Wiley & Sons, Inc.</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/0073AE46FC4BC1065EB6652C49EE0034FCD83FBA/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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