Anatomical Review of Radial Forearm Free Flap for the Oral Cavity Reconstruction

구강재건을 위한 요골전완 유리피판의 해부학적 고찰

  • Kim, Soung-Min (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Seo, Mi-Hyun (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Kang, Ji-Young (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Eo, Mi-Young (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Myoung, Hoon (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Lee, Suk-Keun (Department of Oral Pathology, College of Dentistry, Kangnung-Wonju National University) ;
  • Lee, Jong-Ho (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University)
  • 김성민 (서울대학교 치의학대학원 구강악안면외과학교실) ;
  • 서미현 (서울대학교 치의학대학원 구강악안면외과학교실) ;
  • 강지영 (서울대학교 치의학대학원 구강악안면외과학교실) ;
  • 어미영 (서울대학교 치의학대학원 구강악안면외과학교실) ;
  • 명훈 (서울대학교 치의학대학원 구강악안면외과학교실) ;
  • 이석근 (강릉원주대학교 치과대학 구강병리학교실) ;
  • 이종호 (서울대학교 치의학대학원 구강악안면외과학교실)
  • Received : 2010.08.02
  • Accepted : 2010.12.17
  • Published : 2011.01.31

Abstract

Reconstruction following a resection of malignant oral cavity tumors is one of the most difficult problems in recent oral oncology. The radial forearm free flap (RFFF) is a thin, pliable soft tissue flap with large-caliber vessels for microvascular anastomosis. Its additional advantages include consistent flap vascular anatomy, acceptable donor site morbidity and the ability to perform simultaneous flap harvest with a tumor resection. For a better understanding of RFFF as a routine reconstructive procedure in oral and maxillofacial surgery, the constant anatomical findings must be learned and memorized by young doctors during the special curriculum periods for the Korean national board of oral and maxillofacial surgery. This review article discusses the anatomical basis of RFFF in the Korean language.

Keywords

References

  1. Tao KZ, Chen EY, Ji RM, Dang RS. Anatomical study on arteries of fasciae in the forearm fasciocutaneous flap. Clin Anat 2000;13:1-5. https://doi.org/10.1002/(SICI)1098-2353(2000)13:1<1::AID-CA1>3.0.CO;2-6
  2. Collyer J, Goodger NM. The composite radial forearm free flap: an anatomical guide to harvesting the radius. Br J Oral Maxillofac Surg 2005;43:205-9. https://doi.org/10.1016/j.bjoms.2004.10.012
  3. Daya M, Nair V. Free radial forearm flap lip reconstruction: a clinical series and case reports of technical refinements. Ann Plast Surg 2009;62:361-7. https://doi.org/10.1097/SAP.0b013e31818b4515
  4. Brzezinski M, Luisetti T, London MJ. Radial artery cannulation: a comprehensive review of recent anatomic and physiologic investigations. Anesth Analg 2009;109:1763-81. https://doi.org/10.1213/ANE.0b013e3181bbd416
  5. Mateev MA, Ogawa R, Trunov L, Moldobaeva N, Hyakusoku H. Shape-modified radial artery perforator flap method: analysis of 112 cases. Plast Reconstr Surg 2009;123:1533-43. https://doi.org/10.1097/PRS.0b013e3181a07655
  6. Shen S, Pang J, Seneviratne S, Ashton MW, Corlett RJ, Taylor GI. A comparative anatomical study of brachioradialis and flexor carpi ulnaris muscle: implication for total tongue reconstruction. Plast Reconstr Surg 2008;121:816-29. https://doi.org/10.1097/01.prs.0000299920.14548.2a
  7. Korean Medial Association, English-Korean, Korean-English Medical Terminology, 5th edition, 2008.
  8. Wong CH, Lin JY, Wei FC. The bottom-up approach to the suprafascial harvest of the radial forearm flap. Am J Surg 2008;196:e60-4. https://doi.org/10.1016/j.amjsurg.2008.02.010
  9. Roh TS, Lee WJ, Choi EC, Koh YW, Lew DH. Radial forearm- palmaris longus tenocutaneous free flap; implication in the repair of the moderate-sized postoncologic soft palate defect. Head Neck 2009;31:1220-7. https://doi.org/10.1002/hed.21093
  10. Acarturk TO, Newton ED. Aberrant branch of the radial artery encountered during elevation of the radial forearm free flap. J Reconstr Microsurg 2004;20:611-4. https://doi.org/10.1055/s-2004-861519
  11. Lin JY, Cheng MH, Wei FC, Song D, Huang WC. Proximal forearm flap based on a septocutaneous vessel from the radial artery. Plast Reconstr Surg 2006;117:955-60. https://doi.org/10.1097/01.prs.0000200625.24989.aa
  12. Hwang K, Hwang JH, Jung CY, Won HS, Chung IH. Cutaneous perforators of the forearm: anatomic study for clinical application. Ann Plast Surg 2006;56:284-8. https://doi.org/10.1097/01.sap.0000199152.99046.22
  13. Acarturk TO, Tuncer U, Aydogan LB, Dalay AC. Median artery arising from the radial artery: its significance during harvest of a radial forearm free flap. J Plast Reconstr Aesth Surg 2008;61:e5-8.
  14. Liu Y, Jiang X, Huang J, et al. Reliability of the superficial venous drainage of the radial forearm free flaps in oral and maxillofacial reconstruction. Microsurg 2008;28:243-7. https://doi.org/10.1002/micr.20489
  15. Bhatt V, Green J, Grew N. Dealing with aberrant vessels in radial forearm flaps - report of a case and review of literature. J Craniomaxillofac Surg 2009;37:87-90. https://doi.org/10.1016/j.jcms.2008.11.005
  16. Alan Turner MJ, Smith WP. Double venous anastomosis for the radial artery forearm flap. improving success and minimizing morbidity. J Craniomaxillofac Surg 2009;37:253-7. https://doi.org/10.1016/j.jcms.2008.09.002
  17. Yokoo S, Tahara S, Tsuji Y, et al. Functional and aesthetic reconstruction of full-thickness cheek, oral commissure and vermilion. J Craniomaxillofac Surg 2001;29:344-50. https://doi.org/10.1054/jcms.2001.0249
  18. Kang SH, Nam W, Cha IH, Kim HJ. Double continuous radial forearm flap for the reconstruction of full thickness buccal cheek defect. J Plast Reconstr Aesth Surg 2009;62:e95-6. https://doi.org/10.1016/j.bjps.2008.08.049
  19. Lee JT, Cheng LF, Chen PR, et al. Bipaddled radial forearm flap for the reconstruction of bilateral buccal defects in oral submucous fibrosis. Int J Oral Maxillofac Surg 2007;36:615-9. https://doi.org/10.1016/j.ijom.2007.02.015
  20. Kim SM, Yang HJ, Myoung H, et al. Aesthetic closure of radial forearm free flap donor site by using two local wavy skin grafts. J Plast Reconstr Surg Hand Surg 44 : in press, 2010.