Composite resection, the standard surgical technique for treating cancer of the oral cavity and oropharynx that involves removing part of the mouth and lower jaw. Cancer cells that invade bone are extremely difficult to kill with chemotherapy and/or radiation therapy, so the cancerous bone must be removed. This resection results in significant functional and cosmetic deformity, require flap reconstruction.
The radial forearm free flap (RFFF) is a versatile reconstructive approach used to repair oral cavity defects after cancerous tumour resection. It is mainly used for microvascular reconstruction of the tongue , intra oral soft tissue, oropharynx , soft palate, hypopharynx , cervical oesophagus , and selected cutaneous defects , and has a highly success rate.
The primary contraindications to dealing this flap are insufficient collateral blood flow to the hand, radial artery anomalies , and prior surgical or traumatic injury to the radial artery. Although it is better to use the non-dominant arm, there is little functional loss after flap harvest.
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