ISSN:
1435-0130
Keywords:
Squamous cell carcinoma
;
Palate-Reconstruction-Forearm flap
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract 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.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF00178737
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