Portal de Periódicos da CAPES

FREE RADIAL FOREARM FLAP RECONSTRUCTION IN SURGERY OF THE ORAL CAVITY AND PHARYNX: SURGICAL COMPLICATIONS, IMPAIRMENT OF SPEECH AND SWALLOWING

1994; Wiley; Volume: 19; Issue: 1 Linguagem: Inglês

10.1111/j.1365-2273.1994.tb01143.x

1749-4486

Inger Bodin, M. G. Lind, Claes Arnander,

Head and Neck Surgical Oncology

Clinical Otolaryngology & Allied SciencesVolume 19, Issue 1 p. 28-34 FREE RADIAL FOREARM FLAP RECONSTRUCTION IN SURGERY OF THE ORAL CAVITY AND PHARYNX: SURGICAL COMPLICATIONS, IMPAIRMENT OF SPEECH AND SWALLOWING I. K. H. BODIN, I. K. H. BODIN Department of Oral and Jaw Disease, Department of Oto-Rhino-Laryngology and Department of Plastic and Reconstructive Surgery, Karolinska Hospital, SwedenSearch for more papers by this authorM. G. LIND, M. G. LIND Department of Oral and Jaw Disease, Department of Oto-Rhino-Laryngology and Department of Plastic and Reconstructive Surgery, Karolinska Hospital, SwedenSearch for more papers by this authorC. ARNANDER, C. ARNANDER Department of Oral and Jaw Disease, Department of Oto-Rhino-Laryngology and Department of Plastic and Reconstructive Surgery, Karolinska Hospital, SwedenSearch for more papers by this author I. K. H. BODIN, I. K. H. BODIN Department of Oral and Jaw Disease, Department of Oto-Rhino-Laryngology and Department of Plastic and Reconstructive Surgery, Karolinska Hospital, SwedenSearch for more papers by this authorM. G. LIND, M. G. LIND Department of Oral and Jaw Disease, Department of Oto-Rhino-Laryngology and Department of Plastic and Reconstructive Surgery, Karolinska Hospital, SwedenSearch for more papers by this authorC. ARNANDER, C. ARNANDER Department of Oral and Jaw Disease, Department of Oto-Rhino-Laryngology and Department of Plastic and Reconstructive Surgery, Karolinska Hospital, SwedenSearch for more papers by this author First published: February 1994 https://doi.org/10.1111/j.1365-2273.1994.tb01143.xCitations: 28AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat Abstract The first 100 consecutive free radial forearm flaps used in reconstruction for oral and pharyngeal cancer were investigated. Seven re-operation took place due to circulatory impairment of the flap. Two flaps underwent partial, and four total necrosis, one of those patients died of massive haemorrhage, Post-operative infection was significantly correlated to increased time between the last radiotherapy session and surgery. All but eight patients had post-operative impairment of swallowing and all but five patients had impairment of speech articulation or hypernasality. Post-operative time spent in hospital was a range of 12-122 days (mean 37 days). The 2-year survival rate was 70% and the 5-year survival rate was 45%. References 1 Harashina T., Fujino T. & Aoyagi F. (1976) Reconstruction of the oral cavity with a free flap. Plast. Reconstr. Surg. 58, 412–414. 10.1097/00006534-197610000-00003 CASPubMedWeb of Science®Google Scholar 2 Panje W. R., Bardach J. & Krause C. J. (1976) Reconstruction of the oral cavity with a free flap. Plast. Reconstr. Surg. 58, 415–418. 10.1097/00006534-197610000-00004 CASPubMedWeb of Science®Google Scholar 3 Qiu W-L, Liu S. X., Yuan W. -H, Lini G-C., Zhou X. J., Pan K. -F., Wang G. -M., Tang Y. -S., Zhou Z. -Y. & Xu X. - Q. (1984) Evalution of free flaps transferred by microvascular anastomsis in oral and maxillofacial surgery. J. Reconstr. Microsurg. 1, 75–80. 10.1055/s-2007-1007058 CASPubMedGoogle Scholar 4 Bootz F. (1988) Der freie Unterarmlappen zur Defekdeckung im Pharynx und Mundhölenbereich. H N O 36, 462–466. CASPubMedWeb of Science®Google Scholar 5 Vaughan E. D. (1990) The radial forearm free flap in orofacial reconstruction. Personal experience in 120 consecutive cases. J. Cranio. Max. Fac. Surg. 18, 2–7. 10.1016/S1010-5182(05)80596-7 CASPubMedWeb of Science®Google Scholar 6 Vughan E. D. (1990) The radial forearm free flap inm orofacial reconstruction. Personal experience in 120 consecutive cases. J. Cranio. Max. fac. Surg. 18, 2–7. 10.1016/S1010-5182(05)80596-7 CASWeb of Science®Google Scholar 7 Soutar D. S., Schenckle L. R., Tanner N. S. B. (1983) The radial frorearm flap: a versatilt method for intraoral reconstruction. Br. J. Plast. Surg. 36, 1–8. 10.1016/0007-1226(83)90002-4 PubMedWeb of Science®Google Scholar 8 Lind M. G., Arnaneder C., Gylbert L., Heden P. & Jurell G. (1987) Reconstruction in the Head and Neck Regions with free Radial Forearm Flaps and Split-Rib Bone Grafts. Am. J. Surg. 154, 459–462. 10.1016/0002-9610(89)90029-9 CASPubMedWeb of Science®Google Scholar 9 Bédhet N., Duguet A. & Gaillard A. (1989) Utilisation du lambeau libre ante-brachil dans la chirurgie carcinologique orophryngee. Notre experience a propos de 52 cas. Rev. Stomatol. Chir. Maxillofac. 90, 337–344. PubMedWeb of Science®Google Scholar 10 Keyserlingk J. R., De Franceso J., Breach N., Rhys -Evans P., Stafford N. & Mott A. (1989) Recent experience with reconstructive surgery following major glossectomy. Arch. Otolaryngol. Head Neck Surg. 115, 311–338. 10.1001/archotol.1989.01860270073018 Google Scholar 11 Sullivan M. J. Baker S. R., Crompton R. & Smith -Wheelock M. (1989) Free scapular osteocutaneous flap for mandibular reconstruction. Arch. Otolaryngol. Head Neck Surg. 115, 1134–1340. 10.1001/archotol.1989.01860350068017 Google Scholar 12 Hidalgo D. A. (1991) Aesthetic improvements in free-flap mandiblke reconstruction Plast. Reconsttr. Surg. 4, 574–585. 10.1097/00006534-199110000-00003 Web of Science®Google Scholar 13 Urken M. L., Buchbinder D., Weinberg H., Vickery C., Sheiner A., Parker R., Shaefer J., Som P. Shapiro A., Lawson W. & Biller H. (1991) Functional evaluation following microvascular oromandibular reconstruction of the oral cancer patient: a comparative study of reconstructed and nonreconstructed patients. LaryngoscopeK 101, 935–950. 10.1288/00005537-199109000-00004 CASPubMedWeb of Science®Google Scholar 14 Burns L., Chase D. & Goodwin J. W. (1987) Treatment of patients with stage IV cancer: do the ends justify the means Otolaryngol. Head Neck Surg. 97, 8–14. 10.1177/019459988709700102 CASPubMedWeb of Science®Google Scholar 15 Wenig B. L. & Keller A. J. (1989) Rigid internal fixation and vascularized bone grafting in mandibular reconstruction. Clin. Plast. Surg. 16, 125–131. CASPubMedWeb of Science®Google Scholar 16 Hamlet S. L., Mathog R. H., Pattersson R. L. & Fleming S. M. (1990) Tongue mobility in speech after partial glossectomy. Head Neck Surg. 12, 210–217. 10.1002/hed.2880120304 CASWeb of Science®Google Scholar 17 Jones J. B., Lampe H. B. & Cheung H. W. (1989) Carcinoma of the tongue in young patients. J. Otolaryngol. 18, 105–108. CASPubMedWeb of Science®Google Scholar 18 Sultan M. R. & Cheung H. W. (1989) Oncologic and functional considerations of total glossectomy. Am. J. Surg. 158, 297–302. 10.1016/0002-9610(89)90119-0 CASPubMedWeb of Science®Google Scholar 19 Pukander J., Karkhueto T., Penttila M., Pertovaara H. & Karma P. (1990) Radical surgery for lingual cancer. Clin. Otolaryngol. 15, 229–234. 10.1111/j.1365-2273.1990.tb00780.x CASPubMedWeb of Science®Google Scholar 20 Rentshler G. J. & Mann M. (1980) The effects of glossectomy on inteligibility of speech and oral perceptual discrimination. J. Oral Surg. 388, 348–354. Google Scholar 21 Holm L. E., Lundquist P. G., Sileversward C. D. & Sobin A. (1982) Histological grading of malignancy inm squamous cell carcinoma of the oral tongue. Acta Otolaryngol 94, 185–192. 10.3109/00016488209128904 PubMedWeb of Science®Google Scholar 22 Holm L. E., Lundquist P. G., Ruden B. I., Silfversward C., Sobin A. & Wersall J. (1983) Combined preoperative radiotherapy and surgery in the treatment of carcinoma of the anterior two-thirds of the tongue. Laryngoscope 93, 792–796. 10.1288/00005537-198306000-00016 CASPubMedWeb of Science®Google Scholar 23 Lundqvist P. G., Holm L. E., Silfversward C., Sobin A. & Wersáll J. (1985) Fifteen years experience with treatment of linqual carcinoma-a retrospective study. Auris Nasus Larynx 12, 15–20. 10.1016/S0385-8146(85)80021-3 PubMedGoogle Scholar 24 Nathansson A., Agren Agren K., Bjórklund A., Lind M. G., Andresson L., Anniko M., Lejdeborn L., Kinman S., Kumlien A., Kóling A., Lindstrom J., Novik A., Olofsson J. & Pettersson K. -I. (1989) Evaluation of some prognostic factors in small squamous cell carcinoma of the mobile tongue: a multicenter study in Sweden. Head Neck Surg. 11, 387–392. 10.1002/hed.2880110502 Web of Science®Google Scholar 25 Urade M., Igarashi T., Sugi M., Matsuya T. & F;okuda T. (1987) Functional recovery of swallowing, speech and taste in an oral cancer patient with subtotal glossectomyl. J. Oral Maxillofac. Surg. 45, 282–285. 10.1016/0278-2391(87)90132-7 CASPubMedWeb of Science®Google Scholar 26 Sessions D. G. (1983) Surgical resection and reconstruction for cancer of the base of the tongue. Otolaryngol. clin. North Am. 16, 309–329. CASPubMedWeb of Science®Google Scholar 27 Teichgraeber J., Bowman J. & Goepfert H. (1985) New test series for the functional evaluation of oral cavity cancer. Head Neck Surg. 8, 9–20. 10.1002/hed.2890080104 CASPubMedWeb of Science®Google Scholar 28 Effron M. Z., Johnson J. T., Myers E. N., Curtin H., Berry Q. & Sigler B. (1981) Advanced carcinoma of the tongue. Arch. Otolaryngol. 107, 694–697. 10.1001/archotol.1981.00790470042010 CASPubMedWeb of Science®Google Scholar 29 Meyers E. N. (1972) The role of total glossectomy in the mangement of cancer of the oral cavity. Otolaryngol. Clin. North. Am. 5, 343–355. PubMedGoogle Scholar 30 Logemann J. A. & Bjytell D. E. (1979) Swallowing disorders in three types of head and neck surgical patients. Cancer 44, 1095–1105. 10.1002/1097-0142(197909)44:3 3.0.CO;2-C CASPubMedWeb of Science®Google Scholar 31 Rosen I. B., Mankletow R. T., Zuker R. M. & Boyd B. (1985) Application of microvascular free osteocutaneous flaps in the management of postradiation recurrent oral cancer. Am. J. Surg. 150, 474–479. 10.1016/0002-9610(85)90157-6 CASPubMedWeb of Science®Google Scholar Citing Literature Volume19, Issue1February 1994Pages 28-34 ReferencesRelatedInformation