KMID : 0361020230660040281
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Korean Journal of Otolaryngology - Head and Neck Surgery 2023 Volume.66 No. 4 p.281 ~ p.286
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Reconstruction of Midfacial Defect With Radial Forearm Free Flap
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Jeong Su-Ji
Ahn Soon-Hyun Kwon Seong-Keun Won Tae-Bin Yoon Joon-Sik Chung Eun-Jae
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Abstract
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For head and neck reconstruction, especially for reconstruction of midfacial structure, weshould consider cosmetic results, functional preservation, and survival of flap. Methods of re-construction vary from skin graft to free flap. Among those, the radial forearm free flap (RFFF)can be a valuable alternative for defects of midfacial structures such as the eyelid, nose and lipbecause of its sufficiently long pedicles, lack of bulk and flexibility, all of which enable sur-geons to shape the flap into the way they want, and also functionally complement it by usingadjacent structures like the palmaris longus muscle tendon. Herein, we introduce variousmethods of employing RFFF with or without the palmaris longus tendon to get better aesthet-ic and functional outcomes in reconstruction of midfacial structure.
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KEYWORD
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Head and neck cancer, Free tissue flaps
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