We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Radiation necrosis of the pharyngeal soft tissue: Unique clinical entity reconstructed with a previously unreported composite brachioradialis and flexor digitorum superficialis radial forearm flap.
- Authors
Xing, Monica H.; Ansari, Edward; O'Malley, Quinn F.; Khorsandi, Azita; Khan, Mohemmed Nazir; Urken, Mark L.
- Abstract
Background: The radial forearm free flap (RFFF) is a versatile flap commonly used in head and neck reconstructive surgery. We describe the use of a composite RFFF that includes muscle for reconstruction of a hostile wound of the posterior pharyngeal wall. Methods: A 54‐year‐old male with a history of recurrent right palatine tonsil HPV+ squamous cell carcinoma developed severe soft tissue necrosis of the posterior pharyngeal wall secondary to reirradiation. The defect was reconstructed with a composite RFFF that included the brachioradialis (BR) muscle and the flexor digitorum superficialis (FDS) muscle. Results: Restoration of this complex defect was successfully accomplished with minimal donor site functional deficits and satisfactory functional outcomes including decannulation and resumption of oral intake. Conclusion: This composite RFFF can be effectively used to reconstruct a hostile wound of the posterior pharyngeal wall. Incorporation of muscle in the reconstruction of complex wounds with soft tissue necrosis is beneficial.
- Subjects
FLEXOR muscles; SOFT tissue injuries; FOREARM; NECROSIS; FREE flaps
- Publication
Head & Neck, 2020, Vol 42, Issue 10, pE23
- ISSN
1043-3074
- Publication type
Article
- DOI
10.1002/hed.26405