Technical note on the harvest of periosteal forearm composite free flaps in the treatment of early mandibular osteoradionecrotic injury - Sorbonne Université
Journal Articles Journal of Stomatology, Oral and Maxillofacial Surgery Year : 2019

Technical note on the harvest of periosteal forearm composite free flaps in the treatment of early mandibular osteoradionecrotic injury

Abstract

Periosteal radial forearm free flaps allow functional and curative treatment of osteoradionecrotic jaw lesions. The flap responds physiologically to hypoxia, hypocellularity, and hypovascularity, which are characteristic results of osteoradionecrotic injury. Here, we propose a reproducible, simple, and safe method for harvesting a forearm free flap, allowing us to obtain a periosteal composite free flap. Our technique offers potential early management of osteoradionecrotic lesions resistant to medical treatment. Furthermore, the forearm periosteal composite free flap offers the advantage of a long vascular pedicle which is ideally suited for necks which have been submitted to irradiation or multiple operations. Thusly, vascular anastomosis can be performed at a distance from the irradiated areas. Compared to other periosteal free flaps, such as those harvested from the iliac crest or the internal femoral condyle, the presence of a skin paddle facilitates clinical flap monitoring, optimizes the restoration of bone sealing, and facilitates the treatment of scarring.
Fichier principal
Vignette du fichier
Bettoni et al. - 2019 - Technical note on the harvest of periosteal forear.pdf (472.78 Ko) Télécharger le fichier
Origin Files produced by the author(s)

Dates and versions

hal-03048180 , version 1 (09-12-2020)

Identifiers

Cite

Jérémie Bettoni, Matthieu Olivetto, J. Bouaoud, Bernard Devauchelle. Technical note on the harvest of periosteal forearm composite free flaps in the treatment of early mandibular osteoradionecrotic injury. Journal of Stomatology, Oral and Maxillofacial Surgery, 2019, 120 (6), pp.570-572. ⟨10.1016/j.jormas.2019.04.011⟩. ⟨hal-03048180⟩
69 View
129 Download

Altmetric

Share

More