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Abstract

Introduction: The radial forearm free flap has been a workhorse flap for oral commissure reconstruction due to its pliability, color match, and ability to incorporate the palmaris longus tendon for support. We report our experience with the use of the radial forearm free flap in six patients post-tumor resection. Materials and Methods: Between 2016 and 2018, six patients had undergone resection of squamous cell carcinoma of the oral region and simultaneous reconstruction with the radial forearm free flap. The average patient age was 55 years and the average defect size was 5 × 4 cm² . In one patient, anterograde radial forearm free flap was used with a fascia lata free tendon graft for support and in five patients, a retrograde radial forearm flap was used without the use of tendon as support. Results: All six patients were satisfied with the initial management of tumor clearance. All six surgical margins were clear. Out of six, two patients complained that the flap was unsightly and was dissatisfied with the appearance and bulk of the flap. Conclusion: Although the radial forearm flap is recognized as a gold standard for oral commissure reconstruction, there always appears to be a need for secondary revision procedures to further improve both the functional and esthetic appearance of the oral commissure reconstruction procedure. As a primary reconstructive procedure, the flap does not satisfy patient expectations. A comprehensive questionnaire as well as objective assessment follow-up study is warranted.

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	JPR Solutions

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