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ITALIAN JOURNAL OF MAXILLOFACIAL SURGERY

Rivista di Chirurgia Maxillo-Facciale


Official Journal of the Italian Society of Maxillofacial Surgery


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Italian Journal of Maxillofacial Surgery 2008 Agosto;19(2):89-92

lingua: Inglese

Extended radial forearm free flap for simultaneous reconstruction of the anterior skull base and nose in the regionally flap depleted patient

Gessaroli M. 1, Bassi M. 1, Staffa G. 2, Greco F. 3, Campobassi A. 1

1 Oral and Maxillofacial Surgery Bufalini Hospital, Cesena, Italy
2 Department of Neurosurgery Surgery of Peripheral Nervous System, Ravenna, Italy
3 Plastic Surgery, Bufalini Hospital, Cesena, Italy


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The aim of this study was to evaluate the efficacy of the extended radial forearm free flap in reconstructing complex defects of the nose and anterior skull base in patients in whom traditional regional flaps are unavailable. The article presents the case of a 75-year-old male patient, who underwent five previous surgeries of the nasal pyramid starting in 1982, currently suffering from multi-focal recurrence of squamous cell cancer, infiltrating the anterior skull base. The patient underwent a total rhinectomy and ethmoidectomy. Through the extended radial forearm free flap, the defect was both aesthetically an functionally filled, without any complications. The extended radial forearm free flap represents an excellent alternative in the reconstruction of the anterior skull base and nose when regional flaps are unavailable or refused. It should be included in the armamentarium of the reconstructive surgeon.

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