Forearm Free Flap Reconstruction Of Oral And Maxillofacial Soft Tissue Defection

Objectives:To discuss the therapeutic efficacy of radial forearm free flap for oral and maxillofacial lack of soft tissue damage, and to evaluate the post operational improvement of speech intelligibility. Methods:Clinical analysis in 27 cases of radial forearm free flap and 19 cases of pectoral major flap in oral and maxillofacial soft tissue defects were used, and evaluated 2 cases by subjective voice. Results:Among the forearm of free flap 25 flaps survived, the success rate is 92.6%. Two vessel thromboses occurs, but failed after rescue.2 cases of Forearm flap infected, the infection rate was 7.4%, Aesthetic satisfaction of the patients were 25 cases, rate of satisfaction was 92.6%, The average treatment costs was 35,300 Yuan. Pectoral major flap was survived in 17 patients of 19 cases, the survival rate was 89.4%,7 cases was infection, the infection rate was 36.84%, Aesthetic satisfaction of the patients were 12 cases, rate of satisfaction was 63.16%, The average treatment costs was 25,600 Yuan; Statistical analysis showed no significant difference between the survival rate of two groups flap (P> 0.05), Infection rates, patient satisfaction and treatment costs were significantly different (P<0.05), Two cases was regular followed up and accepted the subjective voice evaluation, as a result average speech intelligibility was 70.73%. Conclusions: Radial forearm free flap is steady, easy made, medium thickness, with Long vascular pedicle, It is the ideal flap choice of the oral and maxillofacial soft tissue defections, radial forearm free flap for tongue soft tissue defections considerably recovers patient speech intelligibility.