Radiation necrosis of the pharyngeal soft tissue: Unique clinical entity reconstructed with a previously unreported composite brachioradialis and flexor digitorum superficialis radial forearm flap

Monica H. Xing, Edward Ansari, Quinn F. O'Malley, Azita Khorsandi, Mohemmed Nazir Khan, Mark L. Urken

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

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.

Original languageEnglish
Pages (from-to)E23-E29
JournalHead and Neck
Volume42
Issue number10
DOIs
StatePublished - 1 Oct 2020
Externally publishedYes

Keywords

  • brachioradialis
  • flexor digitorum superficialis
  • posterior pharyngeal wall
  • radial forearm free flap
  • soft tissue necrosis

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