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

• DOI: 10.1002/hed.26405
• Publication Date: 2020-08-12T07:13:51Z
• Authors: Monica H. Xing; Edward Ansari; Quinn F. O'Malley; Azita Khorsandi; Mohemmed Nazir Khan; Mark L. Urken
• Keywords: Brachioradialis; Cheek

Abstract Background The radial forearm free flap (RFFF) is a versatile commonly used in head and neck reconstructive surgery. We describe the use of composite RFFF that includes muscle for reconstruction hostile wound posterior pharyngeal wall. Methods A 54‐year‐old male with history recurrent right palatine tonsil HPV+ squamous cell carcinoma developed severe soft tissue necrosis wall secondary to reirradiation. defect was reconstructed included brachioradialis (BR) flexor digitorum superficialis (FDS) muscle. Results Restoration this complex successfully accomplished minimal donor site functional deficits satisfactory outcomes including decannulation resumption oral intake. Conclusion This can be effectively reconstruct Incorporation wounds beneficial.