1Department of Otolaryngology Head and Neck Surgery, Faculty of Medicine, Airlangga University – Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
2Department of Plastic Reconstructive and Aesthetic Surgery, Faculty of Medicine, Airlangga University – Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
Introduction and Objectives: Buccal carcinoma is a malignancy that occurs in the oral mucosa between the cheeks and teeth. The therapy goals are to eliminate the cancer and maintaining ability to speak, eat, drink, the patient's appearance post therapy. Soft tissue reconstruction is performed to avoid contractures and trismus. Radial forearm free flap frequently used because of its reliability, versatility, and ease of harvest. A good understanding of management and reconstruction of buccal carcinoma will improve the outcome.
Material and Methods: A 52 year old man with chief complaint of posterior left side gum canker sores for three years accompanied by intermittent pain. Physical examination revealed necrotizing reddish lumpy mass on posterior left side oral cavity. Treatment consists of left mandible partial resection, supraomohyoid neck dissection and defect closure reconstruction with radial forearm free flap. Chemotherapy and radiotherapy was done after surgery. Two year follow-up showed no recurrence. Literature search was carried out in PubMed with keywords (buccal) AND (carcinoma) AND (management) AND (surgery). Systematic review with format of population, intervention, comparison, outcome, and time frame was done.
Results: Four case reports were relevant to the topic were obtained from 64 literature search results.
Conclusion: Primary resection of the lesion and neck dissection are the main option for treating buccal carcinoma. Reconstruction with a radial forearm free flap was chosen to prevent contracture from the lesion. Chemotherapy and radiotherapy can be administered after surgery to improve the outcome without compromising the flap.
Keywords: buccal carcinoma, partial resection, reconstruction, radial forearm free flap.
How to cite this article: Hidayat E, Romdhoni AC, Dianti YS. Radial Forearm Free Flap Reconstruction Of Defects In Left Segmental Mandibulectomy Of Buccal Carcinoma. Int J Drug Deliv Technol. 2026;16(15s): 1043-1053. DOI: 10.25258/ijddt.16.15s.115
Source of support: Nil.
Conflict of interest: None