Abstract：
The osteocutaneous radial forearm (OCRFF) is a versatile free flap option for bony defects of the head and neck, given the thinness and pliability of the forearm cutaneous paddle, pedicle length, reliability, lack of atherosclerosis, and functional concerns common to other osseous donor sites. The OCRFF was once associated with a high risk of radial fracture, in addition to concerns about the quality and durability of bone stock for osseous reconstruction, particularly for the mandible. Following the introduction of prophylactic plating of the radius, the incidence of symptomatic radial fracture has drastically decreased. Furthermore, modifications of the bony osteotomies and other evolutions of this flap harvest have increased the use of the OCRFF throughout the head and neck. Despite these advantages, the OCRFF is not widely utilized by microvascular reconstructive surgeons due to perceived limitations and risks. Herein, we present a multidisciplinary, contemporary review of the harvest technique, outcomes, and perioperative management for the OCRFF.
摘要：
骨皮桡骨前臂（OCRFF）是一种用于头颈部骨缺损的多功能游离皮瓣选择，考虑到前臂皮肤桨的薄度和柔韧性，椎弓根长度，可靠性,缺乏动脉粥样硬化，以及其他骨供体部位常见的功能问题。OCRFF曾经与桡骨骨折的高风险相关，除了担心骨重建的骨原料的质量和耐久性，尤其是下颌骨。在引入半径的预防性电镀后，症状性桡骨骨折的发生率急剧下降.此外，骨性截骨术的修改和这种皮瓣收获的其他演变增加了OCRFF在整个头部和颈部的使用。尽管有这些优势,由于感知到的局限性和风险,OCRFF未被微血管重建外科医师广泛使用.在这里，我们提出了一个多学科，收获技术的当代回顾，结果，以及OCRFF的围手术期管理。
