{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T15:24:49Z","timestamp":1790954689762,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2017,8,26]],"date-time":"2017-08-26T00:00:00Z","timestamp":1503705600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Maxillectomy defects significantly impair quality of life. Prosthetics can overcome some of these issues, but has limitations. The role of the osteocutaneous radial forearm free flap (OC\u2010RFFF) has been established for reconstruction of smaller maxillectomy defects, but its role in larger defects is not well defined. We aim to evaluate outcomes after midface reconstruction utilizing the OC\u2010RFFF.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective review of prospective database collected between 2005 and 2014 of midface reconstruction using OC\u2010RFFF in a tertiary care centre. Donor site complications and acute and long\u2010term recipient site complications were measured. Health related quality of life was assessed using the University of Washington Quality of Life (UW\u2010QOL) Questionnaire.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 68 midface defects were reconstructed using the OC\u2010RFFF. Acute recipient site complications included three flap failures (4%), and two additional microvascular revision cases for vascular compromise. Late recipient complications included fistula (<jats:italic>n<\/jats:italic>\u2009=\u200910, 14%), ectropion (<jats:italic>n<\/jats:italic>\u2009=\u20097, 10%), diplopia (<jats:italic>n<\/jats:italic>\u2009=\u20096, 9%) and exposed hardware (<jats:italic>n<\/jats:italic>\u2009=\u20095, 7%). Resection of cheek skin or orbital rim correlated with orbital complications. The incidence of fistula was not affected by defect size or prior radiation. There were two donor site infections and no instances of forearm fracture. Patients undergoing OC\u2010RFFF repair had mean scores for UW\u2010QOL outcomes higher than published rates of obturator quality of life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The OC\u2010RFFF is suited to a variety of midface defects and can be combined with hardware to reconstruct the orbital floor. Recipient site complications are common, but donor site morbidity is low and outcomes, including HR\u2010QOL, are acceptable.<\/jats:p><\/jats:sec>","DOI":"10.1002\/micr.30201","type":"journal-article","created":{"date-parts":[[2017,8,26]],"date-time":"2017-08-26T11:32:34Z","timestamp":1503747154000},"page":"752-762","source":"Crossref","is-referenced-by-count":31,"title":["Reconstruction of midface defects with the osteocutaneous radial forearm flap: Evaluation of long term outcomes including patient reported quality of life"],"prefix":"10.1002","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3906-0249","authenticated-orcid":false,"given":"Timothy M.","family":"Connolly","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2014Head &amp; Neck Surgery University Hospital Geelong Geelong Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Larissa","family":"Sweeny","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head &amp; Neck Surgery University of Alabama at Birmingham Birmingham Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Greene","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head &amp; Neck Surgery University of Alabama at Birmingham Birmingham Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Morlandt","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery University of Alabama at Birmingham Birmingham Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William R.","family":"Carroll","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head &amp; Neck Surgery University of Alabama at Birmingham Birmingham Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eben L.","family":"Rosenthal","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head &amp; Neck Surgery Stanford University Stanford California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,8,26]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.20874"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2009.10.055"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22285"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sap.0000139561.64564.d7"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(10)70113-3"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.131.6.513"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2013.02.002"},{"key":"e_1_2_6_9_1","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/S0094-1298(20)32723-1","article-title":"Osseous reconstruction of the midface and orbits","volume":"21","author":"Coleman J. 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