{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T09:00:29Z","timestamp":1792400429976,"version":"4.4.0"},"reference-count":6,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2019,7,26]],"date-time":"2019-07-26T00:00:00Z","timestamp":1564099200000},"content-version":"vor","delay-in-days":328,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Indian J Plast Surg"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>\n          Background: While using radial forearm free flap in palate reconstruction, the pedicle lies in the nasal floor, constantly exposed to the nasal secretions and turbulent air current. To overcome this problem, we have designed a procedure which utilises the adipofascial extension to wrap the pedicle and nasal side of the flap. Materials and Methods: The study was done during 2017 and 2018, 2 years\u2019 period. Totally 13 consecutive patients with defect in the palate status post-oncological resection and those in whom local flaps were not enough to cover the defect were included into the study. These patients were divided into two groups. First group in whom adipofascial extension was not used to cover the pedicle and second group in whom adipofascial extension was used to cover the pedicle. The incidence of nasal crusting, secondary haemorrage, blow out and flap necrosis were analysed and compared. Results: In Group 1, we had 2 among 6 (33%) patients with secondary haemorrage. One patient had partial flap loss. On exploring, we noticed thrombosis of cephalic vein. We did not had any incidence of blow out of the pedicle. In Group 2, none of the patients had any secondary haemorrage. All flaps healed well. On doing nasal endoscopy at 6 months of follow-up, all flaps showed complete mucosalisation at the nasal side. Conclusion: Use of adipofascial extension while planning a radial forearm free flap to cover the nasal side of the flap and pedicle in the nasal floor helps to reduce the nasal crusting and secondary haemorrhage.<\/jats:p>","DOI":"10.4103\/ijps.ijps_81_18","type":"journal-article","created":{"date-parts":[[2019,3,7]],"date-time":"2019-03-07T00:15:55Z","timestamp":1551917755000},"page":"306-308","source":"Crossref","is-referenced-by-count":5,"title":["Extended adipofascial wrap around radial forearm flap for hard palate reconstruction"],"prefix":"10.1055","volume":"51","author":[{"given":"Ashok B.","family":"C.","sequence":"additional","affiliation":[{"name":"Department of Plastic and Cosmetic Surgery, Manipal Hospital, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pradeep Kumar","family":"Nagaraj","sequence":"additional","affiliation":[{"name":"Department of Plastic and Cosmetic Surgery, Manipal Hospital, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Srikanth","family":"Vasudevan","sequence":"additional","affiliation":[{"name":"Department of Plastic and Cosmetic Surgery, Manipal Hospital, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anantheshwar Y. N.","family":"Rao","sequence":"additional","affiliation":[{"name":"Department of Plastic and Cosmetic Surgery, Manipal Hospital, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sudarshan Reddy","family":"Nagireddy","sequence":"additional","affiliation":[{"name":"Department of Plastic and Cosmetic Surgery, Manipal Hospital, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ritu Singh","family":"Batth","sequence":"additional","affiliation":[{"name":"Department of Plastic and Cosmetic Surgery, Manipal Hospital, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2019,7,26]]},"reference":[{"key":"key-10.4103\/0970-0358.253570-1","first-page":"784","volume-title":"Microvascular radial forearm fasciocutaneous free flap in hard palate reconstruction","author":"Duflo","year":"2005","journal-title":"Eur J Surg Oncol"},{"key":"key-10.4103\/0970-0358.253570-2","first-page":"600","volume-title":"Principles, techniques and applications in microsurgery","author":"Lorenzo","year":"2009","journal-title":"Ann Plastic Surg"},{"key":"key-10.4103\/0970-0358.253570-3","first-page":"106","volume-title":"Reconstruction of the floor of the mouth with a fascial radial forearm flap, prelaminated with autologous mucosa","author":"Millesi","year":"1998","journal-title":"Int J Oral Maxillofac Surg"},{"key":"key-10.4103\/0970-0358.253570-4","first-page":"1564","volume-title":"Prelaminating the fascial radial forearm flap by using tissue-engineered mucosa: Improvement of donor and recipient sites","author":"Lauer","year":"2001","journal-title":"Plast Reconstr Surg"},{"key":"key-10.4103\/0970-0358.253570-5","first-page":"495","volume-title":"Morphologic changes in forearm flaps of the oral cavity","author":"Shibahara","year":"2000","journal-title":"J Oral Maxillofac Surg"},{"key":"key-10.4103\/0970-0358.253570-6","first-page":"151","volume-title":"Free radial forearm flap with adipofascial tissue extension for reconstruction of oral cancer defect","author":"Jeng","year":"2002","journal-title":"Ann Plast Surg"}],"container-title":["Indian Journal of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.4103\/ijps.IJPS_81_18.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,9,2]],"date-time":"2019-09-02T19:34:21Z","timestamp":1567452861000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.4103\/ijps.IJPS_81_18"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,9]]},"references-count":6,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2019,7,26]]},"published-print":{"date-parts":[[2018,9]]}},"URL":"https:\/\/doi.org\/10.4103\/ijps.ijps_81_18","relation":{},"ISSN":["0970-0358","1998-376X"],"issn-type":[{"value":"0970-0358","type":"print"},{"value":"1998-376X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,9]]}}}