Abstract
The osteocutaneous radial forearm free flap (OCRFFF) was a popular choice for maxillomandibular reconstruction in the 1980s and early 1990s. It then fell out of favor for reasons such as inadequate bone stock (length and quality) and donor site morbidity such as radius fracture. While, the fibular free flap (FFF) continues to be the workhorse for mandibular reconstruction it routinely results in up to 3 months of antalgic gait and can cripple the elderly population. Additionally, its use can be limited by peripheral vascular disease. This is not the case in OCRFFF, which makes it a good choice in certain patient populations. Here we will discuss our experience with OCRFFF including indications and outcomes of its use in our patient population. Additionally, we will show that with proper treatment planning it is possible to successfully place endosseous dental implants in this bony flap for oral rehabilitation.
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