Long-Term Outcomes of Radial Forearm Free Flap Reconstruction of the Trachea.

Publication/Presentation Date

7-1-2026

Abstract

BACKGROUND: Long-segment tracheal defects present complex reconstructive challenges due to the risk of airway collapse and disrupted mucociliary clearance. Osteocutaneous radial forearm free flaps (RFFFs) offer a promising alternative to traditional reconstructive methods, though long-term outcome data remain limited.

METHODS: A previously-healthy 21-year-old male developed severe tracheal stenosis following prolonged intubation, tracheostomy, and multiple failed reconstructions. He underwent partial-circumference tracheal resection extending 41 mm from the larynx. Reconstruction was accomplished with a de-epithelialized osteocutaneous RFFF.

RESULTS: The patient was decannulated within 6 months and experienced no breakdown of the bony reconstruction over 12.5 years of follow-up. He maintained stable respiratory function, diet tolerance, and speech, with no major complications or donor-site morbidity. Intermittent, elective endoscopic procedures addressed mild-to-moderate granulation and recurrent fibrosis.

CONCLUSIONS: This case demonstrates successful use of a de-epithelialized osteocutaneous RFFF for tracheal reconstruction with over a decade of follow-up. It supports this technique as an effective, durable option in appropriately selected patients.

Volume

48

Issue

7

First Page

66

Last Page

66

ISSN

1097-0347

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

41562328

Department(s)

Administration and Leadership

Document Type

Article

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