Radial Free Forearm Flap (RFFF): Surgical Technique

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2025-10-31

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Abstract
The radial free forearm flap (RFFF) was one of the first free tissue transfer flaps to be described. It has since become a work-horse for soft tissue replacement in head and neck cancer surgery, being commonly used to replace external skin and internal mucosal linings. It is an extremely versatile flap allowing intricate folding of the skin, using two or more skin paddles / islands, and incorporating vascularised tendon and/or bone (osteocutaneous flap).
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