{"database":"biostudies-literature","file_versions":[],"scores":null,"additional":{"submitter":["Fassler C"],"funding":["Vanderbilt Clinical Oncology Research Career Development Program"],"pagination":["3149-3157"],"full_dataset_link":["https://www.ebi.ac.uk/biostudies/studies/S-EPMC12371775"],"repository":["biostudies-literature"],"omics_type":["Unknown"],"volume":["135(9)"],"pubmed_abstract":["<h4>Objectives</h4>The osteocutaneous radial forearm free flap (OCRFFF) is used for the reconstruction of bony head and neck defects. Being a weight-bearing bone, precise harvesting of the radius is required to maintain structural integrity, postoperative forearm function, and to prevent postoperative fracture. A radius cutting guide may allow head and neck surgeons to be more precise and confident in performing bony harvest, and may improve allocation of orthopedic specialist resources.<h4>Methods</h4>A custom radius cutting guide was developed in an iterative process with six head and neck surgeons and one hand surgeon. Following design approval, a prospective feasibility study was conducted. Patient-specific cutting guides were created using pre-operative upper-extremity computed tomography (CT) scans. The length and cross-sectional width of harvested radius bone were measured. The length of time using the guide was recorded. Providers were surveyed to assess their perception of cutting guide utility.<h4>Results</h4>A total of eight patients were enrolled, and the cutting guide was used successfully in seven patients. The mean length of the radius harvested was 77.1 ± 13.8 mm. The mean cross-sectional width of the radius planned for harvest was 11.7 ± 1.7 mm. The mean width of the bone harvested was 12.1 ± 1.2 mm, with a mean difference of + 0.81 mm. The mean total time using the guide was 12.94 min (range 10.0-20.1 min). Survey respondents (n = 7) agreed that the guide did not interfere with their ability to harvest radius bone (mean response 9.0 ± 1.3) and that they would utilize the guide in practice (9.4 ± 1.1).<h4>Conclusions</h4>Patient-specific cutting guides for OCRFFF harvest are feasible and may improve head and neck reconstructive surgeons' comfort with harvest.<h4>Level of evidence: 3</h4>"],"journal":["The Laryngoscope"],"pubmed_title":["Development of a Cutting Guide for Osteocutaneous Radial Forearm Free Flap Harvest."],"pmcid":["PMC12371775"],"funding_grant_id":["K12 NCI 2K12CA090625-22A1"],"pubmed_authors":["Colazo JM","Fassler C","Jin W","Rosenthal E","Langerman AJ","Weikert D","Mannion K","Topf MC","Luther L","Sinard R","Rohde S","Miller A"],"additional_accession":[]},"is_claimable":false,"name":"Development of a Cutting Guide for Osteocutaneous Radial Forearm Free Flap Harvest.","description":"<h4>Objectives</h4>The osteocutaneous radial forearm free flap (OCRFFF) is used for the reconstruction of bony head and neck defects. Being a weight-bearing bone, precise harvesting of the radius is required to maintain structural integrity, postoperative forearm function, and to prevent postoperative fracture. A radius cutting guide may allow head and neck surgeons to be more precise and confident in performing bony harvest, and may improve allocation of orthopedic specialist resources.<h4>Methods</h4>A custom radius cutting guide was developed in an iterative process with six head and neck surgeons and one hand surgeon. Following design approval, a prospective feasibility study was conducted. Patient-specific cutting guides were created using pre-operative upper-extremity computed tomography (CT) scans. The length and cross-sectional width of harvested radius bone were measured. The length of time using the guide was recorded. Providers were surveyed to assess their perception of cutting guide utility.<h4>Results</h4>A total of eight patients were enrolled, and the cutting guide was used successfully in seven patients. The mean length of the radius harvested was 77.1 ± 13.8 mm. The mean cross-sectional width of the radius planned for harvest was 11.7 ± 1.7 mm. The mean width of the bone harvested was 12.1 ± 1.2 mm, with a mean difference of + 0.81 mm. The mean total time using the guide was 12.94 min (range 10.0-20.1 min). Survey respondents (n = 7) agreed that the guide did not interfere with their ability to harvest radius bone (mean response 9.0 ± 1.3) and that they would utilize the guide in practice (9.4 ± 1.1).<h4>Conclusions</h4>Patient-specific cutting guides for OCRFFF harvest are feasible and may improve head and neck reconstructive surgeons' comfort with harvest.<h4>Level of evidence: 3</h4>","dates":{"release":"2025-01-01T00:00:00Z","publication":"2025 Sep","modification":"2026-05-08T06:49:14.513Z","creation":"2026-04-07T23:31:13.687Z"},"accession":"S-EPMC12371775","cross_references":{"pubmed":["40202247"],"doi":["10.1002/lary.32117"]}}