Dealing with aberrant vessels in radial forearm flaps - report of a case and review of literature

Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery
Vyomesh BhattNicholas Grew

Abstract

Anomalies of the radial artery are uncommon. A brief tabulated review of the literature is presented. We report a rare anomaly of the forearm vascular anatomy we encountered when elevating a radial forearm free flap. This is a previously unreported anatomical variation. The radial artery divided into medial and lateral branches (accompanied by their respective venae commitantes) about 1.5 cm below the bifurcation of the brachial artery. The skin paddle was predominantly supplied by the aberrant medial branch and was raised on this branch along with its venae commitantes up to the point of division. This case highlights the need for vigilance when raising free flaps and the techniques employed to avoid compromising both limb and skin paddle perfusion.

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Citations

Mar 2, 2012·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Bo-Han LiJong-Ho Lee
Mar 17, 2010·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Vyomesh Bhatt, T J Hall
Jun 13, 2012·Journal of Plastic Surgery and Hand Surgery·Emil DediolIgor Cikara
Oct 8, 2013·Annales de chirurgie plastique et esthétique·P MoullotR Legré
Sep 16, 2016·Anatomical Science International·Grzegorz WysiadeckiMirosław Topol
May 29, 2020·Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deut·Torsten SchloßhauerUlrich Michael Rieger
Oct 25, 2016·Acta Medica (Hradec Králové)·Surbhi Wadhwa, Vandana Tomar
Jan 19, 2021·Craniomaxillofacial Trauma & Reconstruction·Maximilian H StaeblerDaniel L Price

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