PMID: 9176002Apr 1, 1997Paper

Free arterialised venous forearm flaps for intraoral reconstruction

British Journal of Plastic Surgery
C KleinT Stuckensen

Abstract

In 29 patients, the intraoral defect after excision of an oral squamous cell carcinoma was repaired with an arterialised venous forearm flap. In all cases, a flap of skin and fat with a superficial vein passing through it was raised from the flexor surface of the right forearm. After the flap had been sutured into the intraoral defect, the original distal end of the vein was anastomosed to an artery and the original proximal end to a vein. Fifteen (52%) of the flaps survived completely, six (21%) had superficial epithelial loss or some marginal necrosis and eight (27%) became completely necrotic. Areas of partial loss developed slowly and formed stable granulation tissue. The flap donor sites were either closed primarily (n = 20) or were covered with a split thickness skin graft (n = 9). There were no functional problems of the donor forearms. These results contrast with the high success rates achieved with orthodox free radial forearm flaps. Further research into venous flaps is essential.

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Citations

Nov 21, 2012·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Alexis B OlssonSanjay P Reddi
Mar 20, 2010·Microsurgery·Hede YanMichael F Angel
Feb 24, 2001·British Journal of Plastic Surgery·B WungcharoenV Chongchet
Jul 29, 2016·Plastic and Reconstructive Surgery·Diogo CasalJoão Goyri O'Neill
Jul 25, 2019·Plastic and Reconstructive Surgery. Global Open·Ruth TevlinArash Momeni
Jun 27, 2001·Acta Oto-laryngologica·M Markkanen-LeppänenS Asko-Seljavaara
Aug 8, 2008·Microsurgery·Martín IglesiasAlexandra Barajas-Olivas

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