Proximal forearm flap based on a septocutaneous vessel from the radial artery

Plastic and Reconstructive Surgery
Jeng-Yee LinWei-Chao Huang

Abstract

The radial forearm flap has been a workhorse flap for soft-tissue or coverage reconstruction in the head and neck area. Although it has several major advantages, it requires sacrifice of the radial artery. In this article, the authors present their modification of harvesting a forearm flap based on a large septocutaneous branch of the radial artery in the proximal forearm with or without sacrificing the main radial artery. They name it the proximal radial forearm flap. From September of 2003 to March of 2004, a total of 14 free proximal radial forearm flaps were used for head and neck reconstruction in 12 patients. There was one female patient and 11 male patients. Their ages ranged from 32 to 85 years. The skin flap size ranged from 2.0 x 6.0 cm to 4.5 x 18 cm. All free proximal radial forearm flap reconstructions had immediate success. There were one delayed flap loss caused by wound infection and one death attributable to advanced medical disease. Six flaps were harvested with preservation of the radial artery trunk. Six of the eight radial arteries that were killed during flap harvest were repaired with a short segment (3 to 4 cm) of vein graft. The average diameter and length of the septocutaneous vessel of the proximal ra...Continue Reading

References

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Citations

Feb 3, 2009·Plastic and Reconstructive Surgery·Robert E H Ferguson, Peirong Yu
Jul 8, 2009·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Chung-Kan TsaoJoseph H Dayan
May 13, 2008·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Karsten KnoblochPeter M Vogt
May 15, 2007·International Journal of Oral and Maxillofacial Surgery·J-T LeeF-C Wei
Apr 23, 2013·ANZ Journal of Surgery·Chasari TancharoenDamon J Thomas
Oct 29, 2008·American Journal of Surgery·Chin-Ho WongFu-Chan Wei
May 10, 2013·Annals of Plastic Surgery·Robert J van KampenPascal P A Schellekens

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