Radial Forearm Perforator Flap

2018 ◽  
pp. 135-160
Author(s):  
He-Ping Zheng ◽  
Yong-Qing Xu ◽  
Jian Lin ◽  
De-Qing Hu
Keyword(s):  
Perforator Flap ◽  
Radial Forearm

Comparison of the Medial Sural Artery Perforator Flap with the Radial Forearm Flap for Head and Neck Reconstructions

2009 ◽  
Vol 124 (4) ◽  
pp. 1125-1132 ◽  
Author(s):  
Huang-Kai Kao ◽  
Kai-Ping Chang ◽  
Fu-Chan Wei ◽  
Ming-Huei Cheng
Keyword(s):  
Head And Neck ◽  
Perforator Flap ◽  
Radial Forearm Flap ◽  
Forearm Flap ◽  
Radial Forearm ◽  
Sural Artery ◽  
Artery Perforator

Free Bipedicled Radial Forearm and Posterior Interosseous Artery Perforator Flap Phalloplasty

2019 ◽  
Vol 16 (7) ◽  
pp. 1111-1117 ◽  
Author(s):  
Edward De Wolf ◽  
Karel Claes ◽  
Casper E. Sommeling ◽  
Dries Opsomer ◽  
Mario Cherubino ◽  
...  
Keyword(s):  
Perforator Flap ◽  
Posterior Interosseous Artery ◽  
Radial Forearm ◽  
Interosseous Artery ◽  
Artery Perforator

Functional reconstruction of subtotal glossectomy defects with radial forearm free flap: case report and review of literature

Folia Medica ◽  
2012 ◽  
Vol 54 (2) ◽  
pp. 60-65 ◽  
Author(s):  
Dimitar D. Pazardzhikliev ◽  
Christo D. Shipkov ◽  
Ilya P. Yovchev ◽  
Regina H. Khater ◽  
Ivailo S. Kamishev
Keyword(s):  
Case Report ◽  
Free Flap ◽  
Donor Site ◽  
Perforator Flap ◽  
Functional Results ◽  
Donor Site Morbidity ◽  
Oral Feeding ◽  
Tram Flap ◽  
Radial Forearm Free Flap ◽  
Radial Forearm

ABSTRACT Adequate reconstruction of defects that are consequences of glossectomy is of primary importance for achieving satisfactory functional results and improving the quality of life. AIM: The aim of this study was to report a case of free flap reconstruction of a subtotal glossectomy defect and discuss it in relation to other available methods. CASE REPORT: A 48- year-old woman was operated on for a T4N0M0 squamous cell carcinoma of the tongue. A subtotal glossectomy via mandibular swing procedure with bilateral supraomohyoid neck dissection and reconstruction with a radial forearm free flap (RFFF) was performed. Surgery was followed by adjuvant radiotherapy. RESULTS: The post-operative period was uneventful. The patient resumed intelligible speech evaluated as “excellent” and oral feeding. The donor site morbidity was acceptable. Present reconstructive options of the tongue include two categories: to maintain mobility or to provide bulk. In glossectomy with 30 to 50 percent preservation of the original musculature, maintaining the mobility of the remaining tongue by a thin, pliable flap is preferred. This can be achieved by infrahyoid myofascial, medial sural artery perforator flap, RFFF, anterolateral thigh and ulnar forearm flap. When the post-resectional volume is less than 30 percent of the original tongue, the reconstruction shifts to restoration of bulk to facilitate swallowing by providing contact of the neotongue with the palate. Flaps providing bulk include the free TRAM flap, latissimus dorsi myocutaneous free flap, pectoralis major musculocutaneous flap and trapezius island flap. CONCLUSION: Surgical treatment of advanced tongue cancer requires adequate reconstruction with restoration of speech, swallowing and oral feeding. Free tissue transfer seems to achieve superior functional results with acceptable donor site morbidity when indicated.

Reconstruction of Total Nasal Defect Including Skin, Bone, and Lining, Using a Single Free Radial Forearm Osteocutaneous Perforator Flap

2012 ◽  
Vol 129 (5) ◽  
pp. 854e-857e ◽  
Author(s):  
Masaki Fujioka ◽  
Kenji Hayashida ◽  
Chikako Murakami ◽  
Yasushi Koga
Keyword(s):  
Perforator Flap ◽  
Nasal Defect ◽  
Radial Forearm

scholarly journals Reconstruction of a Mangled Hand with a Thoracodorsal Artery Perforator Free Flap: A Report of Two Cases

2021 ◽  
Vol 26 (1) ◽  
pp. 57-62
Author(s):  
Hyun Sik Park ◽  
Dong-Jin Kim ◽  
Joing Ick Hwang
Keyword(s):  
Free Flap ◽  
Surgical Flaps ◽  
Perforator Flap ◽  
Free Flaps ◽  
Soft Tissue Defects ◽  
Anterolateral Thigh ◽  
Thoracodorsal Artery ◽  
Radial Forearm ◽  
Artery Perforator ◽  
Tissue Defects

Mangled hands are a severely injured condition that is a rare and challenging problem for reconstructive surgeons. Surgical flaps such as anterolateral thigh, radial forearm, or thoracodorsal artery flaps have been used for multiple-digit resurfacing. In this report, we describe two cases of complex defects that included multiple digits in patients who underwent reconstruction with thoracodorsal artery perforator (TDAP) free flaps. All massive soft tissue defects were completely covered with a TDAP free flap. The thinner perforator flap could be harvested, and the patients regained the ability to pinch and grasp. Therefore, the authors present two cases of mangled hands successfully treated with TDAP free flap.

Hypopharyngeal, Esophageal, and Neck Reconstruction

2018 ◽  
Author(s):  
Steven B Chinn ◽  
Peirong Yu
Keyword(s):  
Perforator Flap ◽  
Ulnar Artery ◽  
Good Alternative ◽  
Radial Forearm Flap ◽  
Anterolateral Thigh Flap ◽  
Forearm Flap ◽  
Anterolateral Thigh ◽  
Pharyngoesophageal Reconstruction ◽  
Radial Forearm ◽  
Artery Perforator

Organ preservation protocols with radiotherapy have become the primary treatment for stage I to III laryngeal and hypopharyngeal carcinoma. Many pharyngoesophageal defects are the result of salvage laryngopharyngectomy following radiation failure, making reconstruction more challenging. Given the detrimental effects of radiation on wound healing, reconstruction bathed in saliva, and the frozen neck with poor recipient vessels, pharyngoesophageal reconstruction requires great attention to detail to avoid catastrophic complications. In this review, we detail the commonly used flaps for pharyngoesophageal reconstruction, including the radial forearm flap, anterolateral thigh flap, and jejunal flap. In recent years, the anterolateral thigh flap has become the optimal flap for this type of reconstruction due to its minimal donor-site morbidity and excellent functional outcomes. Use of a two-skin island anterolateral flap allows for pharyngoesophageal reconstruction with simultaneous neck resurfacing. The profundus artery perforator flap can be a good alternative to the anterolateral thigh flap, whereas the ulnar artery perforator flap may be a good alternative to the radial forearm flap in certain cases. We discuss recipient vessel selection and conclude by outlining important postoperative considerations. This review contains 23 figures, 3 tables and 39 references Key words: anterolateral thigh flap, anteromedial thigh flap, frozen neck, gastro-omental flap, hypopharynx, laryngeal cancer, perforator flaps, pharyngocutaneous fistula, pharyngoesophageal reconstruction, profundus artery perforator flap, radial forearm flap, tracheoesophageal puncture, transverse cervical vessels, ulnar artery perforator flap

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