scholarly journals The Anomalous Radial Artery: A Rare Vascular Variant and Its Implications in Radial Forearm Free Tissue Transfer

2020 ◽  
Vol 13 (3) ◽  
pp. 215-218
Author(s):  
Maximilian H. Staebler ◽  
Charles Lane Anzalone ◽  
Daniel L. Price
Keyword(s):  
Radial Artery ◽  
Vascular Anatomy ◽  
Free Tissue Transfer ◽  
Soft Tissue Reconstruction ◽  
Radial Forearm Free Flap ◽  
Surgical Ablation ◽  
Radial Forearm ◽  
Tissue Reconstruction ◽  
Intraoperative Planning ◽  
Vascular Variant

The radial forearm free flap (RFFF) has become a workhorse for soft tissue reconstruction following surgical ablation of head and neck cancer. Given the popularity of the RFFF, it is important to understand potential variants of upper extremity vascular anatomy and the effects of these findings on pre- and intraoperative planning. The purpose of this series is to synthesize the existing literature to raise awareness for potential radial artery aberrations during planned reconstruction.

scholarly journals Radial forearm free flap in a patient with an unusual radial artery variation: a case report

2021 ◽  
Vol 48 (6) ◽  
pp. 646-650
Author(s):  
Giulio Menichini ◽  
Sara Calabrese ◽  
Nicola Alfonsi ◽  
Marco Innocenti
Keyword(s):  
Head And Neck ◽  
Radial Artery ◽  
Free Flap ◽  
Verrucous Carcinoma ◽  
The Body ◽  
Head And Neck Reconstruction ◽  
Soft Tissue Reconstruction ◽  
Radial Forearm Free Flap ◽  
Skin Paddle ◽  
Radial Forearm

Head and neck reconstruction poses unique challenges in rehabilitating surgical defects in terms of integrity, function, and form. The radial forearm free flap (RFFF) has been widely used for defect coverage, especially in the head and neck area, but its versatility allows it to be used for soft-tissue reconstruction in various parts of the body. The vascular features of the flap are quite constant and reliable. Nevertheless, abnormalities of the forearm vascular tree have been described over the decades. We report a case of intraoral reconstruction after verrucous carcinoma recurrence in a 74-year-old woman with an unusual forearm flap, which we called the median forearm free flap, based on a median branch of the radial artery that was preoperatively detected using handheld Doppler ultrasonography. The distally located skin paddle was predominantly supplied by the aberrant median vessel with its perforators. The flap was thus safely harvested with this atypical pedicle. Successful reconstruction of the intraoral defect was achieved, with an uneventful postoperative course.

scholarly journals Innervated Bilobed Radial Forearm Free Flap For Tongue Reconstruction

1970 ◽  
Vol 1 (1) ◽  
Author(s):  
Parintosa Atmodiwirjo ◽  
Kristaninta Bangun ◽  
Siti Handayani ◽  
Chaula Djamaloeddin ◽  
Eliza Nindita
Keyword(s):  
Free Flap ◽  
Donor Site ◽  
Vascular Anatomy ◽  
Free Tissue Transfer ◽  
Good Method ◽  
Radial Forearm Free Flap ◽  
Position Change ◽  
Floor Of The Mouth ◽  
Radial Forearm ◽  
Tongue Reconstruction

Hemiglossectomy defects need reconstructions to restore normal functions and aesthetic outcomes. It is therefore prudent that well-planned reconstructive technique is needed for a good functional substitution for the defect.This case report describes a 30 years old male who developed T2N1M0 squamous cell carcinoma of the left tongue. The patient underwent a tongue reconstruction following his hemiglossectomy involving floor of the mouth without mandibular resection.The optimum method of reconstructing a major defect such as hemiglossectomy with floor of the mouth resection is best carried out by using microvascular free tissue transfer. We conclude that the radial forearm free flap is good method for reconstructing major defects of the tongue. The radial forearm free flap is thin, can be raised without patient position change, has constant vascular anatomy, and provides an advantage in the aesthetic aspect at the donor site.

scholarly journals Reconstruction of Angle of the Mouth by Microvascular Radial Forearm Free flap- A case report

2014 ◽  
Vol 40 (2) ◽  
pp. 62-64
Author(s):  
MA Litu ◽  
NK Chowdhury ◽  
M Rahman ◽  
S Hassan ◽  
ABM Korshed Alam ◽  
...  
Keyword(s):  
Case Report ◽  
Free Flap ◽  
Donor Site ◽  
Free Tissue Transfer ◽  
The Body ◽  
Radial Forearm Free Flap ◽  
Recipient Site ◽  
Present Case Report ◽  
Tissue Transfer ◽  
Radial Forearm

The terms free flap and free tissue transfer are synonymous used to describe the movement of tissue from one site on the body to another. "Free" implies that the tissue, along with its blood supply, is detached from the original location (donor site) and then transferred to another location (recipient site). However, studies are still going on about the different aspects of its success and failure. The present case report is one such step to share our experience. In this case report successful microvascular free tissue transfer was possible With the increase in experience we can expect increased success rate as well. DOI: http://dx.doi.org/10.3329/bmj.v40i2.18515 Bangladesh Medical Journal 2011 Vol.40(2): 62-64

Free Tissue Transfer of the Rectus Abdominis Myoperitoneal Flap for Oral Reconstruction in a Dog

2001 ◽  
Vol 18 (4) ◽  
pp. 187-192 ◽  
Author(s):  
Otto I. Lanz
Keyword(s):  
Surgical Techniques ◽  
Free Tissue Transfer ◽  
Rectus Abdominis ◽  
Soft Tissue Reconstruction ◽  
Intact Male ◽  
Oronasal Fistula ◽  
Primary Wound Closure ◽  
Tissue Transfer ◽  
Tissue Reconstruction ◽  
Oral Reconstruction

A five-month-old intact/male Boxer dog was presented 5-days following bite wound trauma to the maxillary region resulting in an oronasal fistula extending from the maxillary canine teeth to the soft palate. Multiple surgical procedures using local, buccal mucosal flaps failed to repair the oronasal fistula. Free tissue transfer of the rectus abdominis myoperitoneal flap using microvascular surgical techniques was successful in providing soft tissue reconstruction of the hard palate area. Complications of these surgical techniques included muscle contraction and subsequent muzzle distortion. Small, refractory oronasal fistulae at the perimeter of the myoperitoneal flap were repaired by primary wound closure.

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