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”︁Impossible„ reversed radial forearm free flap in microsurgical reconstruction
Author(s) -
Bauland Constantmn G.,
van Twisk Reinier,
Bos Michael Y.,
Nicolai JeanPhilippe A.
Publication year - 1993
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/micr.1920140912
Subject(s) - forearm , medicine , free flap , microsurgery , surgery , anatomy
The reversed radial forearm free flap is described and patient histories are presented to illustrate its unique reconstructive versatility. The valvular orientation of the deep and superficial forearm veins should theoretically oppose the reversed flow in this flap, but the venous flow is not compromised. In comparison to the anterograde forearm free flap the vascular pedicle is longer and the donor defect generates less functional and cosmetic complications because it is located on the proximal forearm. In a review of the literature anatomical details of the venous drainage are presented. Different opinions on reverse flow in forearm flaps are discussed and a new theory is proposed. © 1993 Wiley‐Liss Inc.