𝔖 Bobbio Scriptorium
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”Impossible„ reversed radial forearm free flap in microsurgical reconstruction

✍ Scribed by Constantmn G. Bauland; Reinier van Twisk; Michael Y. Bos; Jean-Philippe A. Nicolai


Publisher
John Wiley and Sons
Year
1993
Tongue
English
Weight
391 KB
Volume
14
Category
Article
ISSN
0738-1085

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✦ Synopsis


Abstract

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.


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