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Review
. 2017 May 25;39(1):14.
doi: 10.1186/s40902-017-0110-8. eCollection 2017 Dec.

Revisiting radial forearm free flap for successful venous drainage

Yong Hoon Cha  1 , Woong Nam  1 , In-Ho Cha  1 , Hyung Jun Kim  1
Affiliations
Review

Revisiting radial forearm free flap for successful venous drainage

Yong Hoon Cha et al. Maxillofac Plast Reconstr Surg. .

Abstract

Tissue defect reconstruction using radial forearm free flap (RFFF) is a common surgical technique whose success or failure is mainly dependent on venous drainage. RFFF has two major venous outflow systems, superficial and deep vein. Drainage methods include combining both systems or using one alone. This review aims to recapitulate the vascular anatomy and network of RFFF as well as shed light on deep vein as a reliable venous drainage system. We also discuss basic evidence for and advantages of single microanastomosis with coalesced vein to overcome technical difficulties associated with the deep vein system.

Keywords: Coalesced vein; Radial forearm free flap; Venae comitantes.

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Figures

Fig. 1
Fig. 1
Schematic structure of the fasciocutaneous flap. Please note the septocutaneous perforator and complex vascular network originating from radial artery and venae comitantes. The cephalic vein passes through the subcutaneous layer without sprouting branches
Fig. 2
Fig. 2
Schematic vascular structure of RFFF. Two venae comitantes are anastomosed at the coalesced vein, which drains into the median cubital vein
See this image and copyright information in PMC

References

    1. Yang G, Chen B, Gao Y. Forearm free skin flap transplantation. Natl Med J China. 1981;61:139–141.
    1. Song R, Gao Y, Song Y, Yu Y, Song Y. The forearm flap. Clin Plast Surg. 1982;9:21–26. - PubMed
    1. Schusterman MA, Kroll SS, Weber RS, Byers RM, Guillamondegui O, Goepfert H. Intraoral soft tissue reconstruction after cancer ablation: a comparison of the pectoralis major flap and the free radial forearm flap. Am J Surg. 1991;162(4):397–399. doi: 10.1016/0002-9610(91)90157-9. - DOI - PubMed
    1. Muhlbauer W, Herndl E, Stock W. The forearm flap. Plast Reconstr Surg. 1982;70(3):336–342. doi: 10.1097/00006534-198209000-00007. - DOI - PubMed
    1. Harii K, Ebihara S, Ono I, Saito H, Terui S, Takato T. Pharyngoesophageal reconstruction using a fabricated forearm free flap. Plast Reconstr Surg. 1985;75(4):463–474. doi: 10.1097/00006534-198504000-00001. - DOI - PubMed

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