Pedicled Radial Forearm “Free” Flap for Intraoral Reconstruction Based on an Unexpectedly High Origin of the Radial Artery—Case Report
<b>Background:</b> Radial forearm free flap (RFFF) is considered one of the workhorses in modern head and neck reconstruction surgery due to its technical simplicity, versatility and less time-consuming harvest. <b>Methods:</b> In this report, we present the case of a 56-year...
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2024-12-01
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| author | Marino Lupi-Ferandin Dinko Martinovic Ante Pojatina Ante Mihovilovic Ema Puizina Sasa Ercegovic Ivana Stula Josko Bozic Slaven Lupi-Ferandin |
| author_facet | Marino Lupi-Ferandin Dinko Martinovic Ante Pojatina Ante Mihovilovic Ema Puizina Sasa Ercegovic Ivana Stula Josko Bozic Slaven Lupi-Ferandin |
| author_sort | Marino Lupi-Ferandin |
| collection | DOAJ |
| description | <b>Background:</b> Radial forearm free flap (RFFF) is considered one of the workhorses in modern head and neck reconstruction surgery due to its technical simplicity, versatility and less time-consuming harvest. <b>Methods:</b> In this report, we present the case of a 56-year-old woman with sublingual squamous cell carcinoma (SCC) who underwent surgical resection and reconstruction of the defect with a RFFF. <b>Results:</b> The preoperative Allen test showed normal blood flow, and the ultrasound did not recognize any blood vessel abnormalities in the left arm. However, during the RFFF harvest, when the dissection of the pedicle came to the cubital fossa, there was no brachial artery bifurcation. While trying to find the bifurcation, the dissection almost came to the axillary region. Hence, the RFFF was converted to a pedicle flap and was pulled through to the intraoral defect where it was used for reconstruction. <b>Conclusions:</b> Hence, during the preoperative radiological ultrasound, besides the usual characteristics such as the radial artery diameter, flow and possible obstructions, it is also important to explore if there are any other anatomical abnormalities that could influence the operation. |
| format | Article |
| id | doaj-art-35deb0fbbaa641458878c7796c377cbf |
| institution | Kabale University |
| issn | 2039-7283 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | MDPI AG |
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| series | Clinics and Practice |
| spelling | doaj-art-35deb0fbbaa641458878c7796c377cbf2025-01-24T13:27:40ZengMDPI AGClinics and Practice2039-72832024-12-01151610.3390/clinpract15010006Pedicled Radial Forearm “Free” Flap for Intraoral Reconstruction Based on an Unexpectedly High Origin of the Radial Artery—Case ReportMarino Lupi-Ferandin0Dinko Martinovic1Ante Pojatina2Ante Mihovilovic3Ema Puizina4Sasa Ercegovic5Ivana Stula6Josko Bozic7Slaven Lupi-Ferandin8Study of Dental Medicine, University of Split School of Medicine, 21000 Split, CroatiaDepartment of Maxillofacial Surgery, University Hospital of Split, 21000 Split, CroatiaDepartment of Maxillofacial Surgery, University Hospital of Split, 21000 Split, CroatiaDepartment of Maxillofacial Surgery, University Hospital of Split, 21000 Split, CroatiaDepartment of Maxillofacial Surgery, University Hospital of Split, 21000 Split, CroatiaDepartment of Maxillofacial Surgery, University Hospital of Split, 21000 Split, CroatiaDepartment of Radiology, University Hospital of Split, 21000 Split, CroatiaDepartment of Pathophysiology, University of Split School of Medicine, 21000 Split, CroatiaDepartment of Maxillofacial Surgery, University Hospital of Split, 21000 Split, Croatia<b>Background:</b> Radial forearm free flap (RFFF) is considered one of the workhorses in modern head and neck reconstruction surgery due to its technical simplicity, versatility and less time-consuming harvest. <b>Methods:</b> In this report, we present the case of a 56-year-old woman with sublingual squamous cell carcinoma (SCC) who underwent surgical resection and reconstruction of the defect with a RFFF. <b>Results:</b> The preoperative Allen test showed normal blood flow, and the ultrasound did not recognize any blood vessel abnormalities in the left arm. However, during the RFFF harvest, when the dissection of the pedicle came to the cubital fossa, there was no brachial artery bifurcation. While trying to find the bifurcation, the dissection almost came to the axillary region. Hence, the RFFF was converted to a pedicle flap and was pulled through to the intraoral defect where it was used for reconstruction. <b>Conclusions:</b> Hence, during the preoperative radiological ultrasound, besides the usual characteristics such as the radial artery diameter, flow and possible obstructions, it is also important to explore if there are any other anatomical abnormalities that could influence the operation.https://www.mdpi.com/2039-7283/15/1/6squamous cell carcinomaradial forearm free flapvascular aberration |
| spellingShingle | Marino Lupi-Ferandin Dinko Martinovic Ante Pojatina Ante Mihovilovic Ema Puizina Sasa Ercegovic Ivana Stula Josko Bozic Slaven Lupi-Ferandin Pedicled Radial Forearm “Free” Flap for Intraoral Reconstruction Based on an Unexpectedly High Origin of the Radial Artery—Case Report Clinics and Practice squamous cell carcinoma radial forearm free flap vascular aberration |
| title | Pedicled Radial Forearm “Free” Flap for Intraoral Reconstruction Based on an Unexpectedly High Origin of the Radial Artery—Case Report |
| title_full | Pedicled Radial Forearm “Free” Flap for Intraoral Reconstruction Based on an Unexpectedly High Origin of the Radial Artery—Case Report |
| title_fullStr | Pedicled Radial Forearm “Free” Flap for Intraoral Reconstruction Based on an Unexpectedly High Origin of the Radial Artery—Case Report |
| title_full_unstemmed | Pedicled Radial Forearm “Free” Flap for Intraoral Reconstruction Based on an Unexpectedly High Origin of the Radial Artery—Case Report |
| title_short | Pedicled Radial Forearm “Free” Flap for Intraoral Reconstruction Based on an Unexpectedly High Origin of the Radial Artery—Case Report |
| title_sort | pedicled radial forearm free flap for intraoral reconstruction based on an unexpectedly high origin of the radial artery case report |
| topic | squamous cell carcinoma radial forearm free flap vascular aberration |
| url | https://www.mdpi.com/2039-7283/15/1/6 |
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