Summary
Seventy-five forearm flap transfers have been used for various reconstructive procedures over the past 6/12 years; these cases were analyzed from various points of view. The flap is extremely reliable, since the vascular anatomy is constant. There were two total flap necrosis due to technical problems on the arterial side, but there was no problem on the venous side, in spite of the fact that in 24 cases (32%) only one subcutaneous or one vena comitans was anastomosed. In head ans neck reconstruction, especially in secondary cases, subcutaneous veins in the forearm are often destroyed due to previous IV chemotherapy, but the flap can be safely transferred if only one of the venae comitantes is available for venous anastomosis.
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Ueda, K., Harashima, T., Inoue, T. et al. Analysis of 75 forearm flaps. Eur J Plast Surg 14, 177–180 (1991). https://doi.org/10.1007/BF00734422
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DOI: https://doi.org/10.1007/BF00734422