98%
921
2 minutes
20
Objectives: To explore the clinical application and efficacy of transplantation of free composite flaps supplied by radial osteocutaneous branch of the dorsal branch of the anterior interosseous artery for reconstructing bone and skin defects in the hand.
Material And Methods: Anatomically, the radial osteocutaneous branch of the dorsal branch of the anterior interosseous artery has constant collateral anastomoses which can provide a large dorsoradial flap from the dorsum of the forearm. This flap was used for reconstruction in five cases of cutaneous and phalangeal defects.
Results: Reconstruction was successful in all five cases, with consolidated phalanx and good cosmetic results. All donor sites could be closed directly.
Conclusion: Reconstruction with dorsoradial forearm flaps is a reliable procedure which causes minimal trauma. Thus, it is an ideal approach for repairing cutaneous and phalangeal defects.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1016/j.hansur.2024.101679 | DOI Listing |
J Craniomaxillofac Surg
August 2025
State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, 430079, Wuhan, PR China; Department of Oral and Maxillofacial Surgery, Scho
Mandibular defects caused by congenital anomalies, oncologic resections, trauma, or infections impair essential functions such as mastication, speech, and facial aesthetics, necessitating reconstruction to restore both biomechanical integrity and quality of life. While fibula osteocutaneous flaps remain the gold standard for complex defects due to their versatility, the deep circumflex iliac artery (DCIA) bone flap-historically limited by inconsistent vascular anatomy and technical harvesting challenges-provides anatomical advantages but lacks reliable soft tissue utility. The chimeric DCIA perforator flap (DCIAPF) addresses these limitations by utilizing terminal DCIA skin perforators to create thin, well-vascularized skin paddles independent of muscular branches, thereby reducing bulk and donor-site morbidity.
View Article and Find Full Text PDFPlast Reconstr Surg Glob Open
January 2025
Division of Plastic and Reconstructive Surgery, University of Texas Health Science Center San Antonio, San Antonio, TX.
When squamous cell carcinoma necessitates mandibular resection, the resultant defect can be complex. An osteocutaneous fibula free flap is an effective reconstruction option, typically supplied by the peroneal artery for both the fibula and skin flap. In this case report, an anatomical variation was found: the skin paddle was supplied by soleus musculocutaneous perforators of the posterior tibial artery, whereas the fibula was supplied by the peroneal artery.
View Article and Find Full Text PDFHand Surg Rehabil
April 2024
Department of Hand Surgery, The Second Hospital of Tangshan, No 21, Jianshe Road, Tangshan City, Hebei Province, 063000, PR China.
Handchir Mikrochir Plast Chir
August 2024
Abteilung für Plastische, Ästhetische und Rekonstruktive Chirurgie; Paracelsus Medizinische Privatuniversität, Krankenhaus der Barmherzigen Brüder Salzburg, Salzburg, Austria.
Background: The deep circumflex iliac artery (DCIA) perforator flap is an established method to reconstruct osteocutaneous defects. However, the cutaneous perforators come with a great anatomic variability. To deal with this problem, we used a sequential chimeric osteocutaneous free flap for reconstruction.
View Article and Find Full Text PDFHead Neck
October 2023
Department of Otolaryngology, University of Miami Health System and Jackson Memorial Hospital, Miami, Florida, USA.
Background: The radial forearm free flap (RFFF) is considered a workhorse for head and neck cancer reconstructive surgery due to its generally consistent anatomy, pliability, long pedicle, and accessible harvest location.
Methods: A 63-year-old male with trisomy 21 and recurrent midface basal cell carcinoma presented for surgical management. The patient underwent tumor resection including left infrastructure maxillectomy with ipsilateral rhinectomy.