Maxillofac Plast Reconstr Surg.  2017 May;39(5):14. 10.1186/s40902-017-0110-8.

Revisiting radial forearm free flap for successful venous drainage

Affiliations
  • 1Department of Oral and Maxillofacial Surgery, Yonsei University College of Dentistry, 708 Yonsei University Dental Hospital 50-1 Yonsei-ro, Seodaemoon-gu Seoul, 03722 South Korea. kimoms@yuhs.ac

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.

Keyword

Radial forearm free flap; Venae comitantes; Coalesced vein

MeSH Terms

Drainage*
Forearm*
Free Tissue Flaps*
Veins
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