A rare variant of the radial artery: clinical considerations in raising a radial forearm flap

A rare vascular anomaly of the radial artery encountered during elevation of a radial forearm free flap is reported in this paper. We discovered a superficial radial artery which bifurcated from the deep radial artery 4 cm below the antecubital fossa. The blood supply to the proximal radial forearm...

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Bibliographic Details
Published in:British journal of plastic surgery 2000-07, Vol.53 (5), p.445-447
Main Authors: Sasaki, Kenji, Nozaki, Motohiro, Aiba, Hinako, Isono, Nobuo
Format: Article
Language:English
Subjects:
Adult
anatomical variation
Biological and medical sciences
Carcinoma, Squamous Cell - surgery
Glossectomy - methods
Hand - blood supply
Head and Neck Neoplasms - surgery
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Male
Medical sciences
Neck Dissection - methods
Pharyngectomy - methods
radial artery
Radial Artery - abnormalities
Regional Blood Flow
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the upper aerodigestive tract
Surgical Flaps - blood supply
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Summary:A rare vascular anomaly of the radial artery encountered during elevation of a radial forearm free flap is reported in this paper. We discovered a superficial radial artery which bifurcated from the deep radial artery 4 cm below the antecubital fossa. The blood supply to the proximal radial forearm flap was thought to be from the superficial radial artery, and to the distal forearm flap from both arteries. Ascertaining the course of the radial artery pre- and intraoperatively and careful dissection of the artery are essential to minimise problems of flap transfer.
ISSN:0007-1226
1465-3087
DOI:10.1054/bjps.1999.3294