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RADIAL FOREARM AND RECTUS ABDOMINIS FREE FLAP RECONSTRUCTION Ravi Pachigolla, MD Anna Pou, MD
History of Microvascular Free Flap Reconstruction
Radial Forearm Free Flap Reconstruction
Patient Selection s Age s Co-existing Diseases s Nutritional Status s Defect Status
Preoperative Planning s Allen Test s Defect assessment
Anatomy of Radial Forearm Flap
Flap elevation s Tourniquet s Two team approach s Pedicle length s Sensory innervation
Advantages s Two team approach s Sensory innervation s Flexibility
Disadvantages s Need for skin graft s Sensory loss s Occasional functional deformity s Dominant Radial Artery
RECTUS ABDOMINIS FREE FLAP
Patient Selection s Prior Abdominal Surgery s Obesity s Nutritional Factors
Flap Elevation s Large Skin Paddle s Preservation of Anterior Rectus Fascia below arcuate line
Anatomy of Rectus Abdominis Free Flap
Advantages s Two team approach s Large skin paddle s Reliable Surgical Technique s Large vessel Diameter
Disadvantages s Potential for hernia formation s Skin overly thick s No sensory innervation
POTENTIAL RECIPIENT SITES s Oromandibular Defects s Cranial Base Defects s Lip Defects s Facial Defects
SUMMARY AND CONCLUSION
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