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J Reconstr Microsurg 2002; 18(7): 591-594
DOI: 10.1055/s-2002-35097
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

A New Flap Design for Monitoring the Circulation of a Buried Free Radial Forearm Flap in Pharyngoesophageal Reconstruction

Selçuk Akın1 , Oğuz Basut2
  • 1Department of Plastic and Reconstructive Surgery, Medical Faculty of Uludag˘ University, Bursa, Turkey
  • 2Department of Otorhinolaryngology, Medical Faculty of Uludag˘ University, Bursa, Turkey
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Publication History

Publication Date:
29 October 2002 (online)

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ABSTRACT

The viability of a free radial forearm flap which is used in pharyngoesophageal reconstruction is difficult to monitor because it is hidden by skin. As the most reliable method for monitoring, exteriorization of a small island flap has been reported. The authors used a skin paddle which is placed ulnar to the radial forearm reconstruction flap at the ulnar side of the distal part of the forearm as a monitor flap in one patient. Flap viability was assessed by observing tissue color, turgor, capillary refill, and bleeding of the monitor flap. This monitor flap is easy to elevate. The perfusion of the flap is good because it has a wide pedicle. It permits a long vascular pedicle for the radial forearm reconstruction flap and does not reduce available forearm skin for pharyngoesophageal reconstruction.

KEYWORDS

Pharyngoesophageal reconstruction - radial forearm flap - monitor flap.