Reversed forearm island flap supplied by the septocutaneous perforator of the radial artery: Anatomical basis and clinical applications
The cutaneous perforators of the radial artery adjacent to the superficial branch of the radial nerve and the lateral antebrachial cutaneous nerve were investigated, and the vascular anatomical features of the reversed forearm island flap supplied by those accompanying perforators were documented. T...
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Veröffentlicht in: | Plastic and reconstructive surgery (1963) 2003-09, Vol.112 (4), p.1012-1016 |
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creator | DAPING YANG MORRIS, Steven F MAOLIN TANG GEDDES, Christopher R |
description | The cutaneous perforators of the radial artery adjacent to the superficial branch of the radial nerve and the lateral antebrachial cutaneous nerve were investigated, and the vascular anatomical features of the reversed forearm island flap supplied by those accompanying perforators were documented. Ten fresh cadavers were systemically injected with lead oxide, gelatin, and water. Twenty forearms were then dissected, and an overall map of the cutaneous vasculature and source vessels was constructed. The accompanying arteries were observed to lie along the lateral antebrachial cutaneous nerve and the superficial branch of the radial nerve and to nourish the skin through cutaneous branches. Vascular communication among these cutaneous vessels was evaluated, to determine the cutaneous vascular territory of the radial forearm flap. This anatomical information facilitates flap design in the forearm region. Clinical experience regarding the usefulness of the reversed forearm island flap for hand reconstruction for a series of five patients is presented. |
doi_str_mv | 10.1097/01.prs.0000076192.14536.90 |
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Ten fresh cadavers were systemically injected with lead oxide, gelatin, and water. Twenty forearms were then dissected, and an overall map of the cutaneous vasculature and source vessels was constructed. The accompanying arteries were observed to lie along the lateral antebrachial cutaneous nerve and the superficial branch of the radial nerve and to nourish the skin through cutaneous branches. Vascular communication among these cutaneous vessels was evaluated, to determine the cutaneous vascular territory of the radial forearm flap. This anatomical information facilitates flap design in the forearm region. Clinical experience regarding the usefulness of the reversed forearm island flap for hand reconstruction for a series of five patients is presented.</description><identifier>ISSN: 0032-1052</identifier><identifier>EISSN: 1529-4242</identifier><identifier>DOI: 10.1097/01.prs.0000076192.14536.90</identifier><identifier>PMID: 12973216</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Adult ; Biological and medical sciences ; Hand Injuries - surgery ; Humans ; Injuries of the limb. Injuries of the spine ; Male ; Medical sciences ; Orthopedic surgery ; Radial Artery ; Reconstructive Surgical Procedures - methods ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgical Flaps - blood supply ; Traumas. 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Ten fresh cadavers were systemically injected with lead oxide, gelatin, and water. Twenty forearms were then dissected, and an overall map of the cutaneous vasculature and source vessels was constructed. The accompanying arteries were observed to lie along the lateral antebrachial cutaneous nerve and the superficial branch of the radial nerve and to nourish the skin through cutaneous branches. Vascular communication among these cutaneous vessels was evaluated, to determine the cutaneous vascular territory of the radial forearm flap. This anatomical information facilitates flap design in the forearm region. Clinical experience regarding the usefulness of the reversed forearm island flap for hand reconstruction for a series of five patients is presented.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Hand Injuries - surgery</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Orthopedic surgery</subject><subject>Radial Artery</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgical Flaps - blood supply</subject><subject>Traumas. 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Injuries of the spine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Orthopedic surgery</topic><topic>Radial Artery</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgical Flaps - blood supply</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>DAPING YANG</creatorcontrib><creatorcontrib>MORRIS, Steven F</creatorcontrib><creatorcontrib>MAOLIN TANG</creatorcontrib><creatorcontrib>GEDDES, Christopher R</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Plastic and reconstructive surgery (1963)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>DAPING YANG</au><au>MORRIS, Steven F</au><au>MAOLIN TANG</au><au>GEDDES, Christopher R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reversed forearm island flap supplied by the septocutaneous perforator of the radial artery: Anatomical basis and clinical applications</atitle><jtitle>Plastic and reconstructive surgery (1963)</jtitle><addtitle>Plast Reconstr Surg</addtitle><date>2003-09-15</date><risdate>2003</risdate><volume>112</volume><issue>4</issue><spage>1012</spage><epage>1016</epage><pages>1012-1016</pages><issn>0032-1052</issn><eissn>1529-4242</eissn><abstract>The cutaneous perforators of the radial artery adjacent to the superficial branch of the radial nerve and the lateral antebrachial cutaneous nerve were investigated, and the vascular anatomical features of the reversed forearm island flap supplied by those accompanying perforators were documented. Ten fresh cadavers were systemically injected with lead oxide, gelatin, and water. Twenty forearms were then dissected, and an overall map of the cutaneous vasculature and source vessels was constructed. The accompanying arteries were observed to lie along the lateral antebrachial cutaneous nerve and the superficial branch of the radial nerve and to nourish the skin through cutaneous branches. Vascular communication among these cutaneous vessels was evaluated, to determine the cutaneous vascular territory of the radial forearm flap. This anatomical information facilitates flap design in the forearm region. Clinical experience regarding the usefulness of the reversed forearm island flap for hand reconstruction for a series of five patients is presented.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>12973216</pmid><doi>10.1097/01.prs.0000076192.14536.90</doi><tpages>5</tpages></addata></record> |
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source | MEDLINE; Journals@Ovid Complete |
subjects | Adult Biological and medical sciences Hand Injuries - surgery Humans Injuries of the limb. Injuries of the spine Male Medical sciences Orthopedic surgery Radial Artery Reconstructive Surgical Procedures - methods Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgical Flaps - blood supply Traumas. Diseases due to physical agents |
title | Reversed forearm island flap supplied by the septocutaneous perforator of the radial artery: Anatomical basis and clinical applications |
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