British Journal of Oral and Maxillofacial Surgery
Volume 48, Issue 6 , Pages 423-426 , September 2010

Duplex in the assessment of the free radial forearm flaps: Is it time to change practice?

  • K. Ganesan

      Affiliations

    • Department of Oral and Maxillofacial Surgery, Leeds Teaching Hospitals NHS Trust, Clarendon Way, Leeds LS2 9LU, United Kingdom
    • ,
  • L. Stead

      Affiliations

    • Leeds General Infirmary, Leeds LS2 9LU, United Kingdom
    • ,
  • A.B. Smith

      Affiliations

    • Leeds Institute of Health Sciences, Charles Thackrah Building, Clarendon Road, University of Leeds, Leeds LS2 9LJ, United Kingdom
    • ,
  • T.K. Ong

      Affiliations

    • Leeds General Infirmary, Leeds LS2 9LU, United Kingdom
    • ,
  • D.A. Mitchell

      Affiliations

    • Oral and Facial Specialties Department, Pinderfields General Hospital, Aberford Road, Wakefield WF1 4DG, United Kingdom
    • ,
  • A.N. Kanatas

      Affiliations

    • Oral and Maxillofacial Department, Leeds Dental Institute, Great George Street, Leeds LS2 9LU, United Kingdom
    • Corresponding Author InformationCorresponding author. Tel.: +44 1423549074.

,Accepted 18 August 2009.

References 

  1. Soutar DS, Scheker LR, Tanner NS, McGregor IA. The radial forearm flap: a versatile method for intra-oral reconstruction. Br J Plast Surg. 1983;36:1–8
  2. Heller F, Wei W, Wei FC. Chronic arterial insufficiency of the hand with fingertip necrosis 1 year after harvesting a radial forearm free flap. Plast Reconstr Surg. 2004;114:728–731
  3. Allen EV. Thromboangiitis obliterans: methods of diagnosis of chronic occlusive arterial lesions distal to the wrist with illustrative cases. Am J Med Sci. 1929;2:1–8
  4. Jarvis MA, Jarvis CL, Jones PRM, Spyt TJ. Reliability of Allen's test in selection of patients for radial artery harvest. Ann Thorac Surg. 2000;70:362–365
  5. In:  Fronek A editors. Noninvasive diagnostics in vascular disease. New York: McGraw-Hill; 1989;p. 309–313
  6. Emerson DJ, Sprigg A, Page RE. Some observations on the radial artery island flap. Br J Plast Surg. 1985;38:107–112
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  9. McCormack LJ, Cauldwell EW, Anson BJ. Brachial and antebrachial arterial patterns; a study of 750 extremities. Surg Gynecol Obstet. 1953;96:43–54
  10. Fatah MF, Nancarrow JD, Murray DS. Raising the radial artery forearm free flap: the superficial ulnar artery “trap”. Br J Plast Surg. 1985;38:394–395
  11. Small JO, Millar R. The radial artery forearm flap: anomaly of the radial artery. Br J Plast Surg. 1985;38:501–503
  12. Funk GF, Valetino J, McCulloch TM, Graham SM, Hoffman HT. Anomalies of forearm vascular anatomy encountered during elevation of the radial forearm flap. Head Neck. 1995;17:284–292
  13. Jones BM, O’Brien CJ. Acute ischaemia of the hand resulting from elevation of a radial forearm flap. Br J Plast Surg. 1985;38:396–397
  14. Wong AY, O’Regan AM. Gangrene of digits associated with radial artery cannulation. Anaesthesia. 2003;58:1034–1035
  15. Lee MK, Lee O, Kong MH, Han SK, Lim SH. Surgical treatment of digital ischemia occurred after radial artery catheterization. J Korean Med Sci. 2001;16:375–377
  16. Dotter CT, Rosch J, Erlandson M, Buschman RW, Ogilvie R. Iopamidol arteriography: discomfort and pain. Radiology. 1985;155:819–821
  17. Thomson PJ, Musgrove BT. Preoperative vascular assessment: an aid to radial forearm surgery. Br J Oral Maxillofac Surg. 1997;35:419–423
  18. Futran ND, Stack BC, Zaccardi MJ. Preoperative color flow Doppler imaging for fibula free tissue transfers. Ann Vasc Surg. 1998;12:445–450
  19. Smith RB, Thomas RD, Funk GF. Fibula free flaps: the role of angiography in patients with abnormal results on preoperative color flow Doppler studies. Otolaryngol Head Neck Surg. 2003;129:712–715
  20. Kerawala CJ, Martin IC. Palmar arch backflow following radial forearm free flap harvest. Br J Oral Maxillofac Surg. 2003;41:157–160
  21. Yang GF, Chen PJ, Gao YZ, Liu XY, Li J, Jiang SX, et al. Forearm free skin flap transplantation: a report of 56 cases. 1981. Br J Plast Surg. 1997;50:162–165
  22. Ashworth DR, Whear NM, Fan V. Radial free flaps using loupe magnification: audit of 97 cases of orofacial reconstruction. Br J Oral Maxillofac Surg. 2004;42:36–37

PII: S0266-4356(09)00542-7

doi: 10.1016/j.bjoms.2009.08.028

British Journal of Oral and Maxillofacial Surgery
Volume 48, Issue 6 , Pages 423-426 , September 2010

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