The antecubital fascio-cutaneous flap

A clinical case is reported in which a fascio-cutaneous forearm pedicled flap was used. The flap was based on the previously described inferior cubital artery. Anatomical studies suggested that this vessel could be the basis for a fascio-cutaneous free flap possessing an exceptionally long vascular pedicle. This flap is described and its implications discussed in relation to the radial forearm (Chinese) flap.