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Free arterialized venous forearm flap

M Yilmaz1, A Menderes, C Karaca

  • 1Department of Plastic and Reconstructive Surgery, Dokuz Eylül University School of Medicine, Izmir, Turkey.

Annals of Plastic Surgery
|January 1, 1995
PubMed
Summary

Free arterialized venous flaps offer a less bulky alternative to conventional methods, reducing donor-site morbidity. This technique successfully reconstructed a facial burn scar using a forearm flap with dual venous drainage.

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Area of Science:

  • Plastic Surgery
  • Regenerative Medicine
  • Microsurgery

Background:

  • Conventional flaps present limitations including donor-site morbidity and bulkiness.
  • The development of novel flap techniques is crucial for improving reconstructive surgery outcomes.
  • Arterialized venous flaps are being explored as a promising alternative.

Observation:

  • A free arterialized venous flap (12 x 8 cm) was harvested from the forearm.
  • The flap was transferred to a burn-scarred facial area.
  • The flap incorporated two parallel main veins, one for arterial inflow and one for venous outflow.

Findings:

  • The designed arterialized venous flap was not bulky.
  • The flap demonstrated reduced donor-site morbidity compared to conventional methods.

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  • The technique preserved major arteries by utilizing the forearm's rich venous network for perfusion and drainage.

    • Implications:

    • This arterialized venous flap technique offers a viable, less invasive option for facial reconstruction.
    • The flap's characteristics suggest potential for broader applications in reconstructive surgery.
    • Satisfactory operative and postoperative results indicate the technique's clinical efficacy.