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An anatomical study on the forearm vascular system

H Shima1, K Ohno, K Michi

  • 1First Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University, Japan.

Journal of Cranio-Maxillo-Facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery
|October 1, 1996
PubMed
Summary

This study details the anatomical measurements of forearm vessels in Japanese cadavers to support the use of radial forearm flaps in reconstructive surgery. Findings clarify vessel diameters and lengths, crucial for successful free flap procedures.

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Area of Science:

  • Anatomy
  • Vascular Surgery

Background:

  • The radial forearm flap is a common reconstructive technique.
  • Understanding the detailed anatomy of forearm vessels is essential for flap viability.

Purpose of the Study:

  • To establish the clinicoanatomical basis for the radial forearm flap.
  • To provide morphometric data on forearm vessels for free forearm flap applications.

Main Methods:

  • A morphometric investigation was conducted on 52 Japanese cadavers.
  • Measurements included the diameter and length of key forearm arteries and veins.

Main Results:

  • Mean inner diameter of cephalic vein: 1.9 ± 1.2 mm; median cubital vein: 1.8 ± 1.1 mm.
  • Mean inner diameter of radial artery: 2.3 ± 0.5 mm; venae comitantes: 1.6 ± 0.5 mm.

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  • Longest superficial vein segment measured 28.7 ± 4.6 cm; radial artery length: 18.1 ± 1.7 cm. Fewer valves were noted proximally.

    • Conclusions:

    • The study clarifies clinicoanatomical considerations for forearm vessels.
    • This data provides a foundation for the successful application of the free forearm flap.