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J Reconstr Microsurg 2002; 18(7): 585-588
DOI: 10.1055/s-2002-35096
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Free Radial Forearm Osteocutaneous Perforator Flap for Reconstruction of Total Nasal Defects

Isao Koshima1 , Tetsuya Tsutsui1 , Yuzaburo Nanba1 , Yoshio Takahashi1 , Ken Akisada2
  • 1Department of Plastic and Reconstructive Surgery, Graduate School of Medicine and Dentistry, Okayama University, Okayama City, Japan
  • 2Department of Otolaryngology, Kawasaki Medical School, Okayama, Japan
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Publication History

Publication Date:
29 October 2002 (online)

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ABSTRACT

A case in which a radial forearm osteocutaneous perforator flap was successfully transferred for one-stage reconstruction of total nasal loss is described. This thin flap consists of vascularized radial bone, superficial adiposal tissue, and no deep fascia. It is nourished by a single perforator of the radial artery and a cutaneous vein. The advantages of this flap are minimal donor-site morbidity, easy reconstruction for preservation of the radial arterial system, and no need for longer dissection through the radial artery. The donor defect can be repaired with a flow-through flap, such as an anterolateral thigh flap or a latissimus dorsi perforator flap.

KEYWORDS

Free radial forearm osteocutaneous perforator flap - total nasal defect repair

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