Since the first report of radial forearm free
flap which was reported in 1982 by Song et al1 it has been a mainstay of reconstructive surgery.
Axial pattern pedicled
flaps (Radial forearm, reversed ulnar artery and posterior interosseous
flaps) are used to cover defects of the palmar and dorsal surface of the hand.
These are
flaps derived from tissue not directly adjacent to the defect that are perfused by named, reliable vessels.
Generally, these periods are significantly shorter in patients who are treated with
flaps than in those who are left for primary closing or secondary healing.
There is no clear description of the locations or the size of the
flaps.
Type I muscle
flaps are defined by a single vascular pedicle, while type II muscle
flaps represent a dominant pedicle(s) and minor pedicle(s).
On approach with
flaps selected to approach position, the indicator showed no movement and after a visual check, the
flaps were still in the up position.
The remaining studies outlined in table 1 are cases that, for the most part, are listed complications in large retrospective studies of free
flaps, or are individual case reports.
Advances in micro-surgical techniques allowed free
flaps to emerge as an additional and possibly superior option for scalp reconstruction2.
The incidence of lingual nerve injury in study group, where both lingual and buccal
flap were raised, was 12.5% whereas in control group, where only buccal
flap was raised, the incidence of lingual nerve injury was 6.25%.