重新审视桡侧前臂游离皮瓣以实现成功的静脉引流。
Revisiting radial forearm free flap for successful venous drainage.
作者信息
Cha Yong Hoon, Nam Woong, Cha In-Ho, Kim Hyung Jun
机构信息
Department of Oral and Maxillofacial Surgery, Yonsei University College of Dentistry, 708 Yonsei University Dental Hospital 50-1 Yonsei-ro, Seodaemoon-gu Seoul, 03722 South Korea.
出版信息
Maxillofac Plast Reconstr Surg. 2017 May 25;39(1):14. doi: 10.1186/s40902-017-0110-8. eCollection 2017 Dec.
Abstract
Tissue defect reconstruction using radial forearm free flap (RFFF) is a common surgical technique whose success or failure is mainly dependent on venous drainage. RFFF has two major venous outflow systems, superficial and deep vein. Drainage methods include combining both systems or using one alone. This review aims to recapitulate the vascular anatomy and network of RFFF as well as shed light on deep vein as a reliable venous drainage system. We also discuss basic evidence for and advantages of single microanastomosis with coalesced vein to overcome technical difficulties associated with the deep vein system.
摘要
使用桡侧前臂游离皮瓣（RFFF）进行组织缺损重建是一种常见的外科技术，其成败主要取决于静脉引流。RFFF有两个主要的静脉流出系统，即浅静脉和深静脉。引流方法包括联合使用这两个系统或单独使用其中一个。本综述旨在概述RFFF的血管解剖结构和网络，并阐明深静脉作为一种可靠的静脉引流系统。我们还讨论了采用静脉合并进行单显微吻合以克服与深静脉系统相关技术难题的基本证据和优势。
相似文献
1
Revisiting radial forearm free flap for successful venous drainage.
Maxillofac Plast Reconstr Surg. 2017 May 25;39(1):14. doi: 10.1186/s40902-017-0110-8. eCollection 2017 Dec.
2
"DO ONE, GET TWO": dual venous drainage of the radial forearm free flap by a single venous anastomosis.
Oral Maxillofac Surg. 2023 Jun;27(2):283-288. doi: 10.1007/s10006-022-01060-3. Epub 2022 Apr 23.
3
Improved venous drainage of the radial artery forearm free flap: use of the profundus cubitalis vein.
J Reconstr Microsurg. 1993 Jul;9(4):281-4; discussion 284-5. doi: 10.1055/s-2007-1006668.
4
Venous drainage of the radial forearm flap: comparison of the deep and superficial systems.
Ann Plast Surg. 2011 Apr;66(4):347-50. doi: 10.1097/SAP.0b013e3181f46631.
5
The venae comitantes clipping test for the evaluation of the venous drainage of the radial forearm free flap.
Microsurgery. 2016 Nov;36(8):647-650. doi: 10.1002/micr.22514. Epub 2015 Oct 27.
6
Superficial versus deep: options in venous drainage of the radial forearm free flap.
Ann Plast Surg. 1996 May;36(5):536-41.
7
Reliability of venous couplers for microanastomosis of the venae comitantes in free radial forearm flaps for head and neck reconstruction.
J Reconstr Microsurg. 2013 Sep;29(7):433-6. doi: 10.1055/s-0033-1343835. Epub 2013 Apr 15.
8
Reliability of the venae comitantes in venous drainage of the free radial forearm flaps.
Plast Reconstr Surg. 1998 Oct;102(5):1544-8. doi: 10.1097/00006534-199810000-00030.
9
Superficial versus deep system single venous anastomosis in the radial forearm free flap: a meta-analysis.
Int J Oral Maxillofac Surg. 2021 Jul;50(7):873-878. doi: 10.1016/j.ijom.2020.11.007. Epub 2020 Dec 5.
10
The communicating vein and its use in the radial forearm free flap.
Laryngoscope. 1996 May;106(5 Pt 1):648-51. doi: 10.1097/00005537-199605000-00025.
引用本文的文献
1
Changes on noncontrast magnetic resonance imaging following lymphatic surgery for upper extremity secondary lymphedema.
J Vasc Surg Venous Lymphat Disord. 2025 Jan;13(1):101962. doi: 10.1016/j.jvsv.2024.101962. Epub 2024 Aug 6.
2
Expanding Indications of the Medial Femoral Condyle Free Flap: Systematic Review in Head and Neck Reconstruction.
Plast Reconstr Surg Glob Open. 2023 Apr 5;11(4):e4925. doi: 10.1097/GOX.0000000000004925. eCollection 2023 Apr.
3
Tissue Transfer After Tongue Resection: Micro-Vascular Reconstruction Using Radial Artery Free Flap versus Reconstruction by Split Thickness Skin Graft in T2 Lesions of Tongue Carcinoma.
Indian J Otolaryngol Head Neck Surg. 2023 Jun;75(2):529-539. doi: 10.1007/s12070-022-03380-y. Epub 2022 Dec 17.
4
"DO ONE, GET TWO": dual venous drainage of the radial forearm free flap by a single venous anastomosis.
Oral Maxillofac Surg. 2023 Jun;27(2):283-288. doi: 10.1007/s10006-022-01060-3. Epub 2022 Apr 23.
5
Outcomes of Single Anastomoses for Superficial and Deep-System Venous Drainage of Radial Forearm Free Flaps.
OTO Open. 2021 Apr 26;5(2):2473974X211006927. doi: 10.1177/2473974X211006927. eCollection 2021 Apr-Jun.
6
Revascularized Fibula Free Flap Reconstruction and Curvilinear Transport Distraction Osteogenesis in Closure of Large Postmaxillectomy Defects: A New Gold Standard?
Ann Maxillofac Surg. 2020 Jul-Dec;10(2):304-311. doi: 10.4103/ams.ams_267_19. Epub 2020 Jul 2.
7
Supernumerary brachioradialis - Anatomical variation with magnetic resonance imaging findings: A case report.
World J Orthop. 2020 Sep 18;11(9):411-417. doi: 10.5312/wjo.v11.i9.411.
8
An important superficial vein of the radial aspect of the forearm: An anatomical study.
Indian J Plast Surg. 2018 May-Aug;51(2):231-234. doi: 10.4103/ijps.IJPS_19_18.
9
The supraclavicular artery island flap: a salvage option for head and neck reconstruction.
Maxillofac Plast Reconstr Surg. 2018 Oct 4;40(1):25. doi: 10.1186/s40902-018-0165-1. eCollection 2018 Dec.
本文引用的文献
1
Single Superficial versus Dual Systems Venous Anastomoses in Radial Forearm Free Flap: A Meta-Analysis.
PLoS One. 2015 Aug 13;10(8):e0134805. doi: 10.1371/journal.pone.0134805. eCollection 2015.
2
Reliability of the superficial venous drainage of the radial forearm free flaps in oral and maxillofacial reconstruction.
Microsurgery. 2008;28(4):243-7. doi: 10.1002/micr.20489.
3
Importance of the deep vein in the drainage of a radial forearm flap: a haemodynamic study.
Scand J Plast Reconstr Surg Hand Surg. 2003;37(3):145-9.
4
Short-term postoperative flow changes after free radial forearm flap transfer: possible cause of vascular occlusion.
Ann Plast Surg. 2003 Feb;50(2):160-4. doi: 10.1097/01.SAP.0000037264.92535.AC.
5
Reliability of the venae comitantes in venous drainage of the free radial forearm flaps.
Plast Reconstr Surg. 1998 Oct;102(5):1544-8. doi: 10.1097/00006534-199810000-00030.
6
An anatomical study on the forearm vascular system.
J Craniomaxillofac Surg. 1996 Oct;24(5):293-9. doi: 10.1016/s1010-5182(96)80062-x.
7
Single versus dual venous drainage of the radial forearm free flap.
Am J Otolaryngol. 1996 Mar-Apr;17(2):112-7. doi: 10.1016/s0196-0709(96)90006-x.
8
Superficial versus deep: options in venous drainage of the radial forearm free flap.
Ann Plast Surg. 1996 May;36(5):536-41.
9
Surgical patterns of venous drainage of the free forearm flap in head and neck reconstruction.
Plast Reconstr Surg. 1994 Jan;93(1):54-9. doi: 10.1097/00006534-199401000-00008.
10
The forearm flap.
Clin Plast Surg. 1982 Jan;9(1):21-6.
Zotero 插件