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To supply sensation, the flap will be harvested with the superficial radial nerve or the medial or lateral antebrachial cutaneous nerves. This flap is particularly helpful as a free flap in head and neck reconstruction. In addition, it is used frequently for protection within the hand primarily based on retrograde flow. One disadvantage is the conspicuous donor site. During dissection, careful preservation of the paratenon over the tendons is necessary for later skin grafting if the dimensions of the flap preclude major closure.
This flap has been described with a section of radial artery to create a vascularized bone graft and has been described as a fascia-solely flap. The ulnar artery forearm flap, located on the ulnar facet of the forearm, is predicated on the septocutaneous perforators of the ulnar artery, which has a diameter of 2.5-3.Zero cm. It is just like the radial forearm flap and may be dissected to include bone, nerve, or a musculotendinous unit.5 Use this flap as a free flap or as a pedicled flap for protection of the higher extremity.
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