Mapping of radial artery

perforators vascularising the

Radial Forearm Flap
Students’ Scientific Group, Department of Cranio-
Maxillofacial Surgery, Oral Surgery and Implantology,
Medical University of Warsaw

Department of Forensic Medicine, Medical University

of Warsaw

Mateusz Celej, Michał Perkowski, Michał Kubiszyn

Microsurgery

Microsurgery classical instrumentary

 Microsurgery

Human hair

Needle

Microsopical sizes of needles and sutures used in

microsurgery procedures.
 The „Chinese Flap”

Yang MD who wasfirst

to describe the flap into
chinese literature
Introducing the Flap into the Western World
„The advantage of the flap is based on the constant anatomy, the big
vessels and nerves, the quality and quantity of the forearm skin as well
as the relatively thin layer of subcutaneous fat.”
Forearm flap with its various possibilities of application Stock W, Biemer E, Mühlbauer W.
Introducing the Flap into the Western World
„The advantage of the flap is based on the constant anatomy, the big
vessels and nerves, the quality and quantity of the forearm skin as well
as the relatively thin layer of subcutaneous fat.”
Forearm flap with its various possibilities of application Stock W, Biemer E, Mühlbauer W.
 Flap Anatomy

Allen’s Test
Superficial and deep
palmar arch
Flap Anatomy
Flap Anatomy
Flap Anatomy
Flap Anatomy
Flap Anatomy
Flap Anatomy

Vertical section of forearm.

Structures included in Radial
Forearm Free Flap marked
in red.
Flap Anatomy

Vertical section of forearm.

Structures included in Radial
Forearm Free Flap marked
in red.
Flap Preparation
Flap Preparation
Flap Preparation
Flap Preparation
 The Aim

The aim of this paper is to map radial artery

perforators vascularising
the Radial Forearm Flap
Material
Methods
Methods
Methods
Methods
Zdjęcie z perforatorami
Wynik zdjęcia ( zaznaczone perforatory)
 Results

Flap components devided according to number of perforators

could be rotated as necessary.
Results
Results
 Conclusion
•Revealed location and the quality of perforators

•Flap very versatile for tissue reconstruction

•Excellent vascularity promotes healing.

•The axis of the centered over the course of the radial

artery in order to harvest flap with the greatest
number of perforators.
 Conclusion
•Large number of perforators in the distal part of
forearm - desirable as a donor.

•Correct planning and elevation preferably starts

distally - perforators are the most numerous, flap
should be enlarged proximally.

•Allen’s test ,radial artery angiography necessary for

proper planning.
 Conclusion

Thank you for your attention!