Description

The radial forearm or so-called 'Chinese' flap is a type C fasciocutaneous flap first described by Yang et al. in 1981 in China (43) (Fig. 43). The flap is an osteofas-ciocutaneous free flap but the fasciocutaneous portion is most often transferred

Figure 43 A partially harvested fasciocutaneous radial forearm flap showing its underlying anatomy. Note the cephalic vein, vascular pedicle, palmaris tendon, and antebrachial cutaneous nerve. The tendon is especially useful for lip reconstruction to support the free edge of the flap under the new lip.

Figure 43 A partially harvested fasciocutaneous radial forearm flap showing its underlying anatomy. Note the cephalic vein, vascular pedicle, palmaris tendon, and antebrachial cutaneous nerve. The tendon is especially useful for lip reconstruction to support the free edge of the flap under the new lip.

without attached bone due to the significant donor site morbidity associated with bone harvest. The fasciocutaneous component may be up to 10 cm in width by 20 cm in length depending on the available surface area of the volar forearm. It is possible to include a portion of the underlying radius bone (up to 40% of the circumference), making this a potential osteocutaneous flap. Harvesting the subcutaneous tissue in the proximal forearm adds significant additional bulk.

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