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A radial forearm free flap is one way of filling a hole which is
left when a cancer has been removed. It is one of the most common
ways of replacing tissue in the head and neck, particularly after
mouth cancers have been removed. It can be used to replace large
parts of the mouth and has the advantage that when it heals it does
not shrink so that hopefully speech and swallowing will not be
greatly affected. For the procedure, a surgeon takes a piece of
skin from the inside surface of the patient's forearm near the
wrist. The skin and fat layer in this region are removed (the flap)
along with two blood vessels, one of which supplies blood to the
flap (the artery) and one of which drains blood from it (the vein).
The vessel which supplies blood to the flap is the artery which
gives rise to the pulse at the wrist at the base of the thumb. Once
the flap of skin is raised it is transferred to the head and neck
and sewn into the hole created by the removal of the cancer. The
blood vessels supplying and draining the flap are then joined to
blood vessels in the neck under a microscope. These blood vessels
then keep the flap alive while it heals into its new place. Once
the flap is removed from the forearm the hole created is covered
with a graft of skin. This graft of skin can be taken from one of
several places. Commonly a thin piece of skin is shaved from the
arm above the elbow. Alternatively, some skin will be borrowed from
the stomach. This highly illustrated colour atlas is a
comprehensive guide to head and neck reconstruction using free
radial artery forearm flap. Beginning with an introduction to the
history of the technique and its advantages and disadvantages, the
book then provides step by step guidance on surgical anatomy, pre-
and post-operative care, surgical procedures, and potential
complications. A selection of case studies is included to assist
learning. Key points Colour atlas explaining radial forearm free
flap for head and neck reconstruction Presented as step by step
guide through procedures and pre- and post-operative care Includes
case studies to assist learning Highly illustrated with surgical
images and diagrams
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