Pedicled Forearm Fasciocutaneous Flap for Tracheal Reconstruction: Anomalous Radial Vasculature Preventing Free-Flap.

The Journal of craniofacial surgery 2023 Vol.34(5) p. e493-e495

Meyer C, McLean J, Higley T, Holcomb AJ, Militsakh O, Osmolak A

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Abstract

A 61-year-old female presented with poorly differentiated thyroid carcinoma with anterior tracheal wall invasion. Following resection, the patient was to undergo anterior tracheal wall reconstruction with a radial forearm fasciocutaneous free flap and costal cartilage grafts. However, intraoperative identification of a "brachioradial artery" was identified with the deep radial and ulnar arteries completely separated from the radial artery. To maximize the chance for flap success, the fasciocutaneous flap was converted to a pedicled rotational flap with excellent results. This is the first pedicled radial forearm fasciocutaneous flap for composite reconstruction of the anterior trachea.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
시술 flap 피판재건술 dict 6
시술 free flap 피판재건술 dict 1
해부 costal cartilage grafts scispacy 1
해부 brachioradial artery scispacy 1
합병증 fasciocutaneous flap scispacy 1
재료 costal cartilage 늑연골 dict 1
질환 thyroid carcinoma C0549473
Thyroid carcinoma
scispacy 1
기타 Pedicled Forearm Fasciocutaneous Flap scispacy 1
기타 Tracheal scispacy 1
기타 Free-Flap scispacy 1
기타 female scispacy 1
기타 anterior tracheal wall scispacy 1
기타 patient scispacy 1
기타 ulnar arteries scispacy 1
기타 forearm fasciocutaneous scispacy 1
기타 anterior trachea scispacy 1

MeSH Terms

Female; Humans; Middle Aged; Free Tissue Flaps; Forearm; Plastic Surgery Procedures; Ulnar Artery; Trachea

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