ABSTRACT
The combined scapular parascapular flap was used for coverage of six high voltage electrical burn defects of upper extremity. The flaps resurfaced the exposed tendon, nerve, bone or blood vessels on the volar and dorsal side of the distal forearm and the hand. In all cases successful soft tissue coverage and wound healing was achieved. After the stabilisation of the wounds, secondary reconstructive procedures, such as nerve grafting, tendon grafting, tendon transfers were performed. Nerve healing and tendon gliding was found to be successful under the flap.
Subject(s)
Burns, Electric/surgery , Forearm Injuries/surgery , Surgical Flaps , Adult , Burns, Electric/pathology , Follow-Up Studies , Forearm Injuries/pathology , Humans , Male , Middle Aged , ScapulaABSTRACT
The radial forearm free flap is an ideal transfer for intraoral reconstruction because of its large vessels and pliable nature. In the case presented, a proximally-based forearm flap was transferred for reconstruction of an intraoral defect in the buccal and retromolar region after carcinoma resection, but there was no venous flow from either cephalic vein or venae comitantes following completion of the arterial anastomosis. In order to reduce the congestion in the flap, an end-to-end anastomosis between the distal end of the radial artery and the ipsilateral lingual vein was performed. Despite the absence of venous return, flap survival was complete.
