1. RADIAL FOREARM AND RECTUS ABDOMINIS FREE FLAP RECONSTRUCTION
Ravi Pachigolla, MD
Anna Pou, MD

2. History of Microvascular Free Flap Reconstruction

3. Radial Forearm Free Flap Reconstruction

4. Patient Selection Age Co-existing Diseases Nutritional Status
Defect Status

5. Preoperative Planning
Allen Test
Defect assessment

6. Anatomy of Radial Forearm Flap

7. Flap elevation Tourniquet Two team approach Pedicle length
Sensory innervation

8. Advantages
Two team approach
Sensory innervation
Flexibility

9. Disadvantages Need for skin graft Sensory loss
Occasional functional deformity
Dominant Radial Artery

10. RECTUS ABDOMINIS FREE FLAP

11. Patient Selection
Prior Abdominal Surgery
Obesity
Nutritional Factors

12. Flap Elevation Large Skin Paddle
Preservation of Anterior Rectus Fascia below arcuate line

13. Anatomy of Rectus Abdominis Free Flap

14. Advantages Two team approach Large skin paddle
Reliable Surgical Technique
Large vessel Diameter

15. Disadvantages Potential for hernia formation Skin overly thick
No sensory innervation

16. POTENTIAL RECIPIENT SITES
Oromandibular Defects
Cranial Base Defects
Lip Defects
Facial Defects

17. SUMMARY AND CONCLUSION