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 s Age s Co-existing Diseases s Nutritional Status s Defect Status

5. Preoperative Planning s Allen Test s Defect assessment

6. Anatomy of Radial Forearm Flap

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

8. Advantages s Two team approach s Sensory innervation s Flexibility

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

10. RECTUS ABDOMINIS FREE FLAP

11. Patient Selection s Prior Abdominal Surgery s Obesity s Nutritional Factors

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

13. Anatomy of Rectus Abdominis Free Flap

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

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

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

17. SUMMARY AND CONCLUSION