Ulnar forearm free flaps in head and neck reconstruction: Systematic review of the literature and a case report

Abstract

This is the first and only systematic review of the literature to date of UFFF in head and neck reconstruction. Our review demonstrates that the UFFF rarely results in flap loss, donor site morbidity, or hand ischemia, instead providing enhanced outcomes. With its many surgeon-perceived advantages and minimal morbidity, the UFFF may become a preferred forearm flap for head and neck reconstruction.

Clinical Application of an Original Vascular Anastomosis: A Clinical Multicenter Study

“…The patency rate of artery anastomosis in the experimental group was nearly 100%. From the results of this study, we conclude that the Ren anastomosis is suitable for free anterolateral thigh flaps, 14,15 free fibula myocutaneous flaps, 16,17 and free forearm flaps, [18][19][20] which are all the most commonly used free flaps in the oral and maxillofacial region. Our team has preliminarily confirmed the advantages of the Ren anastomosis in the application of free anterolateral thigh flaps.…”

The radial forearm snake flap: A novel approach to oral cavity and oropharyngeal reconstruction that reduces forearm donor site morbidity

“…Although we advocate for primary closure of the donor‐site, many strategies have been developed to improve skin graft survival and should be considered in a patient with a large defect who is not a candidate for a radial forearm snake flap. The ulnar artery flap has been associated with decreased morbidity compared to the radial artery flap because it provides a better wound bed for skin graft adherence . This technique, however, requires great care to avoid injury to the ulnar nerve.…”

Reconstruction of maxillary defect with musculo‐adipose rectus free flap

“…The choice of free flap reconstructions for maxillary defects is predominantly determined by the volume required for replacement of the defect . In cases of small volume maxillary defect confined to hard palate, with mostly intact maxillary alveolar bone, reconstruction with fasciocutaneous free flap, such as radial forearm free flap, ulnar forearm free flap, or peroneal artery perforator flaps is adequate. Reconstruction of a medium to large maxillary defect ideally involves reconstruction of both the bony framework and the soft tissue with a composite flap, such as the vascularized iliac crest, fibula, or scapula; or soft tissue only reconstruction with good tissue bulk .…”