Use of Medial Arm Skin as a Free Flap

Abstract

A medial arm free flap is a plausible reconstructive option with good knowledge of the anatomical variations, as the defect on the medial arm is cosmetically more acceptable and has a better color match for head and neck reconstructions.

The medial arm pedicled perforator flap: Application of phenomenon of one perforator perfusing multiple perforator angiosomes

“…Through the anastomotic connection between the PURA and superior ulnar collateral artery (SUCA), the PURA can reliably perfuse the medial arm skin via one or two cutaneous perforators arising from the SUCA [3]. Anatomic studies have demonstrated that there exists a row of five or six cutaneous perforator arteries along the medial intermuscular septum in the medial arm [4][5][6][7]. Based on the work of Maruyama et al, we postulate that there exists the phenomenon of one perforator artery perfusing multiple perforator angiosomes in the medial arm.…”

Arteria Braquial Superficial Bilateral: Una Variación Anatómica Infrecuente con Implicancias Clínicas y Quirúrgicas

“…Sin embargo, su existencia también puede ser beneficiosa, ya que es más accesible para realizar una adecuada cateterización (Patnaik et al) o puede ser útil como arteria que nutra un injerto libre de la región braquial medial (Karamürsel et al, 2005).…”

Medial elbow reconstruction with perforator based medial arm propeller flap

“…Another study determined that the medial arm skin blood supply originates from the superior ulnar collateral artery, direct cutaneous artery, brachial artery and the superficial brachial artery [22]. An anatomic study determined that there are two areas, 7.5 and 8.2 cm, proximal to the medial epicondyle in the medial arm.…”

“…Anatomic studies have been made related to define the localization of the flap perforators [8,[20][21][22]. However, it is still not known exactly how much tissue can be supplied proximally with these perforators.…”

“…Perforators of the flap arise from the superior ulnar collateral artery and the brachial artery [8,[20][21][22]. The propeller flap was designed on a perforator with the greatest pulsation.…”