Clinics and Practice, Volume 15, Issue 1
2025 January - 22 articles
Cover Story: This case report describes a unique instance of intraoral reconstruction using a pedicled radial forearm flap due to an unexpectedly high origin of the radial artery. A 56-year-old woman with sublingual squamous cell carcinoma underwent surgical resection and planned reconstruction with a radial forearm free flap (RFFF). Preoperative assessments, including ultrasound and the Allen test, indicated normal vascular anatomy. However, during surgery, the radial artery was found to originate near the axillary region; hence, the RFFF was converted into a pedicled flap, tunneled subcutaneously to the cervical region and successfully used for reconstruction. This rare anatomical variation underscores the need for comprehensive preoperative imaging to identify vascular anomalies that may alter surgical planning and highlights the adaptability of the RFFF in challenging scenarios. View this paper - Issues are regarded as officially published after their release is announced to the table of contents alert mailing list .
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