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首页> 外文期刊>International journal of oral and maxillofacial surgery >Dealing with vascular anomalies during radial forearm free flap harvest: report of two cases and review of the literature
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Dealing with vascular anomalies during radial forearm free flap harvest: report of two cases and review of the literature

机译：在径向前臂免费襟翼收获期间处理血管异常：两种病例报告和文学审查

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摘要

Radial forearm free flap reconstruction for head and neck cancer is very common, and it is widely considered a workhorse flap. Although this flap has a relatively reliable anatomy, surgeons need to be aware of possible anatomical variations and how to deal with them. This paper presents the cases of (t)wo patients who underwent oral reconstruction, in whom anomalies of the radial artery were identified while raising a radial forearm free flap. Case 1 demonstrates the dominant branch of the radial artery joining the common interosseous artery approximately 9 cm from the first wrist crease. Case 2 demonstrates abnormal distal branching of the radial artery approximately 4 cm from the first wrist crease. Reconstruction with the flap was successful in both cases. A literature review of reported anomalies of the radial artery is presented, and how to deal with such vascular anomalies is discussed.
机译：头部和颈部癌症的径向前臂自由襟翼重建是非常普遍的，它被广泛认为是一个翼展的翼片。 虽然这片襟翼有一个相对可靠的解剖学，但外科医生需要了解可能的解剖变化以及如何处理它们。 本文介绍了（T）正在进行口服重建的患者的病例，在提高径向前臂自由翼片的同时鉴定了桡动脉的异常。 案例1证明了径向动脉的主要分支，从第一个手腕折痕中大约9厘米的常见肾间动脉加入约9厘米。 案例2显示径向动脉的异常远端分支，径向动脉大约4厘米从第一腕部折痕。 两种情况下，与襟翼的重建成功。 提出了报告的桡动脉的异常的文献综述，并讨论了如何处理这种血管异常。

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