The value of Allen's test in harvesting a radial forearm flap: correlation of ex-vivo angiography and histopathological findings

Mueller-Richter, U. D. A. and Driemel, O. and Moertl, M. and Schwarz, S. and Zorger, N. and Wagener, H. and Reichert, T. E. and Roldan, J. Camilo (2008) The value of Allen's test in harvesting a radial forearm flap: correlation of ex-vivo angiography and histopathological findings. INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 37 (7). pp. 672-674. ISSN 0901-5027,

Full text not available from this repository. (Request a copy)

Abstract

The radial forearm flap is one of the most commonly raised free flaps. inmost cases an Allen's test is sufficient for preoperative assessment of the palmar arch, but an intact palmar arch does not imply that the radial artery is suitable for microvascular anastomosis. For a patient operated for oral squamous cell carcinoma, reconstruction was planned with a radial forearm flap. The flap had to be discarded because of advanced atherosclerosis in the presence of a negative Allen's test. The correlation of an ex-vivo angiography and the histopathologic findings was assessed. In cases of expected vascular disease, further examinations like color flow Doppler ultrasound are recommended to ensure sufficient perfusion of the radial artery.

Item Type: Article
Uncontrolled Keywords: ARTERY HARVEST; PREOPERATIVE ASSESSMENT; HAND CIRCULATION; ULTRASONOGRAPHY; RECONSTRUCTION; Allen's test; radial forearm free flap; atherosclerosis; angiography; perfusion of the hand
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Mund-, Kiefer- und Gesichtschirurgie
Medicine > Lehrstuhl für Pathologie
Medicine > Lehrstuhl für Röntgendiagnostik
Depositing User: Dr. Gernot Deinzer
Date Deposited: 28 Oct 2020 10:23
Last Modified: 28 Oct 2020 10:23
URI: https://pred.uni-regensburg.de/id/eprint/30679

Actions (login required)

View Item View Item