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Free Ulnar Forearm Flap

Design, Elevation, and Utility in Microvascular Nasal Lining Reconstruction

Kantar, Rami S., M.D.; Rifkin, William J., B.A.; Cammarata, Michael J., B.S.; Diaz-Siso, J. Rodrigo, M.D.; Farber, Scott J., M.D.; Rodriguez, Eduardo D., M.D., D.D.S.

Plastic and Reconstructive Surgery: December 2018 - Volume 142 - Issue 6 - p 1594–1599
doi: 10.1097/PRS.0000000000005069
Reconstructive: Head and Neck: Video+

Summary: Reconstruction of the nasal lining has traditionally been performed using the folded radial forearm free flap, given its reliable blood supply, pliability, and familiarity to surgeons with respect to its harvest. More recently, the free ulnar forearm flap has been proposed as an alternative reconstructive option for the nasal lining, with safe and reliable outcomes, and improved donor-site morbidity compared with its radial counterpart. In this article, the authors provide educational video footage with accompanying text description of the senior author’s (E.D.R) approach to design and elevation of the free ulnar forearm flap for the purpose of reconstructing a composite nasal defect.


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New York, N.Y.

From the Hansjörg Wyss Department of Plastic Surgery, New York University Langone Health.

Received for publication January 19, 2018; accepted July 7, 2018.

Disclosure: The authors have no financial relationships to disclose in relation to the content of this article.

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Eduardo D. Rodriguez, M.D., D.D.S., Hansjörg Wyss Department of Plastic Surgery, New York University Langone Health, 303 East 33rd Street, New York, N.Y. 10016,

©2018American Society of Plastic Surgeons