Minimal-access technique for harvest of the radial forearm flap

The radial forearm flap has been widely used for reconstructions of the head and neck since it was first described by Yang et al. in 1981.1 It has a long vascular pedicle, predictable anatomy, and is easy to harvest. With the advent of perforator flaps (anterolateral thigh and medial sural), the primacy of the radial forearm flap has been challenged.2 It is likely, however, that it will remain necessary on rare occasions, such as when double paddles of thin pliable skin are required,3 or when small vascularised segments of bone are needed for structural support.

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