Vascular anomalies of the forearm can impact the planning and elevation of fasciocuteanous flaps from this region. This report describes the elevation of a free forearm flap based on an anomalous persistent median artery for a case of oropharyngeal reconstruction. The incidence, embryology and significance of vascular anomalies with respect to the forearm flap are reviewed.
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Davidson et al. (2009) studied this question.
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