At the 24-month follow-up, he had experienced no further adverse events in his hand or in the revascularized free-tissue transfer.
During 1998, 69 patients underwent either fasciocutaneous or osteofasciocutaneous radial forearm free-tissue transfers at our institution.
Our purpose in studying this small cohort was to identify some of the potential problems that can be encountered while performing radial forearm free-tissue transfers in patients with Raynaud's phenomenon.
From January through December 1998, we performed 69 fasciocutaneous or osteofasciocutaneous radial forearm free-tissue transfers during a variety of head and neck reconstructions at the University of Michigan Medical Center and the Ann Arbor Veterans Administration Hospital.
Among the three patients, a total of four microvascular free-tissue transfers had been performed: one patient underwent two radial fasciocutaneous free-flap procedures (patient 1), one patient underwent a single radial fasciocutaneous free-flap procedure (patient 2), and the other underwent a single radial osteofasciocutaneous free-flap procedure (patient 3).