{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T16:29:34Z","timestamp":1754152174965,"version":"3.41.2"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T00:00:00Z","timestamp":1753056000000},"content-version":"vor","delay-in-days":20,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Upper limb anatomical anomalies and variation are common and have frequently been documented in literature. As forearm is a common site for flap harvest, these anomalies play a critical role in planning, designing, and harvesting a flap. We planned an ulnar forearm flap for head and neck reconstruction. During flap harvest, it was noted that there is a persistent median artery supplying perforators to ulnar side skin and ulnar artery was absent. We then modified our design and based our free flap on median artery. This case report describes this free median artery flap utilized for head and neck reconstruction.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf433","type":"journal-article","created":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T18:03:39Z","timestamp":1753121019000},"source":"Crossref","is-referenced-by-count":0,"title":["The median artery forearm free flap: an anatomic anomaly transformed into a surgical opportunity"],"prefix":"10.1093","volume":"2025","author":[{"given":"Sobia","family":"Yasmeen","sequence":"first","affiliation":[{"name":"Department of Surgery, Section of Plastic Surgery, Aga Khan University Hospital , National Stadium Road, Karachi 74800, Sindh ,","place":["Pakistan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Obaid Ur","family":"Rahman","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery , , National Stadium Road, Karachi 74800, Sindh ,","place":["Pakistan"]},{"name":"Liaquat National Hospital , , National Stadium Road, Karachi 74800, Sindh ,","place":["Pakistan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hassan","family":"Tahir","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery , , National Stadium Road, Karachi 74800, Sindh ,","place":["Pakistan"]},{"name":"Liaquat National Hospital , , National Stadium Road, Karachi 74800, Sindh ,","place":["Pakistan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rabia","family":"Anwar","sequence":"additional","affiliation":[{"name":"Shaheed Mohtarma Benazir Bhutto Institute of Trauma (SMBBIT) , Chand Bibi Road, Karachi 74200, Sindh ,","place":["Pakistan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad Imran","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery , , National Stadium Road, Karachi 74800, Sindh ,","place":["Pakistan"]},{"name":"Liaquat National Hospital , , National Stadium Road, Karachi 74800, Sindh ,","place":["Pakistan"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,7,21]]},"reference":[{"key":"2025072114032805000_ref1","first-page":"473","article-title":"An anatomical study and ontogenetic explanation of twenty-three cases with variations in the main pattern of the human brachio-antebrachial arteries","volume":"187","author":"Rodriguez-Baeza","year":"1995","journal-title":"J Anat"},{"key":"2025072114032805000_ref2","doi-asserted-by":"publisher","first-page":"446","DOI":"10.1016\/S0002-9610(05)80096-0","article-title":"The radial forearm free flap for head and neck reconstruction: a review","volume":"168","author":"Evans","year":"1994","journal-title":"Am J Surg"},{"key":"2025072114032805000_ref3","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1002\/micr.22122","article-title":"Ulnar forearm free flaps in head and neck reconstruction: systematic review of the literature and a case report","volume":"34","author":"Antony","year":"2014","journal-title":"Microsurgery"},{"key":"2025072114032805000_ref4","doi-asserted-by":"publisher","first-page":"189","DOI":"10.1054\/jcms.2002.0300","article-title":"An unusual anomaly of the radial artery with potential significance to the forearm free flap. 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