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Table of Contents
Vol. 16, No. 5, 2007
Issue release date: August 2007
Section title: Original Paper

Open Access Gateway

Med Princ Pract 2007;16:394–398

Application of Lateral Arm Free Flap in Oral and Maxillofacial Reconstruction following Tumor Surgery

Song X. · Yuan Y. · Tao Z. · Wu H. · Yuan H. · Wu Y.
Department of Oral and Maxillofacial Surgery, Stomatological College, Nanjing Medical University, Nanjing, China
email Corresponding Author

Dr. Yu-nong Wu

No. 136 Hanzhong Avenue

Nanjing, Jiangsu Province 210029 (China)

Tel. +86 25 8503 1871, Fax +86 25 8651 6414

E-Mail sxm2081@163.com

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Objective: To describe the application of lateral arm free flap (LAFF) in reconstruction of defects in the oral and maxillofacial regions following ablative oncological surgery. Subjects and Methods: The study included 16 patients (13 male, 3 female, mean age 56, range 35–69 years). Sixteen LAFF were harvested to reconstruct defects caused by the dissection of malignant tumors of the oral and maxillofacial regions. The tumor was squamous cell carcinoma of the tongue (6 cases), floor of the mouth (4), retromolar area (3), inner cheek (2), and lower gingival (1). Flap sizes ranging from 5 × 7 to 6 × 9 cm were harvested using a sterile tourniquet for bloodless technique. The anastomoses were carried out using a magnifier or microscope. All donor defects were closed primarily. Results: Fourteen flaps healed without venous insufficiency. One flap, in a female patient, survived with mild local microcirculatory obstruction but that of another female patient developed necrosis. There was no significant complication at the donor sites. The advantages of this flap include anatomically reliable vascular supply, accessible donor site, and the aesthetic quality of donor tissue is good. Compared with the radial artery, the posterior radial collateral artery is a nonessential vessel of the arm. The disadvantages are the relatively smaller vessel size for anastomosis and thicker subcutaneous tissue. Conclusions: For the repair of moderate-sized defects of the maxillofacial area, especially in male patients, the LAFF can be recommended.

© 2007 S. Karger AG, Basel

Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: May 02, 2006
Accepted: October 31, 2006
Published online: August 17, 2007
Issue release date: August 2007

Number of Print Pages: 5
Number of Figures: 5
Number of Tables: 1

ISSN: 1011-7571 (Print)
eISSN: 1423-0151 (Online)

For additional information: http://www.karger.com/MPP

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