Donor-Site Morbidity of the Sensate Extended Lateral Arm Flap

Depner, Christian; Erba, Paolo; Rieger, Ulrich M.; Iten, Fabienne; Schaefer, Dirk J.; Haug, Martin

doi:10.1055/s-0031-1289165

Cited by 12 publications

(14 citation statements)

References 21 publications

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“…Gellrich [6] revealed sensory disturbance as a common complication (61.4 %) at the donor site, which may be related to nerve injury. Depner [18] suggested that numbness and hypoesthesia could occur even though the posterior arm or forearm cutaneous nerves were preserved, but it would be gradually relieved. Graham and Thankappan [5,19] reported that the main complication at the LAFF donor site was an obvious scar on the lateral arm and lateral epicondyle pain.…”

Section: Discussionmentioning

confidence: 99%

Use of Extended Lateral Upper Arm Free Flap for Tongue Reconstruction After Radical Glossectomy for Tongue Cancer

et al. 2015

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This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

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Section: Discussionmentioning

confidence: 99%

Use of Extended Lateral Upper Arm Free Flap for Tongue Reconstruction After Radical Glossectomy for Tongue Cancer

et al. 2015

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“…5,6 Skin grafting is often a simple and cost-effective option for wound coverage. In a retrospective review of 123 classical lateral arm flaps, donor-site morbidity was found to be minimal and most commonly consisted of dissatisfaction with a visible scar on the lateral arm.…”

Section: Discussionmentioning

confidence: 99%

“…First described by Song et al in 1982, 1 the lateral arm f lap is based on the posterior branch of the radial collateral artery in the lateral intermuscular septum of the upper arm. 5, 6 The f lap may be designed up to 10 cm in length and 6 cm in width to allow for primary closure. 2Y4 The lateral arm f lap has found increasing use for small to medium-sized defects due to its thin and pliable nature, reliable harvest, and minimal donor-site morbidity.…”

mentioning

confidence: 99%

The Pedicled Lateral Arm Flap for Oncologic Reconstruction Near the Shoulder

Jordan¹,

Wayne²,

Dumanian³

2015

Annals of Plastic Surgery

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Oncologic resections near the shoulder create challenging reconstructive problems. In addition to severe contour defects and the risk for functional deficits resulting from contractures, there may be exposed bone and peripheral nerves rendering simple skin graft closures suboptimal long term. The lateral arm flap is a versatile septofasciocutaneous flap based on the posterior branch of the radial collateral artery in the lateral intermuscular septum of the upper arm. This paper details our experience with 3 patients who underwent wide local excision or radical resection of soft tissue tumors of the upper arm and closure with pedicled lateral arm fasciocutaneous flaps. Flap size ranged from 6 × 10 cm to 5 × 15 cm. Two flaps were transferred as 180-degree pivotal flaps; 1 flap was transferred as an advancement flap. There were no immediate postoperative complications or long-term functional deficits. The pedicled lateral arm flap is a safe and reliable option for soft tissue coverage of anterolateral shoulder defects. The vascular pedicle lies deep within the mid-upper arm and is rarely at risk during extensive tumor extirpation. The adjacent donor site allows for a single operative field without the need for repositioning and furthermore results in a skin paddle requirement that is one half the width of the original defect.

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“…14,17,18 The lateral arm flap is a versatile flap that can be used in numerous modification procedures. 19 In its first description by Song et al, 20 this flap was presented as a simple skin flap that addresses the availability of cutaneous nerves for anastomosis. Katsaros et al 21 reported using a lateral arm skin flap and also considered it as a composite graft.…”

Section: Discussionmentioning

confidence: 99%