Reconstructive potential of the lateral arm flap after tumor resection

Haas, F.; Ensat, Florian; Windhager, Reinhard; Stammberger, Heinz R.; Koch, Horst; Scharnagl, E.

doi:10.1002/micr.20326

Cited by 3 publications

(3 citation statements)

References 30 publications

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“…It has predictable and reliable vascular anatomy with constant location of the posterior radial collateral artery. However, Haas et al (2007) had one case of 14 patient's series where a radial collateral artery was absent (Haas et al, 2007). Our study supports the statement of constant anatomy of the flap.…”

Section: Discussionsupporting

confidence: 86%

Oral Reconstruction with Free Lateral Arm Flap Analysis of Complications and Donor Site Morbidity for Patients with Advanced Stage Oral Cancer

Pastars¹,

Zariņš²,

Tars³

et al. 2018

Proceedings of the Latvian Academy of Sciences. Section B. Natural, Exact, and Applied Sciences.

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Radial forearm flap is a gold standard for oral soft tissue defect reconstruction after tumour ablative surgery of oral cancer in advanced stages. The main disadvantage of this flap is donor site morbidity. The goal of our study was to show versatility of lateral arm flap in 34 cases with different oral defects that were reconstructed after tumour ablation, and to analyse complications and donor site morbidity. Thirty-four patients with advanced stage oral cancer (T3 and T4) underwent tumour ablation with or without suspicious lymph node removal and with immediate reconstruction of oral defect with lateral arm flap. Analysis of complications and donor sites morbidity was carried out. The Michigan Hand Outcome Questionnaire was used to evaluate functional and esthetical donor site outcome during at least one year follow up. Thirty-one patients had successful free flap surgery with uneventful post-surgery period. Flap loss due to vascularity problems was in one case (2.9%). The flap success rate was 97.1%. The donor site was closed primarily in all cases and healed uneventfully. The Michigan Hand Outcome Score was average 94.30%. The lateral arm is an excellent choice for oral reconstruction after ablative tumour surgery. It is versatile, safe and reliable for oral reconstruction with very good functional and aesthetical donor site outcome.

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Section: Discussionsupporting

confidence: 86%

Oral Reconstruction with Free Lateral Arm Flap Analysis of Complications and Donor Site Morbidity for Patients with Advanced Stage Oral Cancer

Pastars¹,

Zariņš²,

Tars³

et al. 2018

Proceedings of the Latvian Academy of Sciences. Section B. Natural, Exact, and Applied Sciences.

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“…These findings confirmed by other group that had also reported sensory disturbances of the lateral proximal forearm (hypesthesia, paresthesia, hyperesthesia), delayed wound healing, and tendon exposure to be the major complications following LAF harvest. 4,8,17,[20][21][22] Despite the widespread use of the extended technique (ELAF), which facilitates the harvesting of a slim and versatile flap with a longer neurovascular pedicle of up to 12 cm and greater flap size, the donor-site morbidity associated with this extended procedure has been poorly addressed. 17,18,22,23 In contrary to the findings of Graham et al we found scar visibility to be well accepted by the patients in our study with no differences regarding gender (overall satisfaction of 8.2 AE 2.0 in females versus 8.5 AE 1.6 in males).…”

Section: Discussionmentioning

confidence: 99%

“…2 Thanks to its reliable and constant anatomy, good color match and texture, as well as thin design and plasticity the flap has found widespread use for head and neck reconstruction, [3][4][5] as well as for reconstruction of upper and lower extremities. [5][6][7][8][9] Mostly raised as a fasciocutaneous flap, the LAF may also include a segment of the humerus together with parts of the triceps muscle and tendon. Although there is no generally functional limitation in the donor arm, strength and extension can be reduced when the triceps head is transected (harvested as a musculocutaneus flap).…”

mentioning

confidence: 99%

Donor-Site Morbidity of the Sensate Extended Lateral Arm Flap

Depner

Erba

Rieger

et al. 2011

J reconstr Microsurg

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The free extended lateral arm flap (ELAF) has gained increasing popularity thank to its slimness and versatility, longer neurovascular pedicle, and greater flap size when compared with the original flap design. The aim of this study was to assess the donor-site morbidity associated with this extended procedure. A retrospective study of 25 consecutive patients analyzing postoperative complications using a visual analogue scale questionnaire revealed high patients satisfaction and negligible donor-site morbidity of the ELAF. Scar visibility was the commonest negative outcome. Impaired mobility of the elbow had the highest correlation with patient dissatisfaction. Sensory deficits or paresthetic disorders did not affect patient satisfaction. The extension of the lateral arm flap and positioning over the lateral humeral epicondyle is a safe and well-accepted procedure with minimal donor-site morbidity. To optimize outcomes, a maximal flap width of 6 or 7 cm and intensive postoperative mobilization therapy is advisable.

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Versatility of the Turn-Around Technique of the Lateral Arm Flap for Hand Reconstruction

Wong¹,

Tay²,

Teoh³

2012

Annals of Plastic Surgery

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The lateral arm flap is a popular flap for hand resurfacing. Despite its many advantages, its use is restricted by the available width of the flap. We describe the application of this long and narrow flap in a turn-around manner, greatly increasing its versatility while achieving primary closure of the donor site. The lateral arm flap was designed with extension onto the forearm (extended lateral arm flap) and harvested in the usual manner. During inset, the distal segment of the flap is brought through a 180 degree "U-turn" to lie adjacent to the proximal segment. We analyzed the outcomes of 31 turn-around lateral arm flaps performed between 1988 and 2008. All flaps healed well without any vascular compromise. Reconstruction of defects with a variety of configurations was performed with a maximum flap size of 144 cm. Four patients required split skin grafting to the forearm. Primary closure of the lateral arm donor site was achieved in all patients. In this article, we demonstrate the ease, reliability, and versatility of this simple modification in extending the usefulness of the lateral arm flap in hand reconstruction.

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Reconstructive potential of the lateral arm flap after tumor resection

Cited by 3 publications

References 30 publications

Oral Reconstruction with Free Lateral Arm Flap Analysis of Complications and Donor Site Morbidity for Patients with Advanced Stage Oral Cancer

Oral Reconstruction with Free Lateral Arm Flap Analysis of Complications and Donor Site Morbidity for Patients with Advanced Stage Oral Cancer

Donor-Site Morbidity of the Sensate Extended Lateral Arm Flap

Versatility of the Turn-Around Technique of the Lateral Arm Flap for Hand Reconstruction

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