The radial forearm-lateral arm mega free flap

Arnež, Zoran Marij; Tyler, Martin T.; Giacomarra, Vittorio; Planinšek, F

doi:10.1016/0007-1226(95)90026-8

Cited by 2 publications

(1 citation statement)

References 9 publications

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“…The lateral arm flap was enlarged by including the forearm skin with its fascia in five patients to cover more area. [5][6][7] Flap area was 56.7 cm 2 (maximum 15 × 8 cm) and 98.4 cm 2 The donor site was grafted in four cases while the donor sites were closed primarily in the remaining 70 (Fig. 3B).…”

Section: Methodsmentioning

confidence: 99%

Lateral Arm Free Flaps in the Defects of the Upper Extremity — A Review of 72 Cases

Akinci

Kamiloglu

et al. 2005

Hand Surg.

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Lateral arm flaps are versatile in the use of upper extremity moderate-sized defects with little morbidity and with acceptable cosmesis. The conditions are outlined in a series of 74 lateral arm flaps performed on 72 patients and the results are given. Five patients were operated on as emergencies, 12 were operated within the first 72 hours of injury and 57 patients were treated electively. Skin defects were between 6 x 4 cm and 20 x 9 cm. Five (7%) flaps were lost due to venous thrombosis, three that sustained a high-voltage electric burn. Two other patients that were treated for a high-voltage electric burn had a successful revision of the anastomosis site in the early post-operative duration. One flap was abandoned due to very thin pedicle and obesity of the patient. A higher failure rate is encountered most frequently with the cases of high-voltage electric burn. To deal with this problem, a modified approach such as an extended approach and/or including the forearm skin to the flap is recommended during the flap harvest. For a longer pedicle to be anatomized more proximally, perforator flaps with longer pedicles may be used as an alternative.

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Section: Methodsmentioning

confidence: 99%