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

Yang, Xudong; Zhao, Shaodong; Wang, Yuxin; Li, Wei; Zhang, Qian; Hong, Xiangfei; Wen, Jianmin; Hu, Qingang

doi:10.1007/s00266-015-0512-x

Cited by 10 publications

(8 citation statements)

References 15 publications

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“…Debate about differences in functional outcomes of these 2 flaps is extensive, with most authors concluding that both have similar results and tending to favor the latter because of suggested better resistance to postradiotherapy deformity, donor site potential complications, and aesthetic concerns . Many other free flap options have been described for reconstruction of the partial glossectomy defect, including the lateral arm, gracilis, vertical rectus abdominis myocutaneous, tensor fasciae latae, peroneal artery, medial sural perforator, anteromedial, anterior tibial perforator, superficial circumflex iliac artery, deep inferior epigastric artery perforator, and supraclavicular and rectus abdominis musculoperitoneal flaps. Most of those flaps have shown good outcomes at the expense of a difficult dissection, donor site morbidity, inconvenience of flap harvest, or the need of more extensive (and expensive) preoperative evaluation, therefore, they are reserved as the second choice for comorbid patients or those in which traditional ALT or radial forearm could not be used for other reasons.…”

Section: Introductionmentioning

confidence: 99%

Free profunda femoris artery perforator flap as a first-line choice of reconstruction for partial glossectomy defects

Fernández-Riera

Hung

et al. 2016

Head Neck

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Section: Introductionmentioning

confidence: 99%

Free profunda femoris artery perforator flap as a first-line choice of reconstruction for partial glossectomy defects

Fernández-Riera

Hung

et al. 2016

Head Neck

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“…However, this study confirms that a one-stage circumferential ABS release with the circular incision is considered a safe operation for the treatment of both circumferential and semi-circumferential ABS. Some authors reported the pelvic constriction band in a newborn female with ABS [11] …”

Section: Discussionmentioning

confidence: 99%

“…Some authors reported the pelvic constriction band in a newborn female with ABS. [11] In the treatment of constriction rings, the key to success is the complete resection of all constricting rings and the longitudinal incisions of the deep fascia. Scars should not cross joints longitudinally in order to prevent movement restrictions lead to scar contracture.…”

Section: Discussionmentioning

confidence: 99%

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Clinical assessment of the results of one-stage circular incision techniques for limb ring constriction due to amniotic band syndrome

Wang

Fang

2021

Medicine

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Background: Amniotic band syndrome (ABS) is a congenital malformation that results in abnormalities in many parts of the body. Most surgical treatments for ABS used multi-stage Z-plasties. The purpose of this study was to assess the clinical results of onestage circular incision techniques for limb ring constriction due to amniotic band syndrome.Methods: We reviewed 27 patients with limb ring constriction in ABS from 2010 to 2020. The mean ages of the patients were 11.7 months (range, 0-72 months). The complete circular incision release the ABS. All patients' operations were used one-stage circular incision surgical techniques, including patients with multiple bands. All the patients were followed up with a period ranges from 2 years to 10 years. Patient-reported visual analog scale (VAS) scar ranking on a scale of 0 (minimum satisfaction) to 10 (maximum satisfaction) were used to evaluate esthetic outcomes.Results: After our surgery, all the limbs, toes, and fingers were rescued, and the lymphedema reduced remarkably. The VAS scores (mean ± SD) for patient satisfaction were 7.55 ± 1.89. The surgical treatment of amniotic band syndrome in a one-stage circular incision is safe and effective. Conclusion:The one-stage circular incision surgical techniques have many advantages, including reduced surgical invasiveness, scar formation, and the cost of treatment.

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“…This is in accordance with our finding. The short and small caliber pedicle does not limit cases of tongue reconstruction [1,9,23].…”

Section: Discussionmentioning

confidence: 99%

Exclusive tongue tip reconstruction of hemiglossectomy defects using the underrated lateral arm free flap with bilobed design

Oh¹,

Lee²,

Lee³

et al. 2019

Arch Craniofac Surg

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BackgroundTongue reconstruction is challenging with the unique function and anatomy. Goals for reconstruction differ depending on the extent of reconstruction. Thin and pliable flaps are useful for tongue tip reconstruction, for appearance and mobility. This study reports lateral arm free flap (LAFF) as a safe and optimal option for hemi-tongue reconstruction, especially for tongue tip after hemiglossectomy.MethodsThirteen LAFFs were performed for hemi-tongue reconstruction after hemiglossectomy from 1995 to 2018. Of the 13 patients, seven were male and six were female, age varying from 24 to 64 years.ResultsAll flaps healed uneventfully without complications. Donor sites were closed primarily. The recipient vessels for microvascular anastomosis were mainly superior thyroidal artery, external jugular vein. All patients returned to normal diet, with no complaints regarding reconstructed tongue and donor site.ConclusionThe LAFF is hairless, thin (especially with lateral epicondyle approach), and potentially sensate. They are advantageous features for tongue tip and hemi-tongue reconstruction. Donor site sacrifices the inessential posterior radial collateral artery, and the scar is hidden under short sleeve shirts. We believe that LAFF can be considered as the first choice flap for hemitongue reconstruction, over radial forearm free flaps.

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

Cited by 10 publications

References 15 publications

Free profunda femoris artery perforator flap as a first-line choice of reconstruction for partial glossectomy defects

Free profunda femoris artery perforator flap as a first-line choice of reconstruction for partial glossectomy defects

Clinical assessment of the results of one-stage circular incision techniques for limb ring constriction due to amniotic band syndrome

Exclusive tongue tip reconstruction of hemiglossectomy defects using the underrated lateral arm free flap with bilobed design

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