Free lateral upper arm flap used for reconstruction in a patient undergoing resection of a carcinoma arising in the floor of the mouth
| Autor: | Yusuke Nakajima, Ken Omura, Masaji Mori, Masato Abe, Fumiko Nakamura, Seiki Mogi |
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| Rok vydání: | 2002 |
| Předmět: | |
| Zdroj: | Japanese Journal of Oral & Maxillofacial Surgery. 48:537-540 |
| ISSN: | 2186-1579 0021-5163 |
| Popis: | The free lateral upper arm flap was developed for microvascular repair of small to moderate defects of the extremities. Its application to oral defects is not well documented. This flap has many features: 1) the thickness of the flap is relatively thin and adjustable; 2) the supplying vessels have little variation, and the flap can be raised without sacrificing the main arm vessels; and 3) the donor-site defect can be closed primarily. A 74-year-old woman presented with squamous cell carcinoma of the floor of the mouth (T 2 N 0 M 0). She underwent excision of the tumor with marginal mandibulectomy and supraomohyoid neck dissection. The free lateral upper arm flap was used for repair of the oral defect resulting from removal of the carcinoma. The flap measured 4.5×6.0cm and had a 7.0-cm pedicle. The donor site was closed primarily, with no conspicuous scarring, limitation of mobility, or sensory defects. The recipient site also healed well, and oral function was maintained because the flap was thin and pliable. In conclusion, the free lateral upper arm flap can be widely used for the repair of oral defects because of good functional and esthetic results. |
| Databáze: | OpenAIRE |
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