Lateral Arm Free Flap for Oral Tongue Reconstruction
| Autor: | Krishnakumar Thankappan, Mohit Sharma, Moni Abraham Kuriakose, Sundeep Vijayaraghavan, Rajeev Sharan, Nirav P. Trivedi, Shilpa S. Chatni, Subramania Iyer |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Esthetics Postoperative radiotherapy Free flap Free Tissue Flaps Surgical Flaps Young Adult Tongue Carcinoma medicine Humans Young adult Retrospective Studies business.industry Tongue reconstruction Retrospective cohort study Middle Aged Plastic Surgery Procedures medicine.disease Tongue Neoplasms Surgery Plastic surgery Treatment Outcome medicine.anatomical_structure Carcinoma Squamous Cell Female business |
| Zdroj: | Annals of Plastic Surgery. 66:261-266 |
| ISSN: | 0148-7043 |
| DOI: | 10.1097/sap.0b013e3181d50e9e |
| Popis: | The purpose of this study was to report the effectiveness of the lateral arm free flap (LAFF) in the reconstruction of oral tongue defects, the subsite in which it may have advantage over the other donor sites. This is a retrospective analysis of 48 consecutive cases of LAFF used for the reconstruction of partial glossectomy defects for squamous cell carcinoma of the oral tongue. Primary defect and donor-site morbidity and the functional and aesthetic outcomes were assessed in 37 evaluable patients, with a minimum of 6 months follow-up. Patient-reported Visual Analog Scale score from 0 (minimum satisfaction) to 10 (maximum satisfaction) was used to evaluate the aesthetic outcome. The follow-up was for 6 to 52 months (mean, 24 months). The flap was successful in 45 (93.8%) patients. The commonest observed donor-site morbidity was a broad scar, but it did not cause much patient dissatisfaction because it could be covered with appropriate dressing. Speech was normal or near-normal in all patients. Poor functional outcome was associated with adjuvant postoperative radiotherapy. The visual analog scale score for the aesthetic satisfaction (mean [standard deviation]) was 6.58 (1.82) for primary site and 7.13 (1.99) for the donor site. LAFF is an excellent option for the reconstruction of partial glossectomy defects of oral tongue without significant involvement of the floor of mouth and base of tongue. |
| Databáze: | OpenAIRE |
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