Function-Preserving Neurotized Lateral Arm Free Flap in the Reconstruction of Hemiglossectomy Defects
| Autor: | J. Jaganmohan, Divya Prakash, T. M. Balakrishnan |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Posterior antebrachial cutaneous nerve
medicine.medical_specialty RD1-811 business.industry Defect reconstruction Cutaneous nerve lateral arm flap Free flap 030230 surgery Oral cavity Functional recovery Surgery Objective assessment hemiglossectomy 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Lateral arm flap posterior antebrachial cutaneous nerve medicine neurotized flap Original Article fascicular dissection business |
| Zdroj: | Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India Indian Journal of Plastic Surgery, Vol 54, Iss 02, Pp 144-151 (2021) |
| ISSN: | 0970-0358 |
| Popis: | Introduction and Methods The glabrous, thin, and pliable texture of lateral arm flap with no loss of any axial vessel of the limb renders it a good choice for hemiglossectomy defect reconstruction. The main caveat of this flap harvest is the loss of sensation in the distribution of posterior antebrachial cutaneous nerve (PABCN). In this article, we present two strategic sites and techniques to preserve the integrity of PABCN and at the same time harvesting lateral arm flap with a lengthy lower lateral cutaneous nerve of arm for the neurotization. The outcome of this function-preserving neurotized lateral arm free flap in the reconstruction of hemiglossectomy defects is analyzed and presented in this article. Results Ninety percent of the patients attained grade 3 score in objective assessment, leading to a significant p-value of 0.02 with this technique. All had preservation of sensation in the distribution of PABCN. Conclusion Our technique of harvest and neurotization has brought good functional recovery of the oral cavity with preservation of PABCN. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
| Nepřihlášeným uživatelům se plný text nezobrazuje | K zobrazení výsledku je třeba se přihlásit. |