The Lateral Arm Free Flap for Head and Neck Reconstruction

1993 ◽  
Vol 109 (1) ◽  
pp. 116-119 ◽  
Author(s):  
Barry L. Wenig
Keyword(s):  
Head And Neck ◽  
Clinical Application ◽  
Free Flap ◽  
Donor Site ◽  
Sensory Nerve ◽  
Donor Site Morbidity ◽  
Head And Neck Reconstruction ◽  
Collateral Branch ◽  
Neck Reconstruction ◽  
Osteocutaneous Flap

The lateral arm free flap has proved to be both a versatile and successful method of reconstruction. Since its introduction a decade ago, however, its application in head and neck reconstruction has been fairly limited. Dissection of the flap, based on the posterior radial collateral branch of the profunda brachli artery, is relatively simple and provides a thin, dependable flap that has the potential to be used as a osteocutaneous flap or as a fasclocutaneous flap alone. The flap contains a sensory nerve that is readily anastomosed and donor site morbidity is limited. Although the pedicle is short, several modifications exist that allow its extension. This flap has been used successfully to reconstruct various defects in the head and neck. Pertinent anatomy, Indications, and guidelines for clinical application will be discussed.

Anatomical basis and clinical application of the ulnar forearm free flap for head and neck reconstruction

2012 ◽  
Vol 122 (12) ◽  
pp. 2670-2676 ◽  
Author(s):  
Jung-Ju Huang ◽  
Chih-Wei Wu ◽  
Wee Leon Lam ◽  
Dung H. Nguyen ◽  
Huang-Kai Kao ◽  
...  
Keyword(s):  
Head And Neck ◽  
Clinical Application ◽  
Free Flap ◽  
Head And Neck Reconstruction ◽  
Neck Reconstruction ◽  
Anatomical Basis

scholarly journals Scapular Tip Free Flap in Composite Head and Neck Reconstruction

2018 ◽  
Vol 160 (1) ◽  
pp. 57-62 ◽  
Author(s):  
Jeremiah C. Tracy ◽  
Bryan Brandon ◽  
Samip N. Patel
Keyword(s):  
Head And Neck ◽  
Free Flap ◽  
Average Length ◽  
Academic Medical Center ◽  
Donor Site ◽  
Case Series ◽  
Head And Neck Reconstruction ◽  
Bony Defect ◽  
Neck Reconstruction ◽  
Postoperative Hematoma

Objectives To describe the use of the scapular tip free flap (STFF) in the reconstruction of head and neck defects. Study Design Case series with chart review. Setting Academic medical center. Subjects and Methods A review of the electronic medical record was performed of all patients who underwent head and neck reconstructive surgery with STFFs from January 1, 2014, through January 1, 2016. Details regarding the disease, defect reconstructed, and surgical outcomes were quantified. Results Thirty-one consecutive cases were performed at our institution within the period reviewed. The procedures included reconstruction of 5 maxillectomy and 26 mandibulectomy defects. The mean length of mandible reconstructed was 6.8 cm (95% CI, 6.01-7.59; range, 4.0-10.2). Osteotomies were made to contour the scapular bone in 11 cases, including double osteotomies performed in 2 cases. The most common surgical complications were orocutaneous fistula and postoperative hematoma, which occurred in 3 (10%) and 2 (6.5%) of 31 patients, respectively. Conclusion This series describes a large number of STFFs performed in head and neck reconstruction. The average length of bony defect repair can be significantly larger than what was previously described. Performing osteotomies to the STFF allows for application to anterior mandibular defects. The STFF offers a large soft tissue component, a relatively long pedicle, and acceptable donor site morbidity. The STFF is a versatile reconstructive option that should be considered to address composite defects of the head and neck.

Donor site morbidity after scapular tip free flaps in head-and-neck reconstruction

Microsurgery ◽  
2015 ◽  
Vol 35 (6) ◽  
pp. 447-450 ◽  
Author(s):  
Silvano Ferrari ◽  
Andrea Ferri ◽  
Bernardo Bianchi ◽  
Andrea Varazzani ◽  
Giuseppe Perlangeli ◽  
...  
Keyword(s):  
Head And Neck ◽  
Donor Site ◽  
Free Flaps ◽  
Donor Site Morbidity ◽  
Head And Neck Reconstruction ◽  
Neck Reconstruction

scholarly journals Cosmetic Tattooing of Free Flaps following Head and Neck Reconstruction

2013 ◽  
Vol 6 (1) ◽  
pp. 61-63 ◽  
Author(s):  
Martin D. Batstone ◽  
Carly M. Fox ◽  
Mary E. Dingley ◽  
C. Peter Cornelius
Keyword(s):  
Head And Neck ◽  
Donor Site ◽  
Free Flaps ◽  
Donor Site Morbidity ◽  
Head And Neck Reconstruction ◽  
No Donor ◽  
Neck Reconstruction ◽  
The Face ◽  
The Aesthetic ◽  
The One

Free flap reconstruction of the head and neck is a widespread procedure. The aesthetic outcome is frequently compromised by color mismatch between the donor site skin and the complex pigmentation of the face. Various surgical procedures have been described to improve the appearance of external skin paddles. Medical tattooing is commonly used for nipple pigmentation in breast reconstruction and cosmetic procedures such as permanent makeup. This article describes the technique and its application to head and neck reconstruction. Medical tattooing can be used to improve the cosmetic appearance of head and neck free flaps. There is no donor site morbidity and subtle changes in color can be replicated. The article describes the technique of medical tattooing with the use of illustrative cases. Medical tattooing is a viable alternative for improving the appearance of cutaneous skin paddles following head and neck reconstruction with free flaps. Its advantages include no donor site morbidity, availability of an infinite range of colors, no requirement for general anesthesia, and the ability to use multiple colors in the one flap for complex pigmentation requirements. Its disadvantages include the need for specialized skills and equipment and the fading of color over time.

scholarly journals Reconstructive Indications of Anterolateral Thigh Free Flaps in Head and Neck Reconstruction

2016 ◽  
Vol 9 (1) ◽  
pp. 040-045 ◽  
Author(s):  
Dhiraj Khadakban ◽  
Akshay Kudpaje ◽  
Krishnakumar Thankappan ◽  
Kiran Jayaprasad ◽  
Tejal Gorasia ◽  
...  
Keyword(s):  
Head And Neck ◽  
Success Rate ◽  
Donor Site ◽  
Free Flaps ◽  
Patient Characteristics ◽  
Donor Site Morbidity ◽  
Head And Neck Reconstruction ◽  
Neck Reconstruction ◽  
Scalp Defects ◽  
Anterolateral Thigh

Anterolateral thigh (ALT) free flap is a common flap with multitude of indications. The purpose of this article is to review the reconstructive indications of the flap in head and neck defects. This is a retrospective study of 194 consecutive ALT flaps. Data including patient characteristics (age, sex, comorbidities), disease characteristics (histology, T stage), and flap characteristics (size of the flap, type of closure of ALT donor site) were collected. The outcome in terms of flap success rate, surgical, and donor site morbidity were studied. A total of 194 flaps were performed in 193 patients over a period of 10 years. Mean age of the patients was 55 years (range 16-80 years). Out of the 193 patients, 91 (47.1%) patients had oromandibular defects, 52 (26.9%) had tongue defects, 15 (7.7%) had pharyngeal defects, 17 (8.8%) had skull base defects, 4 (2%) had scalp defects, and 14 (7.2%) had contour defects of the neck. The overall flap success rate was 95.8% (8 total flap loss out of 194). Hypertrophic scar was the commonest donor site problem seen in 20 (10.3%) patients. This study shows the versatility of free ALT flap in head and neck reconstruction. It is a reliable and safe. Donor site morbidity is minimal.

Recipient vessel selection for multiple free flap transfers in head and neck reconstruction at different periods

Microsurgery ◽  
2021 ◽  
Author(s):  
Chih‐Sheng Lai ◽  
Ching‐Hui Shen ◽  
Yi‐Ting Chang ◽  
Shih‐An Liu ◽  
Chen‐Te Lu ◽  
...  
Keyword(s):  
Head And Neck ◽  
Free Flap ◽  
Head And Neck Reconstruction ◽  
Recipient Vessel ◽  
Neck Reconstruction ◽  
Selection For
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