Extended Free Lateral Arm Flap with Preservation of the Posterior Cutaneous Nerve of the Forearm

1996 ◽  
Vol 30 (1) ◽  
pp. 49-55 ◽  
Author(s):  
Ingemar Fogdestam ◽  
Peter Tarnow ◽  
Amin Kalaaji
Keyword(s):  
Cutaneous Nerve ◽  
Lateral Arm Flap ◽  
Free Lateral Arm Flap

scholarly journals Reconstruction of Foot and Ankle Defects Using Free Lateral Arm Flap: A Retrospective Review of Its Versatile Application

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Jong-Ho Kim ◽  
Taekeun Yoon ◽  
Joseph Kyu-hyung Park ◽  
Seokchan Eun
Keyword(s):  
Soft Tissue ◽  
Retrospective Review ◽  
Foot And Ankle ◽  
Discrimination Test ◽  
Common Cause ◽  
Myocutaneous Flaps ◽  
Lateral Arm Flap ◽  
Defect Sites ◽  
Clinical Conditions ◽  
Free Lateral Arm Flap

Background. Successful reconstruction of the feet and ankles remains challenging due to limited quantities of soft tissue and laxity. The free lateral arm flap (LAF) is an alternative to conventional flaps and has been widely used due to advancements in its flap characteristics. This study is aimed at utilizing the advantages of this flap to validate its increased applications for foot and ankle defects. Methods. Twenty patients with various LAF types between May 2011 and May 2020 were enrolled. Clinical data was retrospectively collected, and defect sites were classified according to the subunit principle. We utilized various LAF types, such as LAFs with sensate, extended, osteomyocutaneous, or myocutaneous flaps, as necessary. A two-point discrimination test was performed, and results were statistically compared between flaps. Results. Among the diverse etiologies of skin defects, chronic inflammation was the most common cause of defects. Various LAF types, including LAFs with fasciocutaneous, extended fasciocutaneous, musculocutaneous, and osteomyocutaneous flaps, were used. The versatility of free LAF helped successfully cover various defects in all cases. Results of the two-point discrimination test were statistically significant between groups. Conclusions. Free LAF is a unique soft tissue free flap that is more versatile than other flaps, allowing flaps to be continuously modified and applied to various foot and ankle defects under different clinical conditions.

Free Lateral Arm Flap for 1-Stage Reconstruction of Soft Tissue and Composite Defects of the Hand

2007 ◽  
Vol 58 (2) ◽  
pp. 173-178 ◽  
Author(s):  
Betul Gozel Ulusal ◽  
Yu-Te Lin ◽  
Ali Engin Ulusal ◽  
Chih-Hung Lin
Keyword(s):  
Soft Tissue ◽  
Lateral Arm Flap ◽  
Free Lateral Arm Flap

O111. Free lateral arm flap: A versatile technique for reconstruction of different body districts

Oral Oncology ◽  
2011 ◽  
Vol 47 ◽  
pp. S66
Author(s):  
F. Lembo ◽  
L. Annacontini ◽  
D. Parisi ◽  
A. Portincasa
Keyword(s):  
Lateral Arm Flap ◽  
Versatile Technique ◽  
Free Lateral Arm Flap

Arteriovenous Fistulae after Free Flap Surgery in a Replanted Hand

1992 ◽  
Vol 17 (6) ◽  
pp. 657-659 ◽  
Author(s):  
M. NINKOVIÆ ◽  
Đ. S̆UÆUR ◽  
B. STAROVIÆ ◽  
S. MARKOVIÆ
Keyword(s):  
Free Flap ◽  
Flap Surgery ◽  
Arteriovenous Fistulae ◽  
Av Fistula ◽  
Lateral Arm Flap ◽  
Free Flap Surgery ◽  
Free Lateral Arm Flap ◽  
Hand Replantation

AV fistulae are extremely rare complications after hand replantation. In the case presented, the formation of an AV fistula did not occur immediately after the replantation, but after the insertion of the free lateral arm flap to the extensor surface of the replanted hand. This paper discusses the mechanisms responsible for the formation of AV fistulae.

scholarly journals Function-Preserving Neurotized Lateral Arm Free Flap in the Reconstruction of Hemiglossectomy Defects

2021 ◽  
Author(s):  
Divya Prakash ◽  
T. M. Balakrishnan ◽  
J. Jaganmohan
Keyword(s):  
Oral Cavity ◽  
Functional Recovery ◽  
Free Flap ◽  
Objective Assessment ◽  
Good Choice ◽  
Cutaneous Nerve ◽  
P Value ◽  
Lateral Arm Flap ◽  
Lateral Cutaneous Nerve ◽  
Grade 3

Abstract 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.

The versatility of the free lateral arm flap in head and neck soft tissue reconstruction: clinical experience of 210 cases

2008 ◽  
Vol 61 (2) ◽  
pp. 172-179 ◽  
Author(s):  
Jose Carlos Marques Faria ◽  
Mônica Lucia Rodrigues ◽  
Gean Paulo Scopel ◽  
Luiz Paulo Kowalski ◽  
Marcus Castro Ferreira
Keyword(s):  
Soft Tissue ◽  
Head And Neck ◽  
Clinical Experience ◽  
Soft Tissue Reconstruction ◽  
Lateral Arm Flap ◽  
Tissue Reconstruction ◽  
Free Lateral Arm Flap

scholarly journals The Free Lateral Arm Flap—A Reliable Option for Reconstruction of the Forearm and Hand

Hand ◽  
2012 ◽  
Vol 7 (2) ◽  
pp. 163-171 ◽  
Author(s):  
M. Sauerbier ◽  
G. Germann ◽  
G. A. Giessler ◽  
M. Sedigh Salakdeh ◽  
M. Döll
Keyword(s):  
Chronic Wounds ◽  
Donor Site ◽  
Medium Size ◽  
Defect Coverage ◽  
Tissue Quality ◽  
Recipient Site ◽  
Aesthetic Result ◽  
Advantages And Disadvantages ◽  
Lateral Arm Flap ◽  
Free Lateral Arm Flap

Background This retrospective study was performed to verify the advantages and disadvantages of the free lateral arm flap for defect reconstruction of the forearm and hand. Patients and Methods Between 2001 and 2010, 21 patients underwent defect coverage of the forearm and hand with the free lateral arm flap. The mean patient age was 48 years (17–78). The results concerning defect origin, flap size, pedicle length, operative time, revisions of the anastomoses or other complications, donor site morbidity, and length of hospital stay were evaluated. Results The majority of defects were caused by infections or chronic wounds. The defects were localized at the forearm in 6 cases and at the hand in 15 cases. The flap width ranged from 3 to 8 cm, and the length was from 5 to 20 cm. All flaps survived. Only in one case, a revision of the anastomosis was necessary. Primary closure of the donor site was possible in all patients. No complications occurred during the healing procedure. The majority of the patients were satisfied with the aesthetic result at the recipient site as well as at the donor site. Conclusion The free lateral arm flap is a very reliable option for defect coverage at the forearm and hand for small and medium size defects. A satisfactory aesthetic appearance, an excellent tissue quality, and frequent primary donor site closure are great advantages for selecting this flap.

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