Tongue reconstruction after hemiglossectomy with the lateral arm free flap.

The lateral arm free flap has been used for immediate reconstruction of the tongue, including the oral floor, after hemiglossectomy in two cases. It is a good method for reconstructing small or medium-sized defects of the tongue. The lateral arm flap is very thin, can be raised without patient position change, has constant vascular anatomy, and provides an advantage in the aesthetic aspect at the donor site. Based on the reported clinical experience, the advantages and disadvantages of this procedure are discussed.