Wax M K, Briant T D, Mahoney J L
Department of Otolaryngology, West Virginia University Health Science Center South, Morgantown, USA.
J Otolaryngol. 1996 Jun;25(3):140-4.
To describe the role of the lateral-arm free flap in reconstruction of head and neck defects following ablative oncologic surgery and to discuss the anatomy of this flap as well as indications for its use.
A prospective study of all patients undergoing a lateral-arm free flap was performed. Up to 3 years of follow-up was obtained.
Tertiary referral centre.
A total of 12 lateral-arm free flaps were utilized to reconstruct defects ranging in size from 4 x 7 to 10 x 7 cm. Maximum width of the flap was 7 cm. A mean area of 55 cm2 was harvested.
Flap survival, morbidity, speech intelligibility, and oral function and intake were assessed.
The vascular pedicle was reliable with vessel diameters of 1.5 mm, and length of 6 to 7 cm. All flaps survived, and minimal donor site morbidity was encountered. Nine patients maintained good speech with adequate intelligibility while 10 patients maintained adequate oral intake.
Functional results can be obtained with the lateral-arm free flap. A consistent pedicle of good length and size was found. It is our flap of choice in older, thinner individuals when the width of the donor site is less than 7 cm, which allows for primary closure.
描述上臂外侧游离皮瓣在肿瘤切除术后头颈部缺损重建中的作用，并探讨该皮瓣的解剖结构及其使用指征。
对所有接受上臂外侧游离皮瓣手术的患者进行前瞻性研究。随访时间长达3年。
三级转诊中心。
共使用12块上臂外侧游离皮瓣修复大小从4×7至10×7厘米不等的缺损。皮瓣最大宽度为7厘米。平均切取面积为55平方厘米。
评估皮瓣存活情况、发病率、言语清晰度、口腔功能及进食情况。
血管蒂可靠，血管直径为1.5毫米，长度为6至7厘米。所有皮瓣均存活，供区发病率极低。9名患者言语良好，清晰度足够，10名患者进食正常。
上臂外侧游离皮瓣可取得较好的功能效果。发现其血管蒂长度和大小稳定。对于年龄较大、体型较瘦且供区宽度小于7厘米可直接缝合的患者，它是我们的首选皮瓣。
