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The lateral upper arm free flap for intraoral reconstruction

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Author(s)
N.-C. GellrichT. G. KwonG. LauerO. FaklerR. GutwaldJ,-E. OttenR. Schmelzeisen
Keimyung Author(s)
Kwon, Tae Geon
Department
Dept. of Dentistry (치과학)
Journal Title
International Journal of Oral and Maxillofacial Surgery
Issued Date
2000
Volume
29
Issue
2
Abstract
. Twenty-three consecutive patients who were reconstructed with a lateral
upper arm free flap (LUFF) were examined especially concerning functional and
morphological results at the recipient and donor sites. There were 22 intraoral
and one upper oesophageal reconstruction after radical laryngectomy. The LUFF
rendered good functional and esthetic results except for one case of complete and
one case of incomplete flap necrosis due to vascular insufficiency of the supplying
vessel of the neck. There was some sensory deficit of the donor site (n= 10), but
no radial nerve injury or conspicuous scarring. Recipient site dehiscence occurred
in two cases and a temporary orocervical fistula was seen in one case. Oral
function was maintained due to the thin and pliable flap. Excellent flap
adaptation to the adjacent tissue was obtained in eight cases of complete loss of
lingual attached gingiva in the molar region and in four cases of loss of buccal
attached gingiva. The success and functional results of LUFF were comparable
to the results of 14 cases in which radial forearm free flaps (RFFF) were used.
Although the length of the pedicle and the diameter of the vessels in LUFF are
smaller than in RFFF, neither pedicle length nor vessel diameter proved to be a
problem. Extent of scarring and risk of vascular compromise proved to be less as
compared to RFFE LUFF is, therefore, the flap of choice for intraoral soft
tissue reconstruction and it is advised to reserve RFFF for cases in which LUFF
fails.
Keimyung Author(s)(Kor)
권대근
Publisher
School of Medicine
Citation
N.-C. Gellrich et al. (2000). The lateral upper arm free flap
for intraoral reconstruction. International Journal of Oral and Maxillofacial Surgery, 29(2), 104–111. doi: 10.1016/S0901-5027(00)80006-5
Type
Article
ISSN
0901-5027
Source
https://www.sciencedirect.com/science/article/pii/S0901502700800065?via%3Dihub
DOI
10.1016/S0901-5027(00)80006-5
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/35877
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Dentistry (치과학)
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