[Facial and cervical reconstractions using expanded flap from medial upper arm]

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Dermatology

Context:

• Facial and cervical scars present significant reconstructive challenges.
• Traditional methods may have limitations in achieving optimal aesthetic and functional results.
• The medial upper arm offers a potential source for reconstructive flaps.

Purpose:

• To evaluate the efficacy and outcomes of using expanded skin flaps from the medial upper arm for facial and cervical scar repair.
• To investigate the vascular supply of these flaps, specifically the superior collateral artery and basilica artery branches.
• To assess the functional and aesthetic improvements following this reconstructive technique.

Summary:

• Twenty patients with facial and cervical scars underwent reconstruction using expanded skin flaps from the medial upper arm.
• The procedure involved flap expansion, transfer, and pedicle division, utilizing the superior collateral artery and basilica artery for vascularization.
• Post-operative follow-up demonstrated high flap survival rates, with significant improvements in appearance and function, and acceptable donor site scarring.

Impact:

• This technique provides a viable reconstructive option for complex facial and cervical defects.
• Successful flap survival and aesthetic integration suggest good potential for head and face reconstructions.
• While effective, potential drawbacks include longer operative times and temporary upper limb mobility restrictions.