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Further experience with the lateral arm free flap.
1Department of Plastic and Reconstructive Surgery, Royal Adelaide Hospital, South Australia.
Plastic and Reconstructive Surgery
|May 1, 1991
Summary
The lateral arm free flap is a versatile option for reconstructing small to medium defects, offering good outcomes with acceptable donor site morbidity. Modifications enhance its applicability for various reconstructive needs.
Area of Science:
- Plastic Surgery
- Microsurgery
- Reconstructive Surgery
Background:
- The lateral arm free flap is a well-established reconstructive option.
- Its versatility and clinical outcomes require ongoing evaluation.
Purpose of the Study:
- To review the clinical experience with the lateral arm free flap over seven years.
- To analyze modifications and outcomes for various reconstructive procedures.
Main Methods:
- Retrospective review of 150 patients undergoing reconstructive procedures using the lateral arm free flap.
- Detailed analysis of flap modifications including split, osteocutaneous, and neurosensory variations.
Main Results:
- The flap was used for 150 small to medium-sized defects, with various modifications employed.
- Donor site morbidity was generally acceptable, with few requiring scar revision or debulking.
- Split flaps facilitated tension-free donor site closure for wide defects.
Conclusions:
- The lateral arm free flap is a reliable and adaptable option for diverse reconstructive challenges.
- Modifications enhance flap utility, and a two-team approach improves surgical efficiency.