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[The osteocutaneous outer arm flap. A new concept in microsurgical mandibular reconstructions]
D Martin1, J M Mondie, J De Biscop
1Service de Stomatologie, Chirurgie Maxillo-faciale et Chirurgie Plastique de la face, Hôtel-Dieu, Clermont-Ferrand.
Revue De Stomatologie Et De Chirurgie Maxillo-Faciale
|January 1, 1988
Summary
The Osteocutaneous Lateral Arm Flap (OCLAF) technique offers a viable option for reconstructing large mandibular defects. This vascularized bone transfer demonstrates advantages in dissection, vascularity, and flap mobility for complex cases.
Area of Science:
- Oral and Maxillofacial Surgery
- Plastic and Reconstructive Surgery
Background:
- Reconstruction of large mandibular defects presents significant surgical challenges.
- Vascularized bone grafting is crucial for successful mandibular reconstruction.
Observation:
- The Osteocutaneous Lateral Arm Flap (OCLAF) technique was adapted for five cases of large mandibular defect reconstruction.
- Key advantages included ease and safety of dissection, preserved bony vascularization, suitable pedicle size, and excellent skin paddle mobility.
Findings:
- The OCLAF technique demonstrated feasibility and effectiveness in reconstructing large mandibular defects.
- Minor disadvantages included the microsurgical nature, donor site scarring, lack of cancellous bone, and potential weakening of the donor bone shaft.
Implications:
- The OCLAF technique is a considerable alternative for vascularized bone reconstruction of extensive mandibular defects.
- Further evaluation may solidify its role in complex oral and maxillofacial reconstructions.