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Related Experiment Videos

The osteocutaneous upper arm flap for mandibular reconstruction

D Martin1, J P De Biscop, J M Mondie

  • 1Department of Plastic and Reconstructive Surgery, Hôpital du Tondu, Bordeaux, France.

Journal of Reconstructive Microsurgery
|November 1, 1993
PubMed
Summary

The osteocutaneous upper arm flap offers a viable solution for segmental mandibular reconstruction, providing a reliable bone and skin segment with minimal donor site morbidity. This technique is ideal for reconstructions requiring short bone segments and skin.

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Area of Science:

  • Plastic Surgery
  • Oral and Maxillofacial Surgery
  • Microsurgery

Background:

  • Segmental mandibular defects often require complex reconstruction.
  • Conventional methods may have limitations in specific scenarios.

Observation:

  • The osteocutaneous upper arm flap was evaluated for segmental microsurgical mandibular reconstructions.
  • Key advantages include ease of dissection, a long pedicle, robust bone vascularity, and skin paddle mobility.
  • Disadvantages involve a predominantly cortical bone composition and size limitations (11 x 2 cm).

Findings:

  • The osteocutaneous upper arm flap demonstrated utility in segmental mandibular reconstructions.
  • Multiple osteotomies were feasible due to excellent segmental blood supply.
  • Minimal donor-site morbidity was observed.

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Implications:

  • This flap serves as an excellent alternative for segmental reconstructions needing short bone and skin segments.
  • Successful treatment of eight consecutive clinical cases supports its efficacy.
  • Further research may explore optimizing its use in complex head and neck reconstructions.