Application of lateral upper arm free flap in the repair of postoperative defects of oral cancer.
10.3760/cma.j.cn115330-20220406-00172
- Author:
Wai Sheng ZHONG
1
;
Zi XU
2
;
Jie CUI
3
;
Wen Xiao CHEN
1
;
Hao Lei HUANG
1
;
Hai Lin TAN
1
;
Ping Qing ZHANG
1
;
Li TAN
1
;
Li XIE
1
Author Information
1. Department of Head and Neck Surgery, Hunan Cancer Hospital,The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha 410013, China.
2. Department of Head and Neck Radiation Oncology, Hunan Cancer Hospital, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha 410013, China.
3. Department of Head and Neck Surgery, National Cancer Center, National Clinical Research Center for Cancer, Cancer Hospital, Shenzhen Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Shenzhen 518116, China.
- Publication Type:Journal Article
- MeSH:
Female;
Male;
Humans;
Young Adult;
Adult;
Middle Aged;
Retrospective Studies;
Free Tissue Flaps;
Mouth Neoplasms;
Postoperative Period;
Cicatrix
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2022;57(10):1219-1224
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To explore the clinical application and efficacy of lateral upper arm free flap (LUAFF) for one-stage repairing of soft tissue defect after oral cancer surgery. Methods: This article was a retrospective analysis of clinical data of 46 patients receiving treatment of one-stage repairing of soft tissue defect with LUAFF after oral cancer surgery in Hunan Cancer Hospital, from June 2019 to June 2021. Among these cases, 40 were males, and 6 were females. The patients' ages were from 23 to 64 years old. The clinical data of patients were reviewed and outcomes were evaluated. SPSS 23.0 software was used for statistical analysis. Results: In the LUAFF of 46 patients, flap area ranged from 5.0 cm×3.5 cm to 15.0 cm×7.0 cm; the mean pedicle length was 8.15±1.42 cm; the mean artery diameter was 1.20±0.41 mm (range, 1.5 to 2.5 mm); the mean diameter of the largest veins was 2.15±0.52 mm; and the median number of perforators was 2.6 (range, 1 to 4). All donor sites were closed primarily. Two cases had arterial anastomosis thrombosis, but their flaps were successfully saved with urgent re-anastomosis of the vessels. The overall flap survival rate was 93.5%(43/46), with flap necroses after operation in three cases. No patient received tracheotomy. The average hospital stay time of patients after operation was 9.4 days. The follow-up time was 6-24 months, elbow and wrist movements on the operative side were normal, and the upper limb muscle strength was not affected. Conclusions: LUAFF is a suitable choice for the repairs of small-moderate tissue defects in oral cancer surgery, with consistent perforators in the flap, simple harvest method, concealed donor-site scar, and high survival rate.
