Exclusive tongue tip reconstruction of hemiglossectomy defects using the underrated lateral arm free flap with bilobed designopen access
- Authors
- Oh, Jeongseok; Lee, Tae Hyeon; Lee, Jang Hyun; Tae, Kyung; Park, Seong Oh; Ahn, Hee Chang
- Issue Date
- Feb-2019
- Publisher
- Korean Cleft Palate-Craniofacial Association
- Keywords
- Neoplasms; Reconstructive surgical procedures; Surgical flaps
- Citation
- Archives of Craniofacial Surgery, v.20, no.1, pp.37 - 43
- Indexed
- SCOPUS
KCI
- Journal Title
- Archives of Craniofacial Surgery
- Volume
- 20
- Number
- 1
- Start Page
- 37
- End Page
- 43
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/148335
- DOI
- 10.7181/acfs.2018.02005
- ISSN
- 2287-1152
- Abstract
- Background: Tongue reconstruction is challenging with the unique function and anatomy. Goals for reconstruction differ depending on the extent of reconstruction. Thin and pliable flaps are useful for tongue tip reconstruction, for appearance and mobility. This study reports lateral arm free flap (LAFF) as a safe and optimal option for hemi-tongue reconstruction, especially for tongue tip after hemiglossectomy. Methods: Thirteen LAFFs were performed for hemi-tongue reconstruction after hemiglossectomy from 1995 to 2018. Of the 13 patients, seven were male and six were female, age varying from 24 to 64 years. Results: All flaps healed uneventfully without complications. Donor sites were closed primarily. The recipient vessels for microvascular anastomosis were mainly superior thyroidal artery, external jugular vein. All patients returned to normal diet, with no complaints regarding reconstructed tongue and donor site. Conclusion: The LAFF is hairless, thin (especially with lateral epicondyle approach), and potentially sensate. They are advantageous features for tongue tip and hemi-tongue reconstruction. Donor site sacrifices the inessential posterior radial collateral artery, and the scar is hidden under short sleeve shirts. We believe that LAFF can be considered as the first choice flap for hemi-tongue reconstruction, over radial forearm free flaps.
- Files in This Item
-
- Appears in
Collections - 서울 의과대학 > 서울 이비인후과학교실 > 1. Journal Articles
- 서울 의과대학 > 서울 성형외과학교실 > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/148335)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.