Comparison Between Modified Lateral Arm Free Flap and Traditional Lateral Arm Free Flap for the Reconstruction of Oral and Maxillofacial Soft Tissue Defects

Wei-Ming Wang; Wei-Ming Wang; Wei-Ming Wang; Lu Sun; Lu Sun; Lu Sun; Si-Si Yang; Shu-Jun Hu; Yi-Jie Zuo; An-Jie Min; An-Jie Min; An-Jie Min

doi:10.3389/fonc.2022.877799

Frontiers in Oncology (May 2022)

Comparison Between Modified Lateral Arm Free Flap and Traditional Lateral Arm Free Flap for the Reconstruction of Oral and Maxillofacial Soft Tissue Defects

Wei-Ming Wang,
Wei-Ming Wang,
Wei-Ming Wang,
Lu Sun,
Lu Sun,
Lu Sun,
Si-Si Yang,
Shu-Jun Hu,
Yi-Jie Zuo,
An-Jie Min,
An-Jie Min,
An-Jie Min

Affiliations

Wei-Ming Wang: Department of Oral and Maxillofacial Surgery, Center of Stomatology, Xiangya Hospital, Central South University, Changsha, China
Wei-Ming Wang: National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Changsha, China
Wei-Ming Wang: Institute of Oral Precancerous Lesions, Central South University, Changsha, China
Lu Sun: Department of Oral and Maxillofacial Surgery, Center of Stomatology, Xiangya Hospital, Central South University, Changsha, China
Lu Sun: National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Changsha, China
Lu Sun: Research Center of Oral and Maxillofacial Tumor, Xiangya Hospital, Central South University, Changsha, China
Si-Si Yang: Department of Oral and Maxillofacial Surgery, Center of Stomatology, Xiangya Hospital, Central South University, Changsha, China
Shu-Jun Hu: Department of Oral and Maxillofacial Surgery, Center of Stomatology, Xiangya Hospital, Central South University, Changsha, China
Yi-Jie Zuo: Department of Oral and Maxillofacial Surgery, Center of Stomatology, Xiangya Hospital, Central South University, Changsha, China
An-Jie Min: Department of Oral and Maxillofacial Surgery, Center of Stomatology, Xiangya Hospital, Central South University, Changsha, China
An-Jie Min: National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Changsha, China
An-Jie Min: Institute of Oral Precancerous Lesions, Central South University, Changsha, China

DOI: https://doi.org/10.3389/fonc.2022.877799
Journal volume & issue: Vol. 12

Abstract

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ObjectiveThe traditional lateral arm free flap (tLAFF) has the disadvantages of short vascular pedicle, small vascular diameter, and non-perforator flap. We used a new method to prepare modified LAFF (mLAFF) and evaluate its application value in the repair of oral and maxillofacial soft tissue defects.MethodsThe anatomical features of the flap were recorded and compared between the tLAFF group and the mLAFF group. All the flaps in the modified group were perforator flaps. Statistical analysis was performed on the data using ANOVA on SPSS 22.0 statistical software package.ResultsForty-five mLAFFs were prepared as eccentric design rotation repair perforated flap, or multi-lobed or chimeric perforator flaps. Compared with the tLAFF, the vascular pedicle length of the mLAFF was increased, and the outer diameter of the anastomosis was thickened. The damage to the donor site was less. The difference was statistically significant.ConclusionThe mLAFF can effectively lengthen the vascular pedicle length and increase the anastomosis diameter. Perforator LAFFs in the repair of oral and maxillofacial defects have good application value.

Published in Frontiers in Oncology

ISSN: 2234-943X (Online)
Publisher: Frontiers Media S.A.
Country of publisher: Switzerland
LCC subjects: Medicine: Internal medicine: Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Website: https://www.frontiersin.org/journals/oncology/

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