ISSN: 1859 - 2872
The lateral arm flap: Perforator anatomical study
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Abstract
Objective: The lateral arm flap remains a popular flap, especially as a free flap. In this article, the authors describe the perforator anatomy to optimize flap design and harvest. Subject and method: The study was carried out on 20 upper arms of 10 fresh Vietnamese cadavers. The cutaneous perforators were dissected and mapped. Result: The flap was based on the lateral intermuscular septum and supplied from cutaneous perforators of the posterior radial collateral artery (PRCA). The average pedicle length was 5.81 ± 0.96cm. 75% of specimens were constant three perforators while the remaining 25% were four perforators. The distances from the groove to perforators were 5.81 ± 0.96cm, 7.97 ± 0.78cm, 10.09 ± 0.70cm and 12.15 ± 0.77cm respectively, and from the lateral epicondyle were 10.51 ± 0.88cm, 8.25 ± 0.73cm, 6.11 ± 0.77cm and 4.32 ± 0.67cm. The mean diameter of 3 large perforators were 0.66 ± 0.06mm, 0.59 ± 0.03mm and 0.4 ± 0.03mm. The cadavers were almost symmetric in the number and location of the perforators between the right and left arms. Conclusion: The lateral arm flap can be safe to design and can be harvested reliably based on constant perforators and anatomical landmarks.
Keywords: Lateral arm flap, perforators.
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References
2. Nguyễn Huy Cảnh, Nguyễn Tài Sơn, Nguyễn Huy Thọ, Ngô Quốc Thái (2015) Nghiên cứu giải phẫu lâm sàng cuống mạch vạt cánh tay ngoài trên người Việt. Tạp chí Y học thực hành, số 7, tr. 1-4.
3. Song R, Song Y, Yu Y (1982) The upper arm free flap. Clin Plast Surg 9: 27-35.
4. Katsaros J, Schusterman M, Beppu M, Banis JC, Acland RD (1984) The lateral upper arm flap. Anatomy and clinical applications. Ann Plas Surg 12: 489-500.
5. Katsaros J, Tan E, Zoltie N, Barton M, Venugopalsrinivasan, Venkataramakrishnan (1991) Further experience with the lateral arm free flap. Plast Reconstr Surg 87: 902-910.
6. Hwang K, Lee WJ, Jung CY, Chung IH (2005) Cutaneous perforators of the upper arm and clinical applications. Journal of Reconstructive Microsurgery 21: 463-469.
7. Chang EI, Ibrahim A, Parazian N, Jurgus A, Nguyen A, Suami H, Yu P (2016) Perforator mapping and optimizing of the lateral arm flap: Anatomy revisited and clinical experience. Plast Reconstr Surg 138(2): 300-306.
8. Harpf C, Papp C, Ninkovic M, Anderl H, Hussl H (1998) The lateral arm flap: Reviewof 72 cases and technical refinements. J Reconstr Microsurg 14: 39-48.
9. Summers AN, Sanger JR, Matloub HS (2000) Lateral arm fascial flap: Microarterial anatomy and potncial clinical applications. J Reconstr Microsurg 16: 279-286.
10. Hennerbichner A, Etzer C, Gruber S, Brenner E, Papp C, Gaber O (2003) Lateral arm flap: Anatomy and modification using a vascularized fragment of the distal humerus. Clinical Anatomy 16: 204-214.
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