Đánh giá kết quả sử dụng vạt cánh tay ngoài trong tạo hình khoang miệng sau cắt ung thư

Abstract

Objective: To assess the results of application of lateral arm free flap (LAFF) in reconstruction of defects in the oral cavity following cancer ablation. Subject and method: The study included 61 patients (46 male, 15 female, mean age 57.05 range 27 - 77 years. Sixty one LAFF were harvested to reconstruct caused by the dissection of malignant tumors of the oral cavity. Defects included one third tongue 5/61 (8.16%), hemitongue 32/61 (52.46%), two third tongue 32/61 (52.46%), buccal defect 7/61 (11.47%) and 1/61 (1.63%) case with flour defect. Flap sizes ranged from 5 × 10cm to 7 × 20cm, average: 5.87 x 14.54cm. Result: The flap was successful in 60 (98.36%) patients and was lost in one (1.64%). The donor site was closed directly in 56 patients, needed skin graf in ten. There was no significant complication at the donor sites. Follow-up for 24 months in 47 patients the speech was normal and near-normal in 97.2% patients and the diet was unrested in 88.9%, soft in 11.1% patients. Conclusion: The lateral arm flap can be considered safe and versatile for small to moderated-sized defects in the head and neck, especially in oral cavity.