Lateral Arm Free Flap: a Useful Flap in the Maxillo-facial Surgeon's Therapeutic Armory, Case Series

NCT06447610 | Completed

• 1 other identifier: lateral arm 1
• Study Type: observational
• Target: 8
• Locations: 1 country
• Sites: 1

Brief Summary

Lateral arm free flap harvesting has been well described, it however remains underused compared to other free flaps such as radial forearm and anterolateral thigh free flap. Due to its easy harvesting, low donor site morbidity, versatility as well as useful possibilities of modifications it should be considered more often as valuable reconstruction option in head and neck defect. With this publication we want to describe the operative technique, illustrate it with postoperative pictures and describe the outcome with 8 of our cases operated at University Hospital In Lausanne, Switzerland. The aim of this study is to be a useful tool for young surgeons and demonstrate the advantages of this useful flap in head and neck reconstructions.

Conditions

Reconstructive Surgery

Keywords

Free flaps; Reconstructive surgery; Microvascular surgery; maxillofacial surgery

Outcome Measures

Primary Outcomes (1)

• Flap complication

  Description of free flap outcome: revision, complete or partial survival

  01.01.2021-12.01.2022

Secondary Outcomes (3)

• Patient complication

  01.01.2021-12.01.2022

• oral food intke

  01.01.2021-12.01.2022

• revision of anastomoses

  01.01.2021-12.01.2022

Interventions

Lateral arm free flap PROCEDURE

In this study, we present a case series of 8 patients operated for a maxillo-facial defect with a lateral arm free flap.

Eligibility Criteria

• Age: 52 Years - 87 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Between 2021 and 2022, 8 patients (1 woman and 7 men) underwent reconstruction with a lateral arm free flap in Lausanne, Switzerland (Table 1). Their ages ranged from 52 to 87 years, with a mean age of 65.25 years. The reconstruction site varied from the exenterated orbita for two patients, internal cheek for two patients, retromolar mandible, palate, mouth floor and frontotemporal each for one patient. Reconstruction was done in all patients for oncologic reason. Six patients received primary reconstruction during the same surgery as the tumorectomy and for two patients' reconstruction was done in a second surgery.

You may qualify if:

• \> 18 years old
• operated between 01 january 2021 and 12 december 2022
• lateral arm free flap operation for primary or secondary cervicofacial reconstruction
• written informed consent

You may not qualify if:

• minor patients
• no written informed consent

Sponsors & Collaborators

• CHUV chirurgie orale et maxillofaciale: lead

Study Sites (1)

CHUV oral and maxillofacial surgery

Lausanne, Canton of Vaud, 1011, Switzerland

Location

Study Officials

• Laurence May, MD

  CHUV; oral and maxillofacial surgery , Lausanne, Switzerland

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 3, 2024
• First Posted: June 7, 2024
• Study Start: December 1, 2023
• Primary Completion: January 1, 2024
• Study Completion: January 29, 2024
• Last Updated: June 7, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

CH (1)