Extended free lateral arm flap with preservation of the posterior cutaneous nerve of the forearm.

• The free lateral arm flap has become a well-defined and reliable flap for various reconstructive purposes. Little attention has been paid, however, to the possibility of preservation of the posterior cutaneous nerve of the forearm (nervus cutaneus antebrachii posterior) sacrifice of which results in numbness of the dorsal part of the forearm. In this study, an anatomical dissection showed that in many cases it would be possible to preserve the nerve. We did 23 free lateral arm flaps in 22 patients during the period 1989-1994. The maximum flap length was 40 cm. Standard maximum width in most cases was 6 cm, and by using a new expansion technique it reached 10 cm in one case. Furthermore, with meticulous dissection the posterior cutaneous nerve of the forearm was either preserved or cut and rejoined in 21 patients, so minimising sensory loss at the donor site.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kirurgi (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Surgery (hsv//eng)

Nyckelord

Adult

Aged

Contracture

surgery

Craniocerebral Trauma

surgery

Female

Forearm

innervation

Hand Injuries

surgery

Humans

Leg Injuries

surgery

Male

Middle Aged

Neck Injuries

Soft Tissue Injuries

surgery

Surgical Flaps

methods

Treatment Outcome

Publikations- och innehållstyp

ref (ämneskategori)

art (ämneskategori)