The lateral arm flap is situated on the lateral side of the upper arm and is provided by the posterior radial collateral artery. The vessel is 0.75-1.5 mm in diameter, and the pedicle is eight cm in size. The flap may be designed with a 6-eight cm width, which permits major closure of the wound. If the width is larger, the donor site requires grafting. Throughout dissection of the flap, take precautions to avoid injury to the radial nerve.
The flap can be utilized as a free flap or in a retrograde style for coverage of elbow defects. This flap also will be designed as a sensate flap based on the antebrachial cutaneous nerves of the arm and forearm. Occasionally, muscle, bone, or tendon is included into the flap. The medial arm flap is predicated on the skin of the medial arm, thus has the advantage of creating a hidden scar on the donor site. The superior ulnar collateral or branches of the brachial artery provide the blood provide.
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Handle: Jalan Pahang 50586 Kuala Lumpur. University of Malaya, 59100 Kuala Lumpur. Gan Skin Specialist Clinic, Wisma Tai Yoon, 9-A, Lorong Medan Tuanku Satu, Off Jalan Tuanku Abdul Rahman, 50300 Kuala Lumpur. Wisma Perintis, 42, Jalan Dungun, Damansara Heights, 50490, Kuala Lumpur. Jalan 1/92C, Batu 3 1/4, Jalan Cheras, 56000 Kuala Lumpur. The Skin Centre, 323, (Floor Floor) Jalan Pudu, 55100 Kuala Lumpur. 71/75, Jalan Tuanku Abdul Rahman , 50100 Kuala Lumpur.
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