|Table of Contents|

Reconstruction of through and through cheek defects with folded free anterolateral thigh flaps

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2017 01
Page:
41-44
Research Field:
Publishing date:

Info

Title:
Reconstruction of through and through cheek defects with folded free anterolateral thigh flaps
Author(s):
Wu DiLiao LieqiangLiu ZhiminYan HonghongMai JunhaoLiu Xuekui
Department of Head and Neck Surgery,State Key Laboratory of Oncology in South China,Cancer Centre,Sun Yat-Sen University,Guangdong Guangzhou 510060,China.
Keywords:
folded anterolateral thigh flapsthrough-and-through cheek defectsclinical application
PACS:
R739.4
DOI:
10.3969/j.issn.1672-4992.2017.01.011
Abstract:
Objective:To investigate the clinical application and therapeutic efficacy of through-and-through cheek defects reconstructed with folded anterolateral thigh (ALT) flaps.Methods:From January 2010 to October 2014,12 patients with through-and-through cheek defects resulting from resection of cheek tumor underwent reconstruction with the folded ALT flap at Sun Yat-Sen University Cancer Center,Guangzhou,China.Surgical procedures in harvesting the ALT flap,as well as the surgical anatomy,were described,and the success rate is reported.Results:11 flaps survived.1 patient with a thrombotic event required operative exploration in the perioperative period.In all 12 cases,the donor site was closed primarily for the ALT flap,leaving only a linear scar,and the thigh had no functional deficit.Conclusion:The free ALT flap had good pliability and could be folded for the reconstruction of both the inner and outer lining of through-and-through cheek defects.This flap presents good functional results at the recipient site with the additional advantages of minimal donor-site morbidity,a very acceptable esthetic result,and a high level of patient satisfaction.

References:

[1]Huang DY,Li ZY,Feng CJ.Using the forearm free flap to repair oral and maxillofacial soft tissue defect[J].Chin J Microsurg,2012,35(04):319-320.[黄代营,李智勇,冯崇锦.前臂游离皮瓣修复口腔颌面部软组织缺损[J].中华显微外科杂志,2012,35(04):319-320.]
[2]Zheng YH,Liao GQ,Zhang ZG,et al.The application of pectoralis major myocutaneous flap in head and neck tissue defect repair[J].Chinese Journal of Otorhinolaryngology-Skull Base Surgery,2005,11(01):27-29.[郑有华,廖贵清,张志光,等.胸大肌肌皮瓣在头颈部组织缺损修复中的应用[J].中国耳鼻咽喉颅底外科杂志,2005,11(01):27-29.]
[3]Song YG,Chen GZ,Song YL.The free thigh flap:a new free flap concept based on the septocutaneous artery[J].Br J Plast Surg,1984,37(2):149-159.
[4]Kimata Y,Uchiyama K,Ebihara S,et al.Versatility of the free anterolateral thigh flap for reconstruction of head and neck defects[J].Arch Otolaryngol Head Neck Surg,1997,123(12):1325-1331.
[5]Sun G,Lu M,Tang E,et al.Clinical application of free anterolateral thigh flap in the reconstruction of intraoral defects[J].Oral Surg Oral Med Oral Pathol Oral Radiol Endod,2011,112(1):34-41.
[6]Hou CL,Gu YD.Flap surgery[M].Shanghai:Shanghai Scientific and Technical Publishers,2006:601.[侯春林,顾玉东.皮瓣外科学[M].上海:上海科学技术出版社,2006:601.]
[7]Tripathi M,Parshad S,Karwasra RK,et al.Pectoralis major myocutaneous flap in head and neck reconstruction:An experience in 100 consecutive cases[J].Natl J Maxillofac Surg,2015,6(1):37-41.
[8]Schneider DS,Wu V,Wax MK.Indications for pedicled pectoralis major flap in a free tissue transfer practice[J].Head Neck,2011,34:1106-1110.
[9]Zhou W,He M,Liao Y,et al.Reconstructing a complex central facial defect with a multiple-folding radial forearm flap[J].J Oral Maxillofac Surg,2014,72(4):836.e1-4.
[10]Li C,Cai YC,Wang W,et al.The role definition of lateral arm free flap in reconstruction after head and neck cancer surgery[J].Chin J Otorhinolofyngology Head and Neck Surgery,2016,51(2):156-160.
[11]Khadakban D,Kudpaje A,Thankappan K,et al.Reconstructive indications of anterolateral thigh free flaps in head and neck reconstruction[J].Craniomaxillofac Trauma Reconstr,2016,9(1):40-45.
[12]Kuo YR,Jeng SF,Kuo MH,et al.Free anterolateral thigh flap for extremity reconstruction:clinical experience and functional assessment of donor site[J].Plast Reconstr Surg,2001,107(7):1766-1771.
[13]Lawson BR,Moreno MA.Head and neck reconstruction with chimeic anterolateral thigh free flap:indications,outcomes,and technical considerations[J].Otolaryngol Head Neck Surg,2016,154(1):59-65.
[14]Wei FC,Demirkan F,Chen HC,et al.Double free flaps in reconstruction of extensive composite mandibular defects in head and neck cancer[J].Plast Reconstr Surg,1999,103(1):39-47.
[15]Wang Y,Ji QH,Zhu YX,et al.Using free femoral anterolateral skin flap to repair the defects after head and neck tumor resection with the application of microvascular stapling[J].Chin J Microsurg,2014,37(02):166-167.[王宇,嵇庆海,朱永学,等.游离股前外侧皮瓣修复头颈部肿瘤术后缺损中微血管吻合器的应用[J].中华显微外科杂志,2014,37(02):166-167.]
[16]Hallock GG,Rice DC.Use of microvascular coupler repair of major distal upper extremity artery injuries[J].J Hand Microsurg,2009,1:3-6.

Memo

Memo:
-
Last Update: 2016-12-01