Reconstruction of through-and-through cheek defects with folded free anterolateral thigh flaps
| Autor: | Zong Yuan Zeng, Wei Wei Liu, Di Wu, Zhi Min Liu, Zhu Ming Guo, Xue Kui Liu, Quan Li, Hao Li, Xin Rui Zhang |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Esthetics Subcutaneous Fat Anastomosis Thigh Free Tissue Flaps Transplant Donor Site Resection Surgical anatomy Medicine Humans Fascia Aged Neoplasm Staging Retrospective Studies business.industry Anastomosis Surgical Perioperative Skin Transplantation Cheek Anterolateral thigh Middle Aged Plastic Surgery Procedures Surgery medicine.anatomical_structure Treatment Outcome Otorhinolaryngology Patient Satisfaction Tissue and Organ Harvesting Female Mouth Neoplasms Oral Surgery business Perforator Flap Through and through Follow-Up Studies |
| Zdroj: | Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons. 71(5) |
| ISSN: | 1531-5053 |
| Popis: | Purpose The purpose of this study was to assess the clinical application and therapeutic efficacy of through-and-through cheek defects reconstructed with folded anterolateral thigh (ALT) flaps. Patients and Methods From January 2009 to May 2012, 10 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, are described, and the success rate is reported. Results All ALT flaps were fasciocutaneous flaps. One patient with a thrombotic event required operative exploration in the perioperative period. All 10 flaps were based on a single perforator for reconstruction of defects. In all 10 cases, the donor site was closed primarily for the ALT flap, leaving only a linear scar that was inconspicuous with normal clothing, and the thigh had no functional deficit. Conclusions The free ALT flap has good pliability and can 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. |
| Databáze: | OpenAIRE |
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