Application of anterolateral thigh free flap to reconstruct defects of the maxillary and midface / 临床耳鼻咽喉头颈外科杂志

OBJECTIVE@#To investigate the usefulness of anterolateral thigh flap for reconstruction of the defect after maxillectomy.@*METHOD@#Seventy-two cases with defect after maxillectomy were constructed with anterolateral thigh flap in our department during 10 years. All cases were undertaken total maxillectomy.@*RESULT@#All flaps except one were transferred successfully. Patients were satisfied with their appearances. No serious complications had happened.@*CONCLUSION@#Anterolateral thigh flap could be an donor flap for the reconstruction of the defect after maxillectomy.

One cases of scalp teratoma / 临床耳鼻咽喉头颈外科杂志

The patient, female, 27 years old. The scalp neoplasm had been found at her right temple 10 years ago. At first, the size of the tumor was just like a soybean, and did not grow obviously in the past nine and a half years. But the tumor increased fast in these six months, almost as large as the pigeon egg now. The physical examination showed that: A spherical tumor locates in the right temple near the right ear; the size of the tumor is 3 cm X 4 cm X 3 cm; the surface is smooth, no tenderness, no obvious mobile base, skull defect not touched. Primary diagnosis: the scalp cyst or lipoma. Under the local anesthesia we remove the neoplasm, during the operation we found the lesion located in the subcutaneous tissue layer, involved the galea aponeurosis layer, the skull surface are smooth and complete. The tumor was completely removed. We cut the mass and found a cystic cavity sized 3 cmX4 cm, which contained gray jerry-built materials, contained oil and a mass of hair, the capsule wall was complete. Postoperative pathological report: The tumor is cystic look throught the microscope, the capsule wall is squamous epithelium, containing keratinized material and hair. The pathological diagnosis is teratoma. The incision healed primarily, no recurrence found for about a year.