Clinical application of free anterolateral thigh flap in the reconstruction of oromaxillo-facial defects / 中华耳鼻咽喉头颈外科杂志
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
;
(12): 753-757, 2009.
Article
in Chinese
| WPRIM
| ID: wpr-317232
ABSTRACT
<p><b>OBJECTIVE</b>To analyze the possibility and practicality of using free anterolateral thigh flap to repair defects of oromaxillo-facial region.</p><p><b>METHODS</b>One hundred and seventy-two patients underwent anterolateral thigh flap (ALP) reconstruction from Jan. 2007 to Dec. 2008. The size of the defect ranges from 4 cm x 4 cm to 10 cm x 25 cm. One hundred and six flaps were used for tongue reconstruction, 14 flaps for buccal reconstruction, 15 flaps for mouth floor reconstruction, 1 flap for lower lip and mental region reconstruction, 6 flaps for hard and soft palate reconstruction, 3 flap for maxillary part reconstruction, 18 flaps for submaxilla part reconstruction, 2 flaps for pharynx oralis reconstruction, 3 flaps for repairing large-area defect of facial, 1 flap for repairing neck and shoulder region and 3 flaps for repairing defect of Infratemporal fossa. Of these flaps, 151 were musculocutaneous flaps, 13 were fasciocutaneous flaps and 8 were chimeric flaps.</p><p><b>RESULTS</b>The success rate reaches 98.3% (169 of 172). Postoperatively, 4 cases encountered vascular crisis, 1 of which survived completely with successful vessel exploration, 3 cases with partial necrosis; and 3 cases with complete necrosis. One case with bleeding after operation. Six cases with parotid fluidly and parotid fistula, 8 cases with mouth floor fistula, 6 cases with infection, 3 cases with infection and partial necrosis on the lateral thigh. All patients achieved acceptable contour, appearance and function.</p><p><b>CONCLUSION</b>Free anterolateral thigh flap can repair kinds of complicated defects on oromaxillo-facial region.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
General Surgery
/
Surgical Flaps
/
Thigh
/
Transplantation, Autologous
/
Mouth Neoplasms
/
Skin Transplantation
/
Oral Surgical Procedures
/
Plastic Surgery Procedures
/
Face
/
Femur
Limits:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
Year:
2009
Type:
Article
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