Reconstruction of Extensive Through-and-Through Cheek Defects With Free Anterolateral Thigh Flap

Sun, Guozhe; Lu, Ming; Hu, Qingang; Tang, Enyi

doi:10.1097/scs.0b013e3182a2edf5

Cited by 13 publications

(5 citation statements)

References 24 publications

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“…6 In the literature, many series reported successful reconstruction of through-and-through cheek-buccal defects with the use of free ALT flaps. [6][7][8][9] In particular, the advantages of ALT flaps in this kind of reconstruction were derived from its flap design versatility, such as one perforator with skin paddle folding, two-perforator chimeric flaps, or intervening de-epithelialization zone, to meet the requirements of both the oral lining and cheek skin, or even oral commissure. [6][7][8]10 However, fewer issues regarding postoperative long-term satisfaction, impact on QOL, or comparison with other fasciocutaneous flaps were discussed.…”

Section: Discussionmentioning

confidence: 99%

Experience With the Use of Free Fasciocutaneous Flap in Through-and-Through Cheek-Buccal Defect Reconstruction

Lin

Chiu

Perng

et al. 2016

Annals of Plastic Surgery

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Section: Discussionmentioning

confidence: 99%

Experience With the Use of Free Fasciocutaneous Flap in Through-and-Through Cheek-Buccal Defect Reconstruction

Lin

Chiu

Perng

et al. 2016

Annals of Plastic Surgery

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“…The expanded forehead flap is also used for large cheek defect reconstruction but this flap frequently introduces hair-bearing scalp into nonhair-bearing areas, and multiple laser hair removal are needed. 4 Several free flaps were also choices for facial and neck reconstruction, like anterolateral thigh flap, 5 radial forearm flap. 6 But free flap reconstruction requires microsurgical technique.…”

Section: Discussionmentioning

confidence: 99%

Facial and Neck Reconstruction With Pre-expanded Medial Upper Arm Flap: An Alternative method and 20-Year Experience

Chen

et al. 2022

Journal of Craniofacial Surgery

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Purpose: To present our experience with pre-expanded medial upper arm flap in facial and neck reconstruction. Patients and Methods: This was a retrospective study operated between January 1st, 2001 and January 1st, 2021, at the Plastic Surgery Hospital, Chinese Academy of Medical Sciences, and Peking Union Medical College. Staged face and/or neck reconstruction was performed. Results: Forty-one patients were treated in our institution and thirty-eight patients (forty-three flaps) were included in this cohort as. They ranged from 6 to 44 years old. There was no total flap loss in the cohort. Partial flap necrosis was observed in the earlier patients (4 cases). Conclusion: Pre-expanded medial upper arm flap is well matched to the facial and neck skin in color, texture, and thickness. Considering the excellent aesthetic outcomes, this flap is a good alternative for selected patients with soft tissue defects of the head and neck.

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“…Restoration of speech and swallowing with acceptable esthetic outcome are the primary goals of reconstruction. The anterolateral thigh (ALT) flap is a versatile and by far the most commonly used reconstructive option for such defects [3]. It not only provides adequate skin and soft tissue cover but also has an advantage of minimal donor site morbidity [4].…”

Section: Discussionmentioning

confidence: 99%

Pedicled Latissimus Dorsi Myocutaneous Flap-an Effective Reconstructive Option for Extensive Buccal Cancer Resection in Resource Constrained and Salvage Settings

Chakrabarti

Panuganti

Gupta

et al. 2020

Indian J Surg Oncol

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Free flaps are the gold standard for reconstruction of extensive buccal cancer resections. However, salvage surgeries in previously operated and radiated necks, cost, increased operating time, and patient co-morbidities limit their routine use in high volume and resource-constrained settings. Pectoralis major myocutaneous (PMMC) flap is the mainstay of reconstruction of large buccal defects. However, reconstruction becomes a challenge during salvage of recurrences where PMMC has been utilized in previous reconstruction and in female patients where PMMC harvest results in major donor site morbidity. A retrospective analysis of clinical data of 13 consecutive patients (eight male and five female) with through and through buccal cancer resection defects reconstructed using pedicled latissimus dorsi (LD) flap from July 2018 to September 2019 was performed. The indications of using an LD flap were salvage surgeries for recurrences where PMMC was used in earlier reconstruction, medical co-morbidities, vessel depleted necks, and financial constraints precluding use of free flaps. The mean follow-up period was 9.84 months. The mean operating time post-resection was 2 h and 26 min. The mean hospital stay was 12.61 days. All patients could be decannulated successfully (mean duration 9.69 days) and 12 could be weaned off feeding tube. None of the patients had any major flap related or donor site complications. Pedicled LD flap has a limited but an effective reconstructive role for extensive buccal cancer ablation as an alternative to free flaps and PMMC in salvage and resource-constrained situations.

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Reconstruction of Extensive Through-and-Through Cheek Defects With Free Anterolateral Thigh Flap

Abstract: The free anterolateral thigh flap was one of the versatile soft tissue flaps in the extensive through-and-through cheek defects reconstruction.

Cited by 13 publications

References 24 publications

Experience With the Use of Free Fasciocutaneous Flap in Through-and-Through Cheek-Buccal Defect Reconstruction

Experience With the Use of Free Fasciocutaneous Flap in Through-and-Through Cheek-Buccal Defect Reconstruction

Facial and Neck Reconstruction With Pre-expanded Medial Upper Arm Flap: An Alternative method and 20-Year Experience

Pedicled Latissimus Dorsi Myocutaneous Flap-an Effective Reconstructive Option for Extensive Buccal Cancer Resection in Resource Constrained and Salvage Settings

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