Free anterolateral thigh flap in maxillofacial tissue defect application in transplantation and reconstruction

ZHU Wei-zheng; CHEN Chuan-jun

doi:10.16766/j.cnki.issn.1674-4152.002312

Volume 20 Issue 2

Feb. 2022

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Article Navigation > Chinese Journal of General Practice > 2022 > 20(2): 202-205, 297

ZHU Wei-zheng, CHEN Chuan-jun. Free anterolateral thigh flap in maxillofacial tissue defect application in transplantation and reconstruction[J]. Chinese Journal of General Practice, 2022, 20(2): 202-205, 297. doi: 10.16766/j.cnki.issn.1674-4152.002312

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ZHU Wei-zheng, CHEN Chuan-jun. Free anterolateral thigh flap in maxillofacial tissue defect application in transplantation and reconstruction[J]. Chinese Journal of General Practice, 2022, 20(2): 202-205, 297. doi: 10.16766/j.cnki.issn.1674-4152.002312

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Free anterolateral thigh flap in maxillofacial tissue defect application in transplantation and reconstruction

doi: 10.16766/j.cnki.issn.1674-4152.002312

ZHU Wei-zheng^,
, CHEN Chuan-jun

Department of Oral and Maxillofacial Surgery, the First Affiliated Hospital of USTC (Anhui Provincial Hospital), Hefei, Anhui 230001, China

Funds:

GXXT-2020-021

Received Date: 2021-05-08
Available Online: 2022-03-04

Abstract

Abstract

Objective To explore the clinical treatment of oral and maxillofacial malignant tumours (primarily oral squamous cell carcinoma) with free anterolateral thigh flap. The therapeutic effects of transplantation and reconstruction of large tissue defects in head, neck, and maxillofacial area after radical resection of malignant tumour were examined. Methods From April 2015 to August 2020, 66 cases of maxillofacial defects after radical oral cancer were reconstructed by free anterolateral femoral flap transplantation in the Oral and Maxillofacial Surgery Department of Anhui Provincial Hospital. Data including general information, repair site, recovery of oral speech, chewing and swallowing functions after surgery, and satisfaction degree of postoperative appearance were collected. Related postoperative follow-up data were retrospectively analysed through questionnaire and SPSS 23.0 statistical software analysis. A detailed study of the advantages and disadvantages of free femoral anterolateral flap in clinical design preparation, data reconstruction, postoperative complications, and patient's appearance and function was conducted. Results A total of 64 of the 66 patients survived the first stage of the flap, including two patients with postoperative skin flap necrosis due to vascular embolisation, with a success rate of 96.97%. No serious complications occurred in the donor area of postoperative flap. In addition to the T4 patients with excessively large primary lesions, whose oral and maxillofacial tissue defects seriously affected the normal physiological function after surgery, the remaining 85% of patients could recover their speech and eating function satisfactorily 3 months after surgery. More than 93.94% of patients were satisfied or acceptable with the postoperative appearance. Statistically significant differences in mouth opening, food intake, and speech function existed amongst all kinds of oral cancer patients before and after surgery (all P < 0.05). Conclusion The free anterolateral femoral flap is the first choice for the reconstruction of head and neck tissue defects in oral and maxillofacial surgery due to its advantages such as simple preparation, flexible design, powerful function, and concealed donor area.
- Free lateral thigh flap,
- Maxillofacial tissue defect,
- Perforator flap

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References(23)

References

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Free anterolateral thigh flap in maxillofacial tissue defect application in transplantation and reconstruction

doi: 10.16766/j.cnki.issn.1674-4152.002312

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