Free Anterolateral Thigh Flap for Reconstruction of Extensive Head and Neck Defects following Cancer Ablation
Authors:
M. Chovanec 1,2
; M. Zábrodský 1; K. Vik 3; J. Plzák 1,2; Z. Fík 1,2; J. Klozar 1
; J. Betka 1; L. Calabrese 4
Authors place of work:
Istituto Europeao di Oncologia, Divisione di Chirurgia Cervico Facciale, Milan, Italia
; Klinika kardiochirurgie 2. LF UK a FN Motol, Praha
; Anatomický ústav 1. LF UK. Praha
; Klinika otorinolaryngologie a chirurgie hlavy a krku 1. LF UK a FN Motol, Praha
Katedra otolaryngologie IPVZ Praha
; přednosta prof. MUDr. J. Betka, DrSc.
1; přednosta prof. MUDr. K. Smetana, DrSc.
2; přednosta doc. MUDr. M. Šetina, CSc.
3; dirretore Fausto Giuseppe Chiesa, M. D.
4
Published in the journal:
Otorinolaryngol Foniatr, 60, 2011, No. 4, pp. 198-203.
Category:
Original Article
Summary
The free anterolateral thigh flap is one of the fasciomyocutaneous flaps of the thigh based on the musculocutaneous or septocutaneous perforators derived from the lateral circumflex femoral system. It is not popularly used because of the variable anatomy. The application of the anterolateral thigh flap as a favorable choice for head and neck reconstruction had not been widely used until recent years. We describe harvesting technique of the flap, its vascular anatomy, and our surgical experience in the five consecutive patients with major head and neck postresectional defects.
Key words:
head and neck reconstruction, free flap, anterolateral thigh flap, microsurgery.
Zdroje
1. Almaši, M.: Dolný muskulokutánny lalok z m. trapezius v rekonštrukcii rozsiahlych defektoch temporálnej a parotickej oblasti hlavy. Otorinolaryng. a Foniat. /Prague/, 57, 2008, s. 44-48.
2. Betka, J., Kačírková, J.: K problematice myokutánních laloků. Čs. otolaryngol., 36, 1986, s. 365-371.
3. De Bree, R., Reith, R., Quak, J. J., Uyl-de Groot, C. A., Agthoven, M., Leemans, C. R.: Free radial forearm flap versus pectoralis major myocutaneous flap reconstruction of oral and oropharyngeal defects: A cost analysis. Clin. Otolaryngol., 32, 2007, s. 275-282.
4. Hurvitz, K. A., Kobayashi, M., Evans, G. R.: Current options in head and neck reconstruction. Plast. Reconstr. Surg., 118, 2006, s. 122-133.
5. Kekatpure, V. D., Trivedi, N. P., Shetkar, G., Manjula, B. V., Mathan Mohan, A., Kuriakose, M. A.: Single perforator based anterolateral thigh flap for reconstruction of large composite defects of oral cavity. Oral. Oncol., 47, 2011, s. 517-521.
6. Koshima, I., Fukuda, H., Yamamoto, H., Moriguchi, T., Soeda, S., Ohta, S.: Free anterolateral thigh aps for reconstruction of head and neck defects. Plast. Reconstr. Surg., 92, 1993; s. 421-428.
7. Lueg, E. A.: The anterolateral thigh flap: radial forearm‘s „big brother“ for extensive soft tissue head and neck defects. Arch. Otolaryngol. Head Neck Surg., 130, 2004, s. 813-818.
8. Lutz, B. S., Wei, F. C.: Microsurgical workhorse aps in head and neck reconstruction. Clin. Plast. Surg., 32, 2005, s. 421-430.
9. Song, Y. G., Chen, G. Z., Song, Y. L.: The free thigh ap: a new free ap concept based on the septocutaneous artery. Br. J. Plast. Surg., 37, 1984; s. 149-159.
10. Wei, F. C., Jain, V., Celik, N., Chen, H. C., Chuang, D. C., Lin, C. H.: Have we found an ideal soft-tissue flap? An experience with 672 anterolateral thigh flaps. Plast. Reconstr. Surg., 109, 2002 s. 2219-2226.
11. Wong, C. H., Wei, F. C., Fu, B., Chen, Y. A., Lin, J. Y.: Alternative vascular pedicle of the anterolateral thigh flap: the oblique branch of the lateral circumex femoral artery. Plast. Reconstr. Surg., 123, 2009, s. 571-577.
Štítky
Audiology Paediatric ENT ENT (Otorhinolaryngology)Článok vyšiel v časopise
Otorhinolaryngology and Phoniatrics
2011 Číslo 4
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