Free anterolateral thigh flap for reconstruction of complex craniofacial defects after resection of tumors of the fronto-orbitomaxillary complex

The Journal of Craniofacial Surgery
Aliasgar V MoiyadiPrabha S Yadav

Abstract

Tumors of the fronto-orbitomaxillary segment are complex and pose a significant challenge for radical resection and subsequent reconstruction. With evolution in surgical reconstructive techniques, better reconstruction of these complex defects is now possible and facilitates more aggressive surgical management. The anterolateral thigh (ALT) flap has features particularly suited for this reconstruction. We review our single institutional experience with this technique. Sixteen consecutive patients with defects of the fronto-orbitomaxillary segment (from radical resection of craniofacial tumors of this region) were reconstructed using the free ALT flap. The demographic features, radiology, histology, and surgical technique as well as the perioperative events were reviewed retrospectively from a prospective database of all craniofacial resections performed. There were 9 males and 7 females with a mean age of 35 years. Eleven had previously undergone surgery. Dura was resected in 6 and inadvertently breached in another 2. Gross total resection was achieved in 14 (87.5%) of the 16 patients, of which 8 had microscopically negative margins. Thirteen musculocutaneous flaps and 3 chimeric flaps were performed. The mean duration of surge...Continue Reading

References

Mar 1, 1989·British Journal of Plastic Surgery·J Fisher, I T Jackson
Jun 1, 1986·Plastic and Reconstructive Surgery·I T JacksonW R Marsh
Mar 1, 1985·Plastic and Reconstructive Surgery·G C Cormack, B G Lamberty
Apr 1, 1984·British Journal of Plastic Surgery·Y G SongY L Song
Sep 30, 2003·Current Opinion in Otolaryngology & Head and Neck Surgery·Mario J ImolaVictor L Schramm
Jun 28, 2005·Clinics in Plastic Surgery·Barbara S Lutz, Fu-Chan Wei
Dec 22, 2009·Neurosurgery·Stephen J HentschelFranco DeMonte

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Citations

Sep 27, 2015·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Bradley R Lawson, Mauricio A Moreno
Mar 26, 2013·The Journal of Craniofacial Surgery·Aliasgar V MoiyadiPrakash Shetty
Feb 15, 2020·Journal of Neuro-oncology·Matthew M Hanasono

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