Reconstruction of Complex Total Parotidectomy Defect With a Chimeric Anterolateral Thigh Perforator Flap and Vascularized Motor Branch of Femoral Nerve Grafting

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
Zhong-Fei XuChang-Fu Sun

Abstract

Reconstruction of complex total parotidectomy defects after ablation is always a challenge for surgeons. The surgical technique in reconstructing total parotidectomy defects using an anterolateral thigh (ALT) flap has not been described in detail. This report describes the treatment of a difficult case with a complex total parotidectomy defect. An ALT flap composed of a vascularized motor branch of the femoral nerve and a narrow portion of the vastus lateralis muscle was harvested. An 8-cm-long vascularized nerve was transplanted into the gap, which can be considered a cable transplant graft, and a myocutaneous paddle was used to cover and fill in the soft tissue defect. There were no complications after surgery, and the patient was satisfied with the reconstructed facial contours. This case shows that using a chimeric ALT flap for reconstruction is possible in a complex total parotidectomy defect.

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Citations

May 22, 2019·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Abhinav R EttyreddyPatrik Pipkorn
Aug 9, 2017·Current Opinion in Otolaryngology & Head and Neck Surgery·Evan M Graboyes, Joshua D Hornig
Feb 11, 2021·Plastic and Reconstructive Surgery. Global Open·Alexandra C HatchellA Robertson Harrop
Feb 24, 2021·Plastic and Reconstructive Surgery·Marco InnocentiAlessandro Innocenti
Jul 10, 2021·Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India·Pedro C Cavadas, Magdalena Baklinska

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