Use of the anterolateral thigh in cranio-orbitofacial reconstruction.

Plastic Surgery International
William J ParkesJoseph Curry

Abstract

Objective. To detail the clinical outcomes of a series of patients having undergone free flap reconstruction of the orbit and periorbita and highlight the anterolateral thigh (ALT) as a workhorse for addressing defects in this region. Methods. A review of 47 patients who underwent free flap reconstruction for orbital or periorbital defects between September 2006 and May 2011 was performed. Data reviewed included demographics, defect characteristics, free flap used, additional reconstructive techniques employed, length of stay, complications, and follow-up. The ALT subset of the case series was the focus of the data reviewed for this paper. Selected cases were described to highlight some of the advantages of employing the ALT for cranio-orbitofacial reconstruction. Results. 51 free flaps in 47 patients were reviewed. 38 cases required orbital exenteration. The ALT was used in 33 patients. Complications included 1 hematoma, 2 wound infections, 3 CSF leaks, and 3 flap failures. Conclusions. Free tissue transfer allows for the safe and effective reconstruction of complex defects of the orbit and periorbital structures. Reconstructive choice is dependent upon the extent of soft tissue loss, midfacial bone loss, and skullbase involve...Continue Reading

References

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Aug 13, 2009·Head & Neck·Chin-Ho Wong, Fu-Chan Wei

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Citations

Aug 12, 2014·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Shawn T JosephSubramania Iyer
Jun 1, 2018·Case Reports in Otolaryngology·Tsutomu NomuraSeiji Kishimoto
Jun 3, 2021·Cancers·Tamara IusMassimo Robiony

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