Reconstruction of through-and- through cheek defect following carcinoma surgery-for mucosal lining and cover both by Free Anterolateral Thigh (ALT) Flap
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2017, Vol 2, Issue 6
Abstract
Free flaps are common option for soft tissue reconstruction and improvements of the surgical technique have progressively concerned the function and appearance of the recipient and donor sites. The anterolateral (ALT) thigh free flap possesses many of the important properties that make this flap ideal for reconstruction of through-and-through cheek defect following carcinoma surgery for mucosal lining and cover both. Thus, the aim of the study was to evaluate indications, advantages, disadvantages, and complications of the usage of free ALT flap in through-and-through cheek defect reconstruction. Material and Methods: Totally, 26 patients affected by oral squamous cell cancer cases were taken in study. The study populations consisted of North Indian were cases collected between December 2015 to September 2017 according to criteria described earlier through the outpatient and indoor patient surgery department clinics (LLR Hospital, Kanpur, India) and Cancer clinics (J.K.Cancer Institute Kanpur, India). Written informed consent had been signed by all patients prior to surgery. During follow-up, patients were periodically assessed for the functional and aesthetic outcome of both recipient and donor site. Results: Our study suggest that ALT free flap is workhorse for reconstruction of through-and-through cheek defect with 92.30% flap survival rate possesses good functional and aesthetic outcome of recipient site with minimal donor site morbidity. Conclusion: Although various free flaps have been described but ALT free flap has become the flap of choice for reconstruction of through-and-through cheek defect following carcinoma surgery for mucosal lining and skin cover both.
Authors and Affiliations
Dr. Mohd. Athar
Keywords
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