Anterolateral Thigh Flap Reconstruction of Full Thickness Buccal Defect
Objective: To present our experience with the anterolateral thigh flap in reconstructing a full thickness defect of the buccal mucosa and cheek. Methods: Design: Case Report Setting: Tertiary Private Hospital Patient: One Results: A 36 year old male with a T4aN0M0 Stage IVa buccal car...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Philippine Society of Otolaryngology-Head and Neck Surgery, Inc.
2008-06-01
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| Series: | Philippine Journal of Otolaryngology Head and Neck Surgery |
| Subjects: | |
| Online Access: | https://pjohns.pso-hns.org/index.php/pjohns/article/view/769 |
| _version_ | 1818384947185975296 |
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| author | Samantha S. Castañeda Daniel M. Alonzo Rodney Marc H. Ramos |
| author_facet | Samantha S. Castañeda Daniel M. Alonzo Rodney Marc H. Ramos |
| author_sort | Samantha S. Castañeda |
| collection | DOAJ |
| description | Objective: To present our experience with the anterolateral thigh flap in reconstructing a full thickness defect of the buccal mucosa and cheek.
Methods:
Design: Case Report
Setting: Tertiary Private Hospital
Patient: One
Results: A 36 year old male with a T4aN0M0 Stage IVa buccal carcinoma on the left underwent wide excision, marginal mandibulectomy and modified radical neck dissection with preservation of the spinal accessory nerve, internal jugular vein and sternocleidomastoid muscle. The resultant through-and-through defect of the cheek skin measuring 8 x 6cm and buccal mucosa measuring 6 x 10 cm with a concomitant ¼ upper lip and 1/3 lower lip defect was reconstructed with an anterolateral thigh free flap. The patient recovered uneventfully and underwent adjuvant concurrent chemoradiotherapy 1 month post-operation. At 2 ½ months post-operation, he had no oral incontinence and could resume a normal diet with good speech.
Conclusion: The anterolateral thigh free flap is an excellent soft-tissue flap for reconstruction of a full thickness defect of the buccal area.
Key words: Surgical flap, Carcinoma, squamous cell, Oral cancer |
| first_indexed | 2024-12-14T03:30:21Z |
| format | Article |
| id | doaj.art-3fec9affec8c4ffb830bd7ca35a29045 |
| institution | Directory Open Access Journal |
| issn | 1908-4889 2094-1501 |
| language | English |
| last_indexed | 2024-12-14T03:30:21Z |
| publishDate | 2008-06-01 |
| publisher | Philippine Society of Otolaryngology-Head and Neck Surgery, Inc. |
| record_format | Article |
| series | Philippine Journal of Otolaryngology Head and Neck Surgery |
| spelling | doaj.art-3fec9affec8c4ffb830bd7ca35a290452022-12-21T23:18:47ZengPhilippine Society of Otolaryngology-Head and Neck Surgery, Inc.Philippine Journal of Otolaryngology Head and Neck Surgery1908-48892094-15012008-06-0123110.32412/pjohns.v23i1.769Anterolateral Thigh Flap Reconstruction of Full Thickness Buccal DefectSamantha S. Castañeda0Daniel M. Alonzo1Rodney Marc H. Ramos2Department of Otolaryngology - Head and Neck Surgery The Medical City; Department of Otorhinolaryngology - Head and Neck Surgery Jose R. Reyes Memorial Medical Center; Department of Otolaryngology - Head and Neck Surgery Rizal Medical CenterDepartment of Otolaryngology - Head and Neck Surgery The Medical CityDepartment of Otolaryngology - Head and Neck Surgery The Medical CityObjective: To present our experience with the anterolateral thigh flap in reconstructing a full thickness defect of the buccal mucosa and cheek. Methods: Design: Case Report Setting: Tertiary Private Hospital Patient: One Results: A 36 year old male with a T4aN0M0 Stage IVa buccal carcinoma on the left underwent wide excision, marginal mandibulectomy and modified radical neck dissection with preservation of the spinal accessory nerve, internal jugular vein and sternocleidomastoid muscle. The resultant through-and-through defect of the cheek skin measuring 8 x 6cm and buccal mucosa measuring 6 x 10 cm with a concomitant ¼ upper lip and 1/3 lower lip defect was reconstructed with an anterolateral thigh free flap. The patient recovered uneventfully and underwent adjuvant concurrent chemoradiotherapy 1 month post-operation. At 2 ½ months post-operation, he had no oral incontinence and could resume a normal diet with good speech. Conclusion: The anterolateral thigh free flap is an excellent soft-tissue flap for reconstruction of a full thickness defect of the buccal area. Key words: Surgical flap, Carcinoma, squamous cell, Oral cancerhttps://pjohns.pso-hns.org/index.php/pjohns/article/view/769Surgical flapCarcinoma, squamous cellOral cancer |
| spellingShingle | Samantha S. Castañeda Daniel M. Alonzo Rodney Marc H. Ramos Anterolateral Thigh Flap Reconstruction of Full Thickness Buccal Defect Philippine Journal of Otolaryngology Head and Neck Surgery Surgical flap Carcinoma, squamous cell Oral cancer |
| title | Anterolateral Thigh Flap Reconstruction of Full Thickness Buccal Defect |
| title_full | Anterolateral Thigh Flap Reconstruction of Full Thickness Buccal Defect |
| title_fullStr | Anterolateral Thigh Flap Reconstruction of Full Thickness Buccal Defect |
| title_full_unstemmed | Anterolateral Thigh Flap Reconstruction of Full Thickness Buccal Defect |
| title_short | Anterolateral Thigh Flap Reconstruction of Full Thickness Buccal Defect |
| title_sort | anterolateral thigh flap reconstruction of full thickness buccal defect |
| topic | Surgical flap Carcinoma, squamous cell Oral cancer |
| url | https://pjohns.pso-hns.org/index.php/pjohns/article/view/769 |
| work_keys_str_mv | AT samanthascastaneda anterolateralthighflapreconstructionoffullthicknessbuccaldefect AT danielmalonzo anterolateralthighflapreconstructionoffullthicknessbuccaldefect AT rodneymarchramos anterolateralthighflapreconstructionoffullthicknessbuccaldefect |