Application of a chimeric ALT perforator flap with vastus lateralis muscle mass in the reconstruction of the defects after radical resection of a buccal carcinoma: A retrospective clinical study

2020 ◽  
Vol 122 (4) ◽  
pp. 632-638
Author(s):  
Xiaoshan Wu ◽  
Rong Yang ◽  
Yongxiang Yuan ◽  
Yafei Xiong ◽  
Tong Su ◽  
...  
Keyword(s):  
Clinical Study ◽  
Muscle Mass ◽  
Vastus Lateralis ◽  
Perforator Flap ◽  
Radical Resection ◽  
Vastus Lateralis Muscle ◽  
Retrospective Clinical Study ◽  
Lateralis Muscle

Application of chimerical ALT perforator flap with vastus lateralis muscle mass in the reconstruction of oral and submandibular defects after radical resection of tongue carcinoma: a retrospective clinical study

2019 ◽  
Author(s):  
Rong Yang ◽  
Xiaoshan Wu ◽  
Pathak kumar Ajit ◽  
Yafei Xiong ◽  
Canhua Jiang ◽  
...  
Keyword(s):  
Classical Group ◽  
Vastus Lateralis ◽  
Perforator Flap ◽  
Radical Resection ◽  
Vastus Lateralis Muscle ◽  
Tongue Carcinoma ◽  
Lower Extremity Function ◽  
Submandibular Region ◽  
Flap Survival ◽  
Lateralis Muscle

Abstract Background: Patients with tongue carcinoma who undergo combined tongue and neck radical resection often have the oral and submandibular defects simultaneously. Because of the high flexibility, the anterolateral thigh (ALT) perforator flap is gradually being adopted by the surgeons for the oral reconstruction. However, the tissue volume of a perforator flap is insufficient for the reconstruction of both oral and submandibular regions. In this retrospective study, we compared the postoperative effects and complications between two groups of patients. One group was reconstructed with the classical ALT perforator flap and the other was reconstructed with the chimeric ALT perforator flap with a mass of vastus lateralis muscle. Methods: From Aug 2017 to Aug 2019, 25 patients were reconstructed with classical ALT perforator flap (classical group), while 26 patients were reconstructed with the chimeric ALT perforator flap (chimeric group) after radical resection of tongue cancer in Xiangya Hospital, Central South University. The flap survival rate, incidence of submandibular infection, lateral appearance, lower extremity function, and quality of life were compared between two groups. Results: There were no differences in flap survival rate and postoperative lower extremity function between the two groups. The incidence of submandibular infection was 15.4％ and 40％ in the chimeric and classical group, respectively. The duration of recovery was 12.20±2.69 and 15.67±4.09 days in the chimeric and classical group, respectively. The submandibular region was fullness and satisfactory in chimeric group. The postoperative life quality in the chimeric group was better than that in the classical group ( P ＜0.05). Conclusions: The chimerical ALT perforator flap with muscle mass can reconstruct the oral and submandibular defects accurately. It maintains the profile and fullness of the submandibular region and reduces the incidence of submandibular infection.

Mitochondrial abnormalities are more frequent in muscles undergoing sarcopenia

2002 ◽  
Vol 92 (6) ◽  
pp. 2617-2624 ◽  
Author(s):  
Entela A. Bua ◽  
Susan H. McKiernan ◽  
Jonathan Wanagat ◽  
Debbie McKenzie ◽  
Judd M. Aiken
Keyword(s):  
Muscle Mass ◽  
Vastus Lateralis ◽  
Brown Norway ◽  
Vastus Lateralis Muscle ◽  
Cross Sectional ◽  
Fischer 344 ◽  
Lateralis Muscle ◽  
Muscle Mass Loss ◽  
High Degree ◽  
Adductor Longus

The hypothesis that the accumulation of electron transport system (ETS) abnormalities and sarcopenia are linked was investigated. Vastus lateralis, soleus, and adductor longus muscles were studied in 5-, 18-, and 36-mo-old male Fischer 344 × Brown Norway F1 hybrid rats. A significant decrease in soleus and vastus lateralis muscle mass was observed with age. Adductor longus was resistant to muscle mass loss. Multiple serial sections were analyzed for the activities of cytochrome- c oxidase (COX) and succinate dehydrogenase (SDH). The number of fibers exhibiting a COX−/SDH++ phenotype increased with age in both vastus lateralis and soleus muscles. No ETS-abnormal fibers were identified in adductor longus at any age. Cross-sectional area of ETS-abnormal fibers decreased in the abnormal region (region displaying COX−/SDH++ phenotype), whereas control fibers did not. The vastus lateralis muscle, which undergoes a high degree of sarcopenia, exhibited more ETS abnormalities and associated fiber loss than the soleus and adductor longus muscles, which are more resistant to sarcopenia, suggesting a direct association between ETS abnormalities and fiber loss.

Ayurvedic management of Myositis Ossificans of Vastus Lateralis Muscle (Urusthamba) - A Case Study

2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Vishnu Mohan ◽  
Gopikrishna BJ ◽  
Avnish Pathak ◽  
Mahesh Kumar ES ◽  
Duradundi G
Keyword(s):  
Heterotopic Ossification ◽  
Myositis Ossificans ◽  
Vastus Lateralis ◽  
Treatment Protocol ◽  
Vastus Lateralis Muscle ◽  
Satisfactory Treatment ◽  
Lateralis Muscle ◽  
Ayurvedic Treatment

Myositis ossificansis characterized by heterotopic ossification (calcification) of muscle of various etiologies. It is most commonly affected in the quadriceps of the thighs. There are many tools available for diagnosis of Myositis ossificans, but lack of satisfactory treatment. So the development of a treatment protocol for Myositis ossificans is the need of today`s era. In Ayurveda, the same can be understood as Urusthamba. The present paper discusses a case of Myositis ossificans of right vastus lateralis muscle and its Ayurvedic treatment.

Vastus lateralis muscle volume prediction in early-adolescent boys

2021 ◽  
pp. 110735
Author(s):  
Theresa Domroes ◽  
Gunnar Laube ◽  
Sebastian Bohm ◽  
Adamantios Arampatzis ◽  
Falk Mersmann
Keyword(s):  
Vastus Lateralis ◽  
Muscle Volume ◽  
Early Adolescent ◽  
Vastus Lateralis Muscle ◽  
Adolescent Boys ◽  
Lateralis Muscle

Repair of Recurrent Cleft Palate with Free Vastus Lateralis Muscle Flap

2012 ◽  
Vol 49 (2) ◽  
pp. 245-248 ◽  
Author(s):  
Jose G. Christiano ◽  
Amir H. Dorafshar ◽  
Eduardo D. Rodriguez ◽  
Richard J. Redett
Keyword(s):  
Cleft Palate ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Vastus Lateralis ◽  
Muscle Flap ◽  
Free Flaps ◽  
Vastus Lateralis Muscle ◽  
Oronasal Fistula ◽  
Lateralis Muscle ◽  
Palate Repair

A 6-year-old girl presented with a large recalcitrant oronasal fistula after bilateral cleft lip and palate repair and numerous secondary attempts at fistula closure. Incomplete palmar arches precluded a free radial forearm flap. A free vastus lateralis muscle flap was successfully transferred. No fistula recurrence was observed at 18 months. There was no perceived thigh weakness. The surgical scar healed inconspicuously. Free flaps should no longer be considered the last resort for treatment of recalcitrant fistulas after cleft palate repair. A free vastus lateralis muscle flap is an excellent alternative, and possibly a superior option, to other previously described free flaps.

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