scholarly journals Anterolateral thigh free flaps and radial forearm free flaps in head and neck reconstruction: A 20-year analysis from a single institution

2021 ◽  
Vol 48 (1) ◽  
pp. 49-54
Author(s):  
Simon Yang ◽  
Jong Won Hong ◽  
In Sik Yoon ◽  
Dae Hyun Lew ◽  
Tai Suk Roh ◽  
...  
Keyword(s):  
Head And Neck ◽  
Donor Site ◽  
Free Flaps ◽  
Cancer Site ◽  
Head And Neck Reconstruction ◽  
Single Institution ◽  
Reconstruction Surgery ◽  
Neck Reconstruction ◽  
Anterolateral Thigh ◽  
Radial Forearm

Background Reconstruction after removal of a malignant tumor in the head and neck region is crucial for restoring tissue integrity, function, and aesthetics. We retrospectively analyzed patients who underwent intraoral reconstruction surgery using radial forearm free flaps (RFFF) and anterolateral thigh free flaps (ALT) at a single institution to provide more information supporting the choice of a reconstruction method after removal of head and neck cancer.Methods The charts of 708 patients who underwent head and neck reconstruction between 1998 and 2018 at the Department of Plastic and Reconstructive Surgery at our institution were retrospectively reviewed. Patients’ age, sex, and history of radiation therapy, diabetes mellitus, and smoking were retrieved. The primary cancer site, types of defects, and complications were investigated.Results Overall, 473 and 95 patients underwent reconstruction surgery with RFFF and ALT, respectively. RFFF was more often used in patients with cancers of the pharynx, larynx, esophagus, or tonsil, while ALT was more frequently used in patients with cancers of the mouth floor with tonsil or tongue involvement. The proportion of patients undergoing ALT increased gradually. Flap failure and donor site morbidities did not show significant differences between the two groups.Conclusions RFFF and ALT flaps resulted in similar outcomes in terms of flap survival and donor site morbidity. ALT can be an option for head and neck reconstruction surgery in patients with large and complex defects or for young patients who want to hide their donor site scars.

scholarly journals Comparison of Anterolateral Thigh and Radial Forearm Free Flaps in Head and Neck Reconstruction

In Vivo ◽  
2018 ◽  
Vol 32 (4) ◽  
pp. 893-897 ◽  
Author(s):  
CARLO M. ORANGES ◽  
BARBARA LING ◽  
MATHIAS TREMP ◽  
RETO WETTSTEIN ◽  
DANIEL F. KALBERMATTEN ◽  
...  
Keyword(s):  
Head And Neck ◽  
Free Flaps ◽  
Head And Neck Reconstruction ◽  
Neck Reconstruction ◽  
Anterolateral Thigh ◽  
Radial Forearm

scholarly journals Reconstructive Indications of Anterolateral Thigh Free Flaps in Head and Neck Reconstruction

2016 ◽  
Vol 9 (1) ◽  
pp. 040-045 ◽  
Author(s):  
Dhiraj Khadakban ◽  
Akshay Kudpaje ◽  
Krishnakumar Thankappan ◽  
Kiran Jayaprasad ◽  
Tejal Gorasia ◽  
...  
Keyword(s):  
Head And Neck ◽  
Success Rate ◽  
Donor Site ◽  
Free Flaps ◽  
Patient Characteristics ◽  
Donor Site Morbidity ◽  
Head And Neck Reconstruction ◽  
Neck Reconstruction ◽  
Scalp Defects ◽  
Anterolateral Thigh

Anterolateral thigh (ALT) free flap is a common flap with multitude of indications. The purpose of this article is to review the reconstructive indications of the flap in head and neck defects. This is a retrospective study of 194 consecutive ALT flaps. Data including patient characteristics (age, sex, comorbidities), disease characteristics (histology, T stage), and flap characteristics (size of the flap, type of closure of ALT donor site) were collected. The outcome in terms of flap success rate, surgical, and donor site morbidity were studied. A total of 194 flaps were performed in 193 patients over a period of 10 years. Mean age of the patients was 55 years (range 16-80 years). Out of the 193 patients, 91 (47.1%) patients had oromandibular defects, 52 (26.9%) had tongue defects, 15 (7.7%) had pharyngeal defects, 17 (8.8%) had skull base defects, 4 (2%) had scalp defects, and 14 (7.2%) had contour defects of the neck. The overall flap success rate was 95.8% (8 total flap loss out of 194). Hypertrophic scar was the commonest donor site problem seen in 20 (10.3%) patients. This study shows the versatility of free ALT flap in head and neck reconstruction. It is a reliable and safe. Donor site morbidity is minimal.

‘Sit and tilt’ preparation for subscapular system free flaps

2018 ◽  
Vol 132 (2) ◽  
pp. 180-183 ◽  
Author(s):  
J Mark ◽  
H Patwa ◽  
M S Costello ◽  
Y Patil
Keyword(s):  
Head And Neck ◽  
Operative Time ◽  
Donor Site ◽  
Three Dimensional ◽  
Free Tissue Transfer ◽  
Free Flaps ◽  
Head And Neck Reconstruction ◽  
Advanced Head ◽  
Neck Reconstruction ◽  
Harvesting Technique

AbstractBackground:The ablation of advanced head and neck cancer often results in large three-dimensional defects that require free tissue transfer to optimally address functional and cosmetic issues. The subscapular system is a highly versatile donor site for flaps used for head and neck reconstruction. Traditional methods of harvesting subscapular flaps require repositioning and re-preparing, which significantly increases the operative time and prevents simultaneous harvesting of the flap.Method:This paper presents our experience of a single-stage ‘sit and tilt’ technique, which provides a convenient method for harvesting subscapular system free flaps without significant repositioning.Results and conclusion:This technique was used for a variety of head and neck defects, and body habitus did not seem to affect free tissue harvesting. It is hoped that utilisation of this preparation and harvesting technique will make head and neck surgeons more willing to take advantage of the subscapular system.

Donor site morbidity after scapular tip free flaps in head-and-neck reconstruction

Microsurgery ◽  
2015 ◽  
Vol 35 (6) ◽  
pp. 447-450 ◽  
Author(s):  
Silvano Ferrari ◽  
Andrea Ferri ◽  
Bernardo Bianchi ◽  
Andrea Varazzani ◽  
Giuseppe Perlangeli ◽  
...  
Keyword(s):  
Head And Neck ◽  
Donor Site ◽  
Free Flaps ◽  
Donor Site Morbidity ◽  
Head And Neck Reconstruction ◽  
Neck Reconstruction
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