A free composite de-epithelialized anterolateral thigh and the vastus lateralis muscle flap for the reconstruction of a large defect of the anterior skull base: A case report

Microsurgery ◽  
2011 ◽  
Vol 31 (7) ◽  
pp. 568-571 ◽  
Author(s):  
Kuo-Chuan Lo ◽  
Chu-Hsu Jeng ◽  
Hwang-Chi Lin ◽  
Cheng-Han Hsieh ◽  
Chin-Lin Chen
Keyword(s):  
Case Report ◽  
Skull Base ◽  
Vastus Lateralis ◽  
Muscle Flap ◽  
Anterior Skull Base ◽  
Vastus Lateralis Muscle ◽  
Large Defect ◽  
Anterolateral Thigh ◽  
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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