O146. Comparative study of the anterolateral thigh flap versus the radial forearm free flap in head and neck cancer reconstruction

2009 ◽  
Vol 3 (1) ◽  
pp. 104-105
Author(s):  
A. Marí ◽  
C. Arranz ◽  
S. Ramon
2019 ◽  
Vol 11 (2) ◽  
pp. 192-195
Author(s):  
Khyati Jani ◽  
Nirav Maharaja ◽  
Nisha Rajrattansingh Akali ◽  
Deepak Balasubramanian ◽  
Janarthanan Ramu ◽  
...  

2013 ◽  
Vol 46 (01) ◽  
pp. 082-086 ◽  
Author(s):  
Nirav P. Trivedi ◽  
Pravin Trivedi ◽  
Harish Trivedi ◽  
Saroj Trivedi ◽  
Nirali Trivedi

ABSTRACT Introduction: Reconstruction with free flaps has significantly changed the outcome of patients with head and neck cancer. Microsurgery is still considered a specialised procedure and is not routinely performed in the resource-constrained environment of certain developing parts of India. Materials and Methods: This article focuses on the practice environment in a cancer clinic in rural India. Availability of infrastructure, selection of the case, choice of flap, estimation of cost and complications associated with treatment are evaluated and the merits and demerits of such an approach are discussed. Results: We performed 22 cases of free flaps in a six-month period (2008-2009). Majority (17) of the patients had oral cancer. Seven were related to the tongue and eight to the buccal mucosa. Radial forearm free flap (RFF: 9) and anterolateral thigh flap (ALT: 9) were the most commonly used flaps. A fibula flap (1) was done for an anterior mandible defect, whereas a jejunum free flap (1) was done for a laryngopharyngectomy defect. There were six complications with two re-explorations but no loss of flaps. Conclusion: Reconstruction with microvascular free flaps is feasible in a resource-constrained setup with motivation and careful planning.


Oral Oncology ◽  
2010 ◽  
Vol 46 (9) ◽  
pp. 684-687 ◽  
Author(s):  
Young-Hoon Joo ◽  
Dong-Il Sun ◽  
Jun-Ook Park ◽  
Kwang-Jae Cho ◽  
Min-Sik Kim

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