scholarly journals Comparative Analysis of Radial Forearm Free Flap and Anterolateral Thigh Flap in Tongue Reconstruction after Radical Resection of Tongue Cancer

ORL ◽  
2019 ◽  
Vol 81 (5-6) ◽  
pp. 252-264 ◽  
Author(s):  
Yong-Cong Cai ◽  
Chao Li ◽  
Din-fen Zeng ◽  
Yu Qiu Zhou ◽  
Rong Hao Sun ◽  
...  
Keyword(s):  
Comparative Analysis ◽  
Free Flap ◽  
Tongue Cancer ◽  
Radical Resection ◽  
Anterolateral Thigh Flap ◽  
Radial Forearm Free Flap ◽  
Anterolateral Thigh ◽  
Radial Forearm ◽  
Tongue Reconstruction

Outcomes of Single Stage Phalloplasty by Pedicled Anterolateral Thigh Flap versus Radial Forearm Free Flap in Gender Confirming Surgery

2018 ◽  
Vol 199 (1) ◽  
pp. 206-214 ◽  
Author(s):  
Mona Ascha ◽  
Jonathan P. Massie ◽  
Shane D. Morrison ◽  
Curtis N. Crane ◽  
Mang L. Chen
Keyword(s):  
Free Flap ◽  
Single Stage ◽  
Anterolateral Thigh Flap ◽  
Radial Forearm Free Flap ◽  
Anterolateral Thigh ◽  
Radial Forearm

The Use Of Anterolateral Thigh Flap (ALTF) For Functional Tongue Reconstruction With Postoperative Quality Of Live Evaluation

2015 ◽  
Vol 87 (8) ◽  
Author(s):  
Łukasz Krakowczyk ◽  
Adam Maciejewski ◽  
Cezary Szymczyk ◽  
Janusz Wierzgoń ◽  
Stanisław Półtorak
Keyword(s):  
Free Flap ◽  
Tongue Cancer ◽  
Donor Site ◽  
Cell Cancer ◽  
Vessel Diameter ◽  
Anterolateral Thigh Flap ◽  
Anterolateral Thigh ◽  
Tongue Reconstruction ◽  
Good For

AbstractThe use of microsurgery for oral reconstruction of cancer patients, has become standard treatment in restoring oral function. The free anterolateral thigh flap is one of the most preferred options in reconstruction after total, subtotal or hemiresection of the tonque due to squamous cell cancer.was to present the reconstructive method using anterolateral thigh free flap with evaluation of quality of live.Clinical material includes 46 consecutive patients with tongue cancer, who underwent complex surgical treatment between 2009 and 2011. There were 36 males and 10 females and the M: F ratio was 3.6: 1. All of them were reconstructed using the anterolateral thigh free flap. The quality of life was evaluated 6 months after completing the treatment, based on postoperative functional and aesthetic status.The overall flap survival rate was 96%. Surgical complications were observed in 8 patients (17%). Donor site was closed primarly in 42 cases and in remaining 4 skin graft was required. In all 46 cases understandable speech and return to unrestricted diet mastication and swallowing were achieved. The mean follow-up period after treatment was 32 months. Analysis of aesthetic effects evaluated in 23 cases and shows generally very good results. According to average transformed scores the QOL can be characterized as excellent for >90, very good for 76-90, good for 51-75, moderate for 25-50 and bad for <25 points.Anterolateral thigh flap, with its versatility in design, long pedicle with a suitable vessel diameter, low donor site morbidity, and very good aesthetic effects, could be the ideal flap for functional tongue reconstruction.

scholarly journals Extended medial sural artery perforator free flap for groin and scrotal reconstruction

2020 ◽  
Vol 47 (4) ◽  
pp. 354-359 ◽  
Author(s):  
Chad M. Teven ◽  
Jason W. Yu ◽  
Lee C. Zhao ◽  
Jamie P. Levine
Keyword(s):  
Free Flap ◽  
The Body ◽  
Anterolateral Thigh Flap ◽  
Small Surface ◽  
Pelvic Injuries ◽  
Anterolateral Thigh ◽  
Radial Forearm ◽  
Scrotal Reconstruction ◽  
Sural Artery ◽  
Artery Perforator

The medial sural artery perforator (MSAP) flap is a versatile fasciocutaneous flap that has been used successfully in the reconstruction of defects across the body. In specific cases, it may prove superior to more commonly used options (e.g., anterolateral thigh flap and radial forearm free flap). Historically, a disadvantage of the MSAP flap is the relatively small surface area it provides for reconstruction. We recently encountered a patient with extensive pelvic injuries from prior trauma resulting in significant scarring and contracture of the groin, tethering of the penis, and loss of the scrotum and one testicle. The patient was unable to achieve erection from tethering and his remaining testicle had been buried in the thigh. In considering the reconstructive options, he was not a suitable candidate for a thigh-based or forearmbased flap. An extended MSAP flap measuring 25 cm×10 cm was used for resurfacing of the groin and pelvis as well as for the formation of a neoscrotum. This report is the first to document an MSAP flap utilized for simultaneous groin resurfacing and scrotoplasty. Additionally, the dimensions of this flap make it the largest recorded MSAP flap to date.

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