Anterolateral Thigh Flap Reconstruction of Full Thickness Buccal Defect

Authors

  • Samantha S. Castañeda Department of Otolaryngology - Head and Neck Surgery The Medical City; Department of Otorhinolaryngology - Head and Neck Surgery Jose R. Reyes Memorial Medical Center; Department of Otolaryngology - Head and Neck Surgery Rizal Medical Center
  • Daniel M. Alonzo Department of Otolaryngology - Head and Neck Surgery The Medical City
  • Rodney Marc H. Ramos Department of Otolaryngology - Head and Neck Surgery The Medical City

DOI:

https://doi.org/10.32412/pjohns.v23i1.769

Keywords:

Surgical flap, Carcinoma, squamous cell, Oral cancer

Abstract

Objective: To present our experience with the anterolateral thigh flap in reconstructing a full thickness defect of the buccal mucosa and cheek.

Methods:

Design: Case Report

Setting: Tertiary Private Hospital

Patient: One

Results: A 36 year old male with a T4aN0M0 Stage IVa buccal carcinoma on the left underwent wide excision, marginal mandibulectomy and modified radical neck dissection with preservation of the spinal accessory nerve, internal jugular vein and sternocleidomastoid muscle. The resultant through-and-through defect of the cheek skin measuring 8 x 6cm and buccal mucosa measuring 6 x 10 cm with a concomitant ¼ upper lip and 1/3 lower lip defect was reconstructed with an anterolateral thigh free flap. The patient recovered uneventfully and underwent adjuvant concurrent chemoradiotherapy 1 month post-operation. At 2 ½ months post-operation, he had no oral incontinence and could resume a normal diet with good speech.

Conclusion: The anterolateral thigh free flap is an excellent soft-tissue flap for reconstruction of a full thickness defect of the buccal area.

Key words: Surgical flap, Carcinoma, squamous cell, Oral cancer

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Published

2008-06-30

How to Cite

1.
Castañeda SS, Alonzo DM, Ramos RMH. Anterolateral Thigh Flap Reconstruction of Full Thickness Buccal Defect. Philipp J Otolaryngol Head Neck Surg [Internet]. 2008 Jun. 30 [cited 2024 Jun. 23];23(1):28-30. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/769

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