Application of anterolateral thigh myocutaneous flap using computed tomography angiography for mouth-floor reconstruction after resection of middle-late stage carcinoma of mouth floor

The aim of this study was to investigate the value of free anterolateral thigh myocutaneous flap (ALTMF) and computed tomography angiography (CTA) for the reconstruction of mouth-floor defects after the resection of middle-late stage carcinoma of the mouth floor. Sixteen cases of middle-late stage c...

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Bibliographic Details
Published in:Hua xi kou qiang yi xue za zhi 2015-08, Vol.33 (4), p.409
Main Authors: Luo, Shihong, Xiao, Jingang, Sun, Libo, Zhang, Li, Zeng, Liangnan, Xia, Delin, Zhou, Hangyu, Zhang, Lei
Format: Article
Language:Chinese
Subjects:
Angiography
Carcinoma
Free Tissue Flaps
Humans
Mouth Floor
Myocutaneous Flap
Patient Care Planning
Plastic Surgery Procedures
Thigh
Tomography
Tongue
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Summary:The aim of this study was to investigate the value of free anterolateral thigh myocutaneous flap (ALTMF) and computed tomography angiography (CTA) for the reconstruction of mouth-floor defects after the resection of middle-late stage carcinoma of the mouth floor. Sixteen cases of middle-late stage carcinomas of the mouth floor underwent radical resection, and mouth-floor and tongue defects were reconstructed with ALTMF. CTA was applied to plan the lateral circumflex femoral artery (LCFA) and its perforating vessel, which was verified during the operation. The position of the perforating vessel in the operation was fully consistent with that designed by the preoperative CTA. All 16 flaps completely survived. The appearance and function of all cases were both satisfactory. All donor sites were primarily closed and healed without functional morbidity. During the follow-up period of 6-36 months, 15 cases survived with acceptable aesthetic and functional results in mouth floor and tongue reconstruction, except for
ISSN:1000-1182