Oral reconstruction using anterolateral thigh flap (Original Article)

Rin Shin, Ueda Michihiro, Yamashita Tetsuro, Yajima Kazuyoshi

doi:10.5843/jsot.25.160

Bibliographic Information

Other Title

遊離前外側大腿皮弁による口腔再建術（原著）

Description

Resection of oral cancers often results in impairing both oral functions and facial esthetics due to large defects. It is important to reconstruct not only resurfacing skin but also achieve a satisfactory functional and cosmetic outcome. We introduce the anterolateral thigh (ALT) flaps as a reconstructive option for head and neck defects after oncologic surgery. The ALT flap could provide thin tissue to fill large oral defects with suitable pliability. Donor site morbidity is minimal and direct closure of thigh defects could be primarily achieved. A preoperative assessment of perforators has to be performed with several devices because of their variable vascular anatomy. It is helpful to perform color Doppler ultrasonography and 3D CT to preoperatively assess the perforating vessels for the ALT flap. Color Doppler ultrasonography could identify the different velocities and directions of blood flow in vessels and map the blood vessels. 3D CT could be applied in order to understand the variety of anatomy. The elevated ALT could be an adequate candidate as a reconstructive option for oral defects to improve patients' quality of life.

Journal

Journal of Japanese Society of Oral Oncology

Journal of Japanese Society of Oral Oncology 25 (4), 160-165, 2013

Japanese Society of Oral Oncology

Keywords

Details 詳細情報について

CRID: 1390282679321278720

NII Article ID: 130003397140

DOI: 10.5843/jsot.25.160

ISSN: 18844995; 09155988

Text Lang: ja

Data Source

JaLC
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CiNii Articles

Abstract License Flag: Disallowed

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