Sequential chimeric anterolateral thigh flap for reconstruction of through-and-through oropharyngeal defects with no suitable neck recipient vessels.

Abstract:

:The anterolateral thigh flap is currently the frontline choice for head and neck reconstruction. The authors used a chimeric anterolateral thigh flap for reconstruction of a through-and-through oropharyngeal defect. Because of the absence of suitable recipient vessels in the proximity of the defect, the authors recruited the internal mammary vessels. To gain extra pedicle length, the authors converted the chimeric anterolateral thigh flap into a sequential iatrogenic chimeric anterolateral thigh flap. This new flap concept consists essentially of the division of the skin paddle of the anterolateral thigh that is based on two perforators, and the creation of a sequential chimeric flap by reconnecting the pedicles in the opposite order. A functionally good and aesthetically pleasing result was obtained.

journal_name

Plast Reconstr Surg

authors

Vanmierlo B,Craggs B,Van Eeckhout G,Zeltzer A,Hamdi M

doi

10.1097/PRS.0b013e3182879f32

subject

Has Abstract

pub_date

2013-05-01 00:00:00

pages

1087-1090

issue

5

eissn

0032-1052

issn

1529-4242

pii

00006534-201305000-00032

journal_volume

131

pub_type

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