Functional tongue reconstruction with the anterolateral thigh flap

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• 作者：Xue Wang (1)
  Guangqi Yan (1)
  Guirong Zhang (2)
  Jiqiang Li (2)
  Jihui Liu (2)
  Yang Zhang (1)
  
• 关键词：Anterolateral thigh flap ; Functional outcome ; Tongue reconstruction ; Microsurgery
• 刊名：World Journal of Surgical Oncology
• 出版年：2013
• 出版时间：December 2013
• 年：2013
• 卷：11
• 期：1
• 全文大小：144 KB
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• 作者单位：Xue Wang (1)
  Guangqi Yan (1)
  Guirong Zhang (2)
  Jiqiang Li (2)
  Jihui Liu (2)
  Yang Zhang (1)
  
  1. School of Stomatology, China Medical University, No. 117, Nanjing North Street, Heping District, Shenyang, Liaoning, 110002, PR China
  2. Stomatology Hospital of Shenyang, No. 138, Zhongshan Road, Heping District, Shenyang, Liaoning, 110002, PR China
  
• ISSN：1477-7819

文摘

Background A retrospective study was conducted to evaluate the advantages of anterolateral thigh (ALT) flap in tongue reconstruction. Method From September 2008 to February 2012, patients receiving ALT flap tongue reconstruction were included in the study. Patients undergoing ALT flap were compared with those undergoing similar surgery with radial forearm flap (RFF). The medical records of the included patients were reviewed, and a questionnaire was used to assess acceptability of the surgery. Results All flaps (both ALT and RFF) were successful In the ALT group, most patients were satisfied with the appearance of the reconstructed tongue and the intelligibility of their speech, and there were fewer complications with this technique compared with the RFF. Conclusion The ALT flap is an ideal method for tongue reconstruction. The thickness and volume of the ALT flap can be adjusted based on the individual extent of the defect, and it can not only provide bulk but also ensure mobility, and it has other advantages also, including a long pedicle and low donor site morbidity.