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Chimeric anterolateral thigh flap for reconstruction of complex defects in oral cancer: a report of three cases

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초록

It is crucial to reconstruct extensive soft tissue defects following oral cancer resection to restore both function and aesthetics. Single anterolateral thigh flaps may not suffice for large defects. This report highlights the use of chimeric flaps, which feature multiple paddles with individual perforators, to reconstruct large intraoral and extraoral defects, adapting to wide defects, and covering areas with extensive tissue damage. This case series demonstrates the adaptability and effectiveness of chimeric flaps, demonstrating them to be a superior option for satisfactory healing and functional outcomes in reconstruction of complex defects.

Abstract

It is crucial to reconstruct extensive soft tissue defects following oral cancer resection to restore both function and aesthetics. Single anterolateral thigh flaps may not suffice for large defects. This report highlights the use of chimeric flaps, which feature multiple paddles with individual perforators, to reconstruct large intraoral and extraoral defects, adapting to wide defects, and covering areas with extensive tissue damage. This case series demonstrates the adaptability and effectiveness of chimeric flaps, demonstrating them to be a superior option for satisfactory healing and functional outcomes in reconstruction of complex defects.

참고문헌 (20)

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Surgical implications of anatomical variation in anterolateral thigh flaps for the reconstruction of oral and maxillofacial soft tissue defects: focus on perforators and pediclesDong-Young Kim, Jee-Ho Lee, Ji-Wan Kim, Kang-Min Ahn대한구강악안면외과학회 · 대한구강악안면외과학회지2016 · 제42권 제5호Results of Free Flap Reconstruction After Ablative Surgery in the Head and Neck김희진, 안순현, 정우진대한이비인후과학회 · Clinical and Experimental Otorhinolaryngology2015 · 제8권 제2호구강암에 대해 전완부 유리피판술과 전외측대퇴부 유리피판술을 이용한 치료의 결과김주형, 남수봉, 배용찬, 왕수건, 이병주, 이재우, 이진춘, 최수종대한이비인후과학회 부산,울산,경남 지부회 · 임상이비인후과2013 · 제24권 제2호The deep circumflex iliac artery flap using intraoral anastomosis for delayed reconstruction after partial maxillectomy: a case reportJae-Yeol Lee, Jihye Ryu, Ji-Young Yoon, Ungang Kim치의학연구원 · Oral Biology Research2025 · 제49권 제4호Scapular Tip Free Flap for Head and Neck Reconstruction백정환, 장전엽, 조영상, 조재근, 조정규, 최나연대한이비인후과학회 · Clinical and Experimental Otorhinolaryngology2015 · 제8권 제4호Closure of radial forearm free flap donor-site defect with proportional local full-thickness skin graft: case series study of a new designHo Lee, Yoon-Sic Han대한구강악안면외과학회 · 대한구강악안면외과학회지2021 · 제47권 제6호

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