Application of anterolateral thigh myocutaneous flap using computed tomography angiography for mouth-floor recons-truction after resection of middle-late stage carcinoma of mouth floor
10.7518/hxkq.2015.04.018
- VernacularTitle:股前外侧肌皮瓣及CT血管造影在修复中晚期口底癌术后缺损中的应用
- Author:
Shihong LUO
1
;
Jingang XIAO
;
Libo SUN
;
Li ZHANG
;
Liangnan ZENG
;
Delin XIA
;
Hangyu ZHOU
;
Lei ZHANG
Author Information
1. 泸州医学院附属口腔医院口腔颌面外科
- Keywords:
carcinoma of mouth floor;
defect;
com-puted tornography angiography;
anterolateral thigh myo-cutaneous flap;
reconstruction
- From:
West China Journal of Stomatology
2015;(4):409-413
- CountryChina
- Language:Chinese
-
Abstract:
Objective 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.?Methods???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.?Results???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?1?case?(T4N2M0)?that?died?of?metastasis?carcinoma?10?months?after?operation.?Conclusion???CTA?can?accurately?locate?the?LCFA?and?artery?perforator.?Preoperative?perforator?planning?using?CTA?in?ALTMF?transplantation?is?a?reliable?and?useful?method?thatresults?in?safe?operation?with?optimal?outcome.?The?ALTMF?is?an?ideal?choice?for?the?reconstruction?of?soft?tissue?defects?after?the?resection?of?middle-late?stage?carcinoma?of?the?mouth?floor.
