Selections and improvements in reconstruction of defects after head and neck tumor resection with anterolateral thigh free flap or modified pectoralis major myocutaneous flap
10.3760/cma.j.cnZHZXWKZZ-2018-0313-00122
- VernacularTitle:游离股前外侧皮瓣与改良胸大肌皮瓣在修复头颈肿瘤术后缺损中的选择与改进
- Author:
Xu CAI
1
;
Jianjun YU
;
Zan LI
;
Xiao ZHOU
;
Bo SONG
;
Xing CHEN
;
Liang ZUO
;
Honghan WANG
;
Shuichao GAO
;
Hao TIAN
Author Information
1. 湖南省肿瘤医院头颈外二科，长沙 410013；湖南省肿瘤医院肿瘤整形外科，长沙 410013
- Keywords:
Anterolateral thigh free flap;
Pectoralis major myocutaneous flap;
Head and neck tumor;
Oncoplastic surgery
- From:
Chinese Journal of Plastic Surgery
2020;36(3):284-288
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application and effect of anterolateral thigh free flap (ALTFF) and modified pectoralis major myocutaneous flap (PMMF) in the reconstruction of defects after radical resection of head and neck tumor.Methods:From November 2011 to November 2016, 394 cases with head and neck tumor, including 286 males and 108 females, aged 25-79 years, underwent radical resection. The defect was reconstructed with anterolateral thigh free flap (306 cases) or modified pectoralis major myocutaneous flap (88 cases). The result and the quality of life of patients are investigated, the advantages and disadvantages of the two flaps are summarized.Results:Survival rate of anterolateral thigh free flap and modified pectoralis major myocutaneous flap were 97.1% (297/306) and 97.7% (86/88) in 394 cases. The ALTFF group (3-4 h) and the PMMF group (1.5-2.5 h) have similar operative duration. Comparison of the UW-QOL scores of the ALTFF group and PMMF group 1 year post operation shows that the ALTFF group has significant advantages in appearance, speech and shoulder mobility, the difference was statistically significant ( P<0.01). Conclusions:Both of ALTFF group and PMMF group have high success rate in the reconstruction of defects after radical resection of head and neck tumor. Anterolateral thigh free flap is appropriate for the reconstruction of complex defects and modified pectoralis major myocutaneous flap is safer in patients with poor vascular conditions and systemic conditions.
