Reconstruction of orbitomaxillary defect with anterolateral thigh flap in oral maxillofacial oncology surgery
10.3760/cma.j.cn114453-20201213-00627
- VernacularTitle:股前外侧皮瓣在修复口腔颌面肿瘤切除后复合眶内容物缺失的上颌骨缺损中的应用
- Author:
Yang WANG
1
;
Qiaoshi XU
;
Jinbing WANG
;
Jian SUN
;
Xingzhou QU
Author Information
1. 上海交通大学医学院附属第九人民医院口腔医学院，国家口腔疾病临床医学研究中心，上海市口腔医学重点实验室，上海市口腔医学研究所，口腔颌面-头颈肿瘤科 200011
- Keywords:
Surgical flay;
Anterolateral thigh flap;
Maxillary defect;
Prosthesis;
Head and neck cancer
- From:
Chinese Journal of Plastic Surgery
2021;37(11):1232-1238
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the use and effect of reconstruction with anterolateral thigh flap(ALTF)in orbitomaxillary defect resulting from oral maxillofacial oncology surgery.Methods:Patients with orbitomaxillary defects following enucleation of orbit were reconstructed with ALTF from January 2013 to September 2020 in Department of Oral & Maxillofacial Surgery-Head & Neck Oncology, Shanghai Ninth People’s Hospital and the data of the cases were collected. Based on the types of the defects, they were classified as orbit-nasal-oral defect, oronasal defect without defect of peri-orbit skin, nasal-orbit defect without defect of oral mucosa and peri-orbit skin defect. Based on the types of the defects and the number of the perforators of ALTF, the flaps were designed as tri-lobed, bi-lobed or mono-lobed flaps and oronasal fistula was determined to repair. Performance of maxillary prosthesis depended on the intraoral situation.Results:There were 19 male cases and 10 female cases and the age arranged from 23 to 82 years old. In terms of defect type, there were 8 cases of orbit-nasal-oral defect, 17 cases of oronasal defect without defect of peri-orbit skin, 1 case of nasal-orbit defect without defect of oral mucosa, 3 cases of peri-orbit skin defect. All the 29 cases of ALTF were successfully completed. Loculated flaps were designed in 16 cases, including 3 cases of tri-lobed flap and 13 cases of bi-lobed flaps. The oral-nasal fistula was repaired with ALTF in 11 cases and maxillary prosthesis was used in 7 cases after surgery. The oral-nasal fistula was not repaired in 14 cases and maxillary prosthesis was used in 6 cases in this group. Two cases were reconstructed with implant supported prosthesis with artificial eyes. The follow-up duration was 4 to 88 months. Eleven patients died of recurrence or metastasis and the other patients were alive without recurrence.Conclusions:In the reconstruction of the maxillary defects with intra-orbital loss following oromaxillofacial tumor resection, ALTF could be an ideal donor site because of flexible design, applicable in complicated defect repair and closure of oronasal fistula, improvement of facial appearance and sanitary maintenance of the oral and nasal cavities.
