Repairing large lower lip defects using the anterolateral thigh flap with vascularized fascia lata
10.3760/cma.j.cn114453-20210104-00001
- VernacularTitle:携血管化阔筋膜的股前外侧皮瓣动力性修复下唇大型缺损
- Author:
Wanlin XU
1
;
Hao LU
;
Yifan WU
;
Yun ZHU
;
Shengwen LIU
;
Chenping ZHANG
;
Wenjun YANG
Author Information
1. 上海交通大学医学院附属第九人民医院口腔颌面-头颈肿瘤科 上海交通大学口腔医学院 国家口腔医学中心 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 200011
- Keywords:
Surgical flaps;
Large lip defect;
Anterolateral thigh flap;
Fascia lata;
Dynamic reconstruction
- From:
Chinese Journal of Plastic Surgery
2022;38(1):52-57
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application of the the anterolateral thigh flap (ALTF) with vascularized fascia lata in repairing large lower lip defects.Methods:From January 2013 to June 2020, the clinical data of the cases with large complex lower lip defect due to extensive resection of lip tumor treated in the Department of Oral and Maxillofacial-Head and Neck Oncology, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine were analyzed retrospectively. The patients were immediately reconstructed using ALTF with vascularized fascia lata. The flap was used for shape reconstruction, and the fascia lata with residual orbicularis muscle was used for functional reconstruction via simulating the "closed-loop structure" of orbicularis. All these patients were followed up by regular visit. The survival of flap, mouth opening and closing were recorded.Results:All the 4 patients were successfully repaired through the above methods. The ALTF area was 18 cm×7 cm-26 cm×8 cm, with (5-8) cm ×1 cm fascia lata at both sides of the flap. The survival rate of ALTF was 100%. After 6-80 months’ follow-up, the ALTF was in good shape, and the mouth opening degree was 2-3 fingers. When the mouth was closed, the upper and lower lip could be sealed completely, and the drinking water is basically watertight.Conclusions:The shape and dynamic reconstruction could be completed in large complex lower lip defects through ALTF with vascularized fascia lata. The clinical effects were satisfying, and it’s an ideal option for repairing large complex lower lip defects.
