One-Stage Reconstruction for Midfacial Defect after Radical Tumor Resection.
- Author:
Hyun Jik KIM
1
;
Kwang Ho LEE
;
Sang Yong PARK
;
Han Koo KIM
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, Chung-Ang University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Surgical flaps;
Midface;
Radical tumor resection
- MeSH:
Carcinoma, Squamous Cell;
Forearm;
Forehead;
Free Tissue Flaps;
Lip;
Nose;
Palate, Hard;
Skeleton;
Skin;
Surgical Flaps;
Transplants
- From:Clinical and Experimental Otorhinolaryngology
2012;5(1):53-56
- CountryRepublic of Korea
- Language:English
-
Abstract:
A serious midface defect involving resection of squamous cell carcinoma originating from the hard palate was treated by an unusual reconstructive strategy. After tumor resection, surgical reconstruction was accomplished in one stage using one free flap with one distant and local flap: a radial forearm flap to reconstruct the upper lip, a forehead flap to reconstruct the external nose, a cantilever calvarial bone graft to replace the nasal skeleton and a nasolabial flap and split thickness skin graft to cover the internal nasal lining. The rationale for this one-stage reconstruction and the problems associated with midfacial reconstruction after wide tumor excision are discussed.
