Clinical application of anterolateral femoral myocutaneous flap combined with oral repair membrane in reconstruction of maxillary malignant tumor postoperative defect.
10.13201/j.issn.2096-7993.2025.12.013
- Author:
Huawei MING
1
;
Zongyi YUAN
1
;
Xingan ZHANG
1
;
Jiaxin JIA
1
;
Fangyuan CHEN
1
;
Xiaoyao TAN
1
;
Zilong LIU
2
;
Yun HE
3
Author Information
1. Department of Oral and Maxillofacial Surgery，Beijing Anzhen Nanchong Hospital，Capital Medical University & Nanchong Central Hospital，Nanchong，637000，China.
2. The Second Clinical Medical College of North Sichuan Medical College.
3. Department of Stomatology，Beijing Anzhen Nanchong Hospital，Capital Medical University & Nanchong Central Hospital.
- Publication Type:Journal Article
- Keywords:
anterolateral femoral myocutaneous flap;
malignant tumor;
maxillary defect;
oral repair membrane;
repair and reconstruction
- MeSH:
Humans;
Myocutaneous Flap;
Plastic Surgery Procedures/methods*;
Maxillary Neoplasms/surgery*;
Carcinoma, Squamous Cell/surgery*;
Male;
Middle Aged;
Female;
Nasal Mucosa/surgery*;
Maxilla/surgery*;
Thigh/surgery*;
Maxillary Sinus Neoplasms/surgery*
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2025;39(12):1177-1181
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical effect of free anterolateral thigh myocutaneous flap combined with oral repair membrane in the reconstruction of nasal mucosa defect after maxillary malignant tumor surgery. Methods:A total of 12 patients with maxillary gingival squamous cell carcinoma and maxillary sinus cancer who had been treated in Department of Oral and Maxillofacial Surgery, Beijing Anzhen Nanchong Hospital, Capital Medical University & Nanchong Central Hospital, were selected from November 2020 to November 2023. Free anterolateral thigh musculocutaneous flap transplantation combined with oral repair membrane were used in all patients. Meanwhile, maxillary soft and hard tissue defects and nasal mucosa defects left after tumor operation were repaired and reconstructed. The clinical effect was evaluated after 6-12 months follow-up. Results:Subtotal maxillary resection was performed in 1 case, total maxillary resection in 9 cases and extended maxillary resection in 2 cases. The musculocutaneous flaps of all patients survived, the facial appearance was basically symmetrical, no obvious depression deformity, the swallowing and speech function recovered well, the mouth and nasal cavity were closed completely, the food could be eaten through the mouth, and the lower nasal passage was not blocked. Conclusion:The free anterolateral thigh musculoflap combined with oral repair membrane can be used to repair and reconstruct maxillary malignant tumor complicated with extensive maxillary tissue and nasal mucosa defect after operation, and the appearance and function can be recovered well after operation, which is a choice for maxillary malignant tumor complicated with nasal mucosa defect.
