Application effect of free anterolateral thigh flaps in the repair of head and facial tumors
10.16066/j.1672-7002.2025.07.003
- VernacularTitle:游离股前外侧皮瓣在头面部肿瘤修复中的应用效果
- Author:
Lei LIU
1
;
Linghan LI
;
Shun YU
;
Bing GUO
Author Information
1. 国家儿童医学中心,首都医科大学附属北京儿童医院烧伤整形外科,北京 100045;宁夏回族自治区人民医院激光中心,宁夏 银川 750002
- Keywords:
Surgical Flaps;
Microsurgery;
anterolateral thigh flaps;
head and facial tumors;
soft tissue defects
- From:
Chinese Archives of Otolaryngology-Head and Neck Surgery
2025;32(7):418-421
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To discuss the clinical application effect of free transplantation with anterolateral thigh flap repairing tissue defects after resection of head and facial tumors.METHODS A retrospective analysis was conducted on the patients from August 2018 to November 2023,diagnosed with head and facial tumors who underwent surgical resection and simultaneous repair with free anterolateral thigh flaps in Department of Burns and Plastic Surgery at the North District of Shanghai 9th People's Hospital,Shanghai Jiao Tong University School of Medicine.The survival of flaps and the healing of the donor site were observed,and postoperative follow-up was conducted for 6-12 months.The texture of flaps,scar formation in the surgical area,tumor recurrence,and patient satisfaction were evaluated.The Karnofsky Performance Status(KPS)scale was used to assess the patients'health status preoperatively and at the final postoperative follow-up.RESULTS 16 patients were enrolled,comprising 12 males and 4 females,aged from 31 to 67 years old.Pathological types of tumors included 9 cases squamous cell carcinoma,4 cases dermatofibrosarcoma protuberans,and 3 cases other malignancies.All 16 flaps survived completely.The follow-up period was 6-12 months,and the texture of flaps was good.All patients were satisfied with the surgical effect,and no tumor recurred.All incisions in the thigh donor area healed in one stage,and linear scars were observed during follow-up.The preoperative KPS score was 80±7.30,while the postoperative KPS score at the final follow-up was 88.13±6.55,showing a statistically significant difference(t=4.96,P<0.01).CONCLUSION Free transplantation of the anterolateral thigh flap is a reliable and effective method for patients with large-scale soft tissue defects after resection of head and facial tumors.
