The Anterolateral Thigh Perforator Flap for Mandibular Reconstruction: A Volumetric and Patient Satisfaction Analysis.
Journal
The Journal of craniofacial surgery
ISSN: 1536-3732
Titre abrégé: J Craniofac Surg
Pays: United States
ID NLM: 9010410
Informations de publication
Date de publication:
01 Oct 2022
01 Oct 2022
Historique:
received:
21
03
2022
accepted:
30
03
2022
pubmed:
24
7
2022
medline:
12
10
2022
entrez:
23
7
2022
Statut:
ppublish
Résumé
This study investigated the stability and quality of life (QoL) outcomes of patients who received mandibular reconstructions with the anterolateral thigh perforator flap (ALTF) following tumor resection. Thirty-five patients with oral tumors that were resected and reconstructed with ALTF were included in this study. Volumetric analyses of each ALTF were performed at 6 to 18 months postoperatively. A QoL survey was also conducted 2 years postoperatively and compared by means of an independent-sample t test with 28 patients who had mandibular reconstructions with free fibula flap. There were no significant volumetric changes in the ALTF or the QoL results of either group. Patients with advanced oral cancers have a higher risk of recurrence that mandates closer radiographic surveillance. This may be impaired by artifacts from metallic implants required in free fibula flap reconstructions. Anterolateral thigh perforator flap may be a viable alternative because it is easier for secondary resection, amenable for direct repairs, has volumetric stability, has a lower cost and results in a comparable QoL outcome.
Identifiants
pubmed: 35869897
doi: 10.1097/SCS.0000000000008742
pii: 00001665-202210000-00047
doi:
Types de publication
Journal Article
Langues
eng
Pagination
2154-2160Informations de copyright
Copyright © 2022 by Mutaz B. Habal, MD.
Déclaration de conflit d'intérêts
The authors report no conflicts of interest.
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