J Korean Assoc Maxillofac Plast Reconstr Surg.  2013 Jul;35(4):248-255.

Reconstruction with Anterolateral Thigh Free Flap in Substitute for Radial Forearm Free Flap with Vascular Variation

Affiliations
  • 1Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University, Korea. kuksjs@pusan.ac.kr
  • 2Department of Plastic Surgery, School of Medicine, Pusan National University, Korea.

Abstract

Reconstruction techniques of orofacial defects caused by wide excision of the intraoral malignant lesions are various. Although radial forearm free flap is a common donor site on reconstruction of soft tissue defect, anterolateral thigh (ALT) free flap also has an established site in orofacial soft tissue reconstruction as the favored donor flap with recent progress of the microsurgical technique. A 59-year-old female complained of hyperplastic mass on the right retromolar and buccal cheek, which was diagnosed as a squamous cell carcinoma (SCC) by an incisional biopsy. Before the operation, we planned a wide excision of the SCC lesion, supraomohyoid neck dissection, reconstruction with radial forearm free flap (RFFF), and split thickness skin graft. We accidentally found an arterial variation of the forearm area during elevation of RFFF, and changed the plan of reconstruction operation to reconstruction with ALT free flap. Operative sites was healed well during the post-operative period, and we referred to the department of radiation oncology for post-operative radiotherapy.

Keyword

Radial artery; Free flap; Anatomical variation; Reconstruction

MeSH Terms

Biopsy
Carcinoma, Squamous Cell
Cheek
Female
Forearm
Free Tissue Flaps
Humans
Neck Dissection
Radial Artery
Radiation Oncology
Skin
Thigh
Tissue Donors
Transplants
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