J Korean Assoc Oral Maxillofac Surg.  2024 Dec;50(6):361-366. 10.5125/jkaoms.2024.50.6.361.

Chimeric anterolateral thigh flap for reconstruction of complex defects in oral cancer: a report of three cases

• Kim HS
• Ahn KM
• Lee JH

• KMID: 2563965
• DOI: http://doi.org/10.5125/jkaoms.2024.50.6.361

Abstract

It is crucial to reconstruct extensive soft tissue defects following oral cancer resection to restore both function and aesthetics. Single anterolateral thigh flaps may not suffice for large defects. This report highlights the use of chimeric flaps, which feature multiple paddles with individual perforators, to reconstruct large intraoral and extraoral defects, adapting to wide defects, and covering areas with extensive tissue damage. This case series demonstrates the adaptability and effectiveness of chimeric flaps, demonstrating them to be a superior option for satisfactory healing and functional outcomes in reconstruction of complex defects.

Keyword

Head and neck neoplasms; Anterolateral thigh flap; Anterolateral thigh flap; Reconstructive surgical procedures; Complex defects