Multipaddled anterolateral thigh chimeric flap for reconstruction of complex defects in head and neck.

[oral submucous fibrosis]

The anterolateral thigh flap has been the workhouse flap for coverage of soft -tissue defects in head and neck for decades . However , the reconstruction of multiple and complex soft -tissue defects in head and neck with multipaddled anterolateral thigh chimeric flaps is still a challenge for reconstructive surgeries . Here , a clinical series of 12 cases is reported in which multipaddled anterolateral thigh chimeric flaps were used for complex soft -tissue defects with several separately anatomic locations in head and neck . Of the 12 cases , 7 patients presented with trismus were diagnosed as advanced buccal cancer with oral submucous fibrosis , 2 tongue cancer cases were found accompanied with multiple oral mucosa lesions or buccal cancer , and 3 were hypopharyngeal cancer with anterior neck skin invaded . All soft -tissue defects were reconstructed by multipaddled anterolateral thigh chimeric flaps , including 9 tripaddled anterolateral thigh flaps and 3 bipaddled flaps . The mean length of skin paddle was 19 .2 (range : 14 -23 ) cm and the mean width was 4 .9 (range : 2 .5 -7 ) cm . All flaps survived and all donor sites were closed primarily . After a mean follow-up time of 9 .1 months , there were no problems with the donor or recipient sites . This study supports that the multipaddled anterolateral thigh chimeric flap is a reliable and good alternative for complex and multiple soft -tissue defects of the head and neck .

Diseases
Validation

Diseases presenting "cancer" symptom

achondroplasia

acute rheumatic fever

adrenal incidentaloma

alpha-thalassemia

benign recurrent intrahepatic cholestasis

cadasil

canavan disease

carcinoma of the gallbladder

cholangiocarcinoma

coats disease

congenital adrenal hyperplasia

congenital diaphragmatic hernia

cowden syndrome

cushing syndrome

cutaneous mastocytosis

dedifferentiated liposarcoma

dystrophic epidermolysis bullosa

epidermolysis bullosa simplex

erdheim-chester disease

erythropoietic protoporphyria

esophageal adenocarcinoma

esophageal carcinoma

esophageal squamous cell carcinoma

familial hypocalciuric hypercalcemia

familial mediterranean fever

gm1 gangliosidosis

heparin-induced thrombocytopenia

hereditary cerebral hemorrhage with amyloidosis

hirschsprung disease

hodgkin lymphoma, classical

inclusion body myositis

junctional epidermolysis bullosa

kabuki syndrome

kallmann syndrome

kindler syndrome

lamellar ichthyosis

liposarcoma

locked-in syndrome

lymphangioleiomyomatosis

monosomy 21

neuralgic amyotrophy

oculocutaneous albinism

oligodontia

oral submucous fibrosis

papillon-lefèvre syndrome

pendred syndrome

pleomorphic liposarcoma

primary effusion lymphoma

proteus syndrome

pyomyositis

pyruvate dehydrogenase deficiency

severe combined immunodeficiency

sneddon syndrome

systemic capillary leak syndrome

triple a syndrome

von hippel-lindau disease

waldenström macroglobulinemia

well-differentiated liposarcoma

werner syndrome

wiskott-aldrich syndrome

wolf-hirschhorn syndrome

x-linked adrenoleukodystrophy

This symptom has already been validated