[Application of individualized free anterolateral thigh combined flap for tongue and mouth floor defects resulted from tongue carcinoma].
OBJECTIVE
To investigate the application of individualized free anterolateral thigh combined flap (ALTCF) for tongue and mouth floor defect resulted from tongue carcinoma.


METHODS
From 2006 to 2008, individualized ALTCFs were used in 31 cases of tongue and mouth floor defects resulted from tongue carcinoma. The nutritional perforator vessel was musculocutaneous pattern in 22 cases and septocutaneous pattern in 9 cases. The size of the flaps and the included muscle was (4-8) cm x (5-10) cm and (2-5) cm x (3-6) cm, respectively. The length of blood vessel pedicle was (6.81 +/- 3.23) cm.


RESULTS
All the 31 free flaps survived with primary healing and no complication. The appearance and function were both satisfactory. During the follow-up period of 1-3 years, 28 cases survived, 2 cases were reoperated due to the neck lymphatic metastasis on the contralateral side. 1 case died of distant metastasis.


CONCLUSIONS
Individualized ALTCF is a reliable flap for the tongue and month floor defects resulted from tongue carcinoma. Both the cosmetic and functional results are satisfactory with less morbidity in donor site and less complication.
Hu
Yong-Jie
YJ
Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, Shanghai Jiao Tong University, Shanghai 200011, China.
Su
Tong
T
Qu
Xing-Zhou
XZ
Liu
Liu
L
Fu
Jin-Ye
JY
Zhang
Chen-Ping
CP
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009060:Mouth Floor / Q000473:pathology; D019651:Plastic Surgery Procedures / Q000379:methods; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps; D013848:Thigh / Q000601:surgery*; D014062:Tongue Neoplasms / Q000601:surgery*