title: Versatility of adipofascial anterolateral thigh flap for reconstruction of maxillary defects with infratemporal fossa extension.
abstract: Tumors arising from the posterior hard palate or posterolateral maxilla may extend to involve the infratemporal fossa (ITF). Resection of these tumors results in infrastructural maxillectomy with ITF defects. In this study, we describe the use of an adipofascial anterolateral thigh flap (ALT) specifically for such defects. This case series includes four patients who underwent an infrastructure maxillectomy with ITF clearance and the resultant defects were reconstructed using adipofascial anterolateral thigh flaps. The complications as well as the functional outcomes were assessed. This study included patients with lesions involving the hard palate, posterolateral part of maxilla with extension into the ITF. The mean flap dimension was 150 cm(2) (range, 120-180 cm(2)). All flaps were harvested based on a single perforator. The flap was used to obliterate the ITF defect and also to achieve oroantral separation. All flaps mucosalized well within 6 weeks. All patients were on oral diet and had adequate mouth opening. There were no donor-site complications. Adipofascial ALT is an excellent choice for infrastructural maxillectomy defects with ITF extension. The intraoral part got mucosalized well and provided a smooth and taut surface. A large adipofascial tissue flap helps obliterate the ITF, thus minimizing complications.
authors.affiliation: Department of Head and Neck Oncology, Mazumdar Shaw Cancer Center, Narayana Hrudayalaya, Bangalore, Karnataka, India.
authors.forename: Vikram D
authors.initials: VD
authors.lastname: Kekatpure
authors.affiliation: Department of Head and Neck Oncology, Mazumdar Shaw Cancer Center, Narayana Hrudayalaya, Bangalore, Karnataka, India.
authors.forename: Naveen
authors.initials: N
authors.lastname: Hedne
authors.affiliation: Department of Head and Neck Oncology, Mazumdar Shaw Cancer Center, Narayana Hrudayalaya, Bangalore, Karnataka, India.
authors.forename: Sachin
authors.initials: S
authors.lastname: Chavre
authors.affiliation: Department of Head and Neck Oncology, Mazumdar Shaw Cancer Center, Narayana Hrudayalaya, Bangalore, Karnataka, India.
authors.forename: Vijay
authors.initials: V
authors.lastname: Pillai
authors.affiliation: Department of Head and Neck Oncology, Mazumdar Shaw Cancer Center, Narayana Hrudayalaya, Bangalore, Karnataka, India.
authors.forename: Nirav
authors.initials: N
authors.lastname: Trivedi
authors.affiliation: Department of Head and Neck Oncology, Mazumdar Shaw Cancer Center, Narayana Hrudayalaya, Bangalore, Karnataka, India.
authors.forename: Moni Abraham
authors.initials: MA
authors.lastname: Kuriakose
keywords: adipofascial flap; anterolateral thigh flap; infratemporal fossa; maxillectomy defects