title: Chimeric flaps pedicled with the lateral circumflex femoral artery for individualised reconstruction of through-and-through oral and maxillofacial defects.
abstract: Reconstruction of through-and-through oral and maxillofacial defects has always been difficult. We have evaluated the feasibility and reconstructive efficacy of chimeric flaps pedicled with the lateral circumflex femoral artery in the reconstruction of 41 through-and-through oral and maxillofacial defects after resections for cancer. There were 29 chimeric anterolateral thigh and anterolateral thigh flaps and 12 chimeric anterolateral thigh and anteromedial thigh flaps, the sizes of which ranged from 5×8 to 9×11 cm. The chimeric flaps provided separate flaps to reconstruct the intraoral mucosa and extraoral skin defects, and 40/41 of them survived. The appearance and function were satisfactory in all patients after the reconstruction. Chimeric flaps pedicled with the lateral circumflex femoral artery are a good choice for the reconstruction of through-and-through oral and maxillofacial defects.
authors.affiliation: Department of Stomatology, The Second Xiangya Hospital, Central South University, 139 people Road, Changsha 410011, Hunan, China. Electronic address: gongzhaojian4458@sina.com.
authors.forename: Zhao-jian
authors.initials: ZJ
authors.lastname: Gong
authors.affiliation: Department of Stomatology, The Second Xiangya Hospital, Central South University, 139 people Road, Changsha 410011, Hunan, China.
authors.forename: Sheng
authors.initials: S
authors.lastname: Zhang
authors.affiliation: Department of Stomatology, The Second Xiangya Hospital, Central South University, 139 people Road, Changsha 410011, Hunan, China.
authors.forename: Kai
authors.initials: K
authors.lastname: Wang
authors.affiliation: Department of Stomatology, The Second Xiangya Hospital, Central South University, 139 people Road, Changsha 410011, Hunan, China.
authors.forename: Hong-yu
authors.initials: HY
authors.lastname: Tan
authors.affiliation: Department of Stomatology, The Second Xiangya Hospital, Central South University, 139 people Road, Changsha 410011, Hunan, China.
authors.forename: Zhao-fu
authors.initials: ZF
authors.lastname: Zhu
authors.affiliation: Department of Stomatology, The Second Xiangya Hospital, Central South University, 139 people Road, Changsha 410011, Hunan, China.
authors.forename: Jin-bing
authors.initials: JB
authors.lastname: Liu
authors.affiliation: Department of Stomatology, The Second Xiangya Hospital, Central South University, 139 people Road, Changsha 410011, Hunan, China.
authors.forename: Zhen-hu
authors.initials: ZH
authors.lastname: Ren
authors.affiliation: Department of Stomatology, The Second Xiangya Hospital, Central South University, 139 people Road, Changsha 410011, Hunan, China.
authors.forename: Zhi-jing
authors.initials: ZJ
authors.lastname: He
authors.affiliation: Department of Stomatology, The Second Xiangya Hospital, Central South University, 139 people Road, Changsha 410011, Hunan, China. Electronic address: wuhanjiang0198@sina.com.
authors.forename: Han-jiang
authors.initials: HJ
authors.lastname: Wu
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation; D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D004954:Esthetics; D005153:Facial Neoplasms / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D005263:Femoral Artery / Q000637:transplantation*; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D008297:Male; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000601:surgery*; D018482:Muscle, Skeletal / Q000637:transplantation; D009367:Neoplasm Staging; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D012878:Skin Neoplasms / Q000601:surgery; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply / Q000145:classification* / Q000637:transplantation; D013848:Thigh / Q000601:surgery; D060053:Transplant Donor Site / Q000601:surgery; D016896:Treatment Outcome
keywords: Chimeric flaps; Defect; Lateral circumflex femoral artery; Oral and maxillofacial region