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World Journal of Surgical Oncology

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Open Access 01-12-2016 | Research

The anterolateral thigh flap for soft tissue reconstruction in patients with tongue squamous cell carcinoma

Authors: Xiang-Juan Tong, Zhan-Gui Tang, Zhen-Feng Shan, Xin-Cheng Guo

Published in: World Journal of Surgical Oncology | Issue 1/2016

Abstract

Background

Surgery remains the first choice of treatment for tongue cancer. Immediate reconstruction should be performed after wide resection of tumour. The aim of this study was to evaluate the anterolateral thigh flap for reconstruction of lingual defects.

Methods

We report 39 consecutive oral tongue squamous cell carcinoma patients who underwent lingual reconstruction with the anterolateral thigh flap between 2009 and 2010.

Results

The width of the skin island was 4 to 5 cm and the length of the skin island was 6 to 8 cm in 31 patients with T2 tumour, while the width of the skin island was 5.5 to 6 cm and the length of the skin island was 9 to 12 cm in 8 patients with T3/4 tumours. The all flap survival rate was 97.5 % in our series.

Conclusions

We could obtain sufficient flap volume using the anterolateral thigh flap for tongue reconstruction. The single perforator-based anterolateral thigh flap is a good option for soft tissue reconstruction in patients with oral tongue squamous cell carcinoma.

Brown B, Barnes L, Mazariegos J, Taylor F, Johnson J, Wagnerr RL. Prognostic factors in mobile tongue and floor of mouth carcinoma. Cancer. 1989;64:1195–202.CrossRefPubMed

Krishna Rao SV, Mejia G, Roberts-Thomson K, Logan R. Epidemiology of oral cancer in Asia in the past decade—an update (2000–2012). Asian Pac J Cancer Prev. 2013;14:5567–77.CrossRefPubMed

Lim MS. Re: correlational of oral tongue cancer inversion with matrix metalloproteinases (MMPs) and vascular endothelial growth factor (VEGF) expression, by Kim S-H, Cho NH, Kim K, et al. J Surg Oncol. 2006;93:253–4.CrossRefPubMed

Sano D, Myers JN. Metastasis of squamous cell carcinoma of the oral tongue. Cancer Metastasis Rev. 2007;26:645–62.CrossRefPubMed

Sheth SH, Johnson DE, Kensler TW, Bauman JE. Chemoprevention targets for tobacco-related head and neck cancer: past lessons and future directions. Oral Oncol. 2015;51:557–64.CrossRefPubMed

Zhang Y, Wang R, Miao L, Zhu L, Jiang H, Yuan H. Different levels in alcohol and tobacco consumption in head and neck cancer patients from 1957 to 2013. PLoS One. 2015;13, e0124045.CrossRef

Wang X, Yan G, Zhang G, Li J, Liu J, Zhang Y. Functional tongue reconstruction with the anterolateral thigh flap. World J Surg Oncol. 2013;11:303.CrossRefPubMedPubMedCentral

Koshima I, Fukuda H, Yamamoto H, Moriguchi T, Soeda S, Ohta S. Free anterolateral thigh flaps for reconstruction of head and neck defects. Plast Reconstr Surg. 1993;92:421–8.CrossRefPubMed

Bussu F, Salgarello M, Adesi LB, et al. Oral cavity defect reconstruction using anterolateral thigh free flaps. B-ENT. 2011;7:19–25.PubMed

10.

Wei FC, Jain V, Celik N, et al. Have we found an ideal soft-tissue flap? An experience with 672 anterolateral thigh flaps. Plast Reconstr Surg. 2002;109:2219–26.CrossRefPubMed

11.

Song YG, Chen GZ, Song YL. The free thigh flap: a new free flap concept based on the septocutaneous artery. Br J Plast Surg. 1984;37:149–59.CrossRefPubMed

12.

Kimata Y, Uchiyama K, Ebihara S, Nakatsuka T, Harii K. Anatomic variations and technical problems of the anterolateral thigh flap: a report of 74 cases. Plast Reconstr Surg. 1998;102:1517–23.CrossRefPubMed

13.

Chana JS, Fc W. A review of the advantages of the anterolateral thigh flap in head and neck reconstruction. Br J Plast Surg. 2004;57:603–9.CrossRefPubMed

14.

Shaw RJ, Batstone MD, Blackburn TK, et al. The anterolateral thigh flap in head and neck reconstruction: “pearls and pitfalls”. Br J Oral Maxillofac Surg. 2010;48:5–10.CrossRefPubMed

Title: The anterolateral thigh flap for soft tissue reconstruction in patients with tongue squamous cell carcinoma
Authors: Xiang-Juan Tong
Zhan-Gui Tang
Zhen-Feng Shan
Xin-Cheng Guo
Publication date: 01-12-2016
Publisher: BioMed Central
Published in: World Journal of Surgical Oncology / Issue 1/2016
Electronic ISSN: 1477-7819
DOI: https://doi.org/10.1186/s12957-016-0972-8

At a glance: The STEP trials

Springer Medicine

The anterolateral thigh flap for soft tissue reconstruction in patients with tongue squamous cell carcinoma

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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