Comparison of Reconstruction of Maxilloalveolar Resections in Head and Neck Cancers with Chimeric Anterolateral Thigh Flap (ALT) versus Standard ALT Flap

Background Oral malignancy that presents at a locally advanced stage needs complex surgical resections in which the maxillary cavity is usually left open. The constant maxillary secretions lead to problems like poor healing, fistula formation, and flap necrosis, causing longer hospital st...

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Main Authors: Vineet Kumar, Samreen Jaffar, Mayur Mantri, Ameya Bindu, Saumya Mathews, Dushyant Jaiswal, Vinay Kant Shankhdhar
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2024-06-01
Series:Indian Journal of Plastic Surgery
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Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1782200
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author Vineet Kumar
Samreen Jaffar
Mayur Mantri
Ameya Bindu
Saumya Mathews
Dushyant Jaiswal
Vinay Kant Shankhdhar
author_facet Vineet Kumar
Samreen Jaffar
Mayur Mantri
Ameya Bindu
Saumya Mathews
Dushyant Jaiswal
Vinay Kant Shankhdhar
author_sort Vineet Kumar
collection DOAJ
description Background Oral malignancy that presents at a locally advanced stage needs complex surgical resections in which the maxillary cavity is usually left open. The constant maxillary secretions lead to problems like poor healing, fistula formation, and flap necrosis, causing longer hospital stays, delayed adjuvant therapy, and additional surgeries. Several methods have been tried to ameliorate this, each faced with its own difficulties. This study describes the use of chimeric free anterolateral thigh (ALT) with vastus lateralis (VL) muscle to tackle this problem.
format Article
id doaj-art-4f0fbd40877645ff805ee09e0761964c
institution OA Journals
issn 0970-0358
1998-376X
language English
publishDate 2024-06-01
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format Article
series Indian Journal of Plastic Surgery
spelling doaj-art-4f0fbd40877645ff805ee09e0761964c2025-08-20T01:56:53ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2024-06-01570317317810.1055/s-0044-1782200Comparison of Reconstruction of Maxilloalveolar Resections in Head and Neck Cancers with Chimeric Anterolateral Thigh Flap (ALT) versus Standard ALT FlapVineet Kumar0Samreen Jaffar1https://orcid.org/0009-0003-2321-5776Mayur Mantri2https://orcid.org/0000-0003-0396-3526Ameya Bindu3https://orcid.org/0000-0002-9027-0121Saumya Mathews4https://orcid.org/0000-0003-0691-2660Dushyant Jaiswal5https://orcid.org/0000-0003-0457-8988Vinay Kant Shankhdhar6https://orcid.org/0000-0002-1775-9967Department of Plastic and Reconstructive Surgery, Homi Bhabha National Institute, Tata Memorial Hospital, Mumbai, Maharashtra, IndiaDepartment of Plastic and Reconstructive Surgery, Homi Bhabha National Institute, Tata Memorial Hospital, Mumbai, Maharashtra, IndiaDepartment of Plastic and Reconstructive Surgery, Homi Bhabha National Institute, Tata Memorial Hospital, Mumbai, Maharashtra, IndiaDepartment of Plastic and Reconstructive Surgery, Homi Bhabha National Institute, Tata Memorial Hospital, Mumbai, Maharashtra, IndiaDepartment of Plastic and Reconstructive Surgery, Homi Bhabha National Institute, Tata Memorial Hospital, Mumbai, Maharashtra, IndiaDepartment of Plastic and Reconstructive Surgery, Homi Bhabha National Institute, Tata Memorial Hospital, Mumbai, Maharashtra, IndiaDepartment of Plastic and Reconstructive Surgery, Homi Bhabha National Institute, Tata Memorial Hospital, Mumbai, Maharashtra, India Background Oral malignancy that presents at a locally advanced stage needs complex surgical resections in which the maxillary cavity is usually left open. The constant maxillary secretions lead to problems like poor healing, fistula formation, and flap necrosis, causing longer hospital stays, delayed adjuvant therapy, and additional surgeries. Several methods have been tried to ameliorate this, each faced with its own difficulties. This study describes the use of chimeric free anterolateral thigh (ALT) with vastus lateralis (VL) muscle to tackle this problem.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1782200maxilloalveolar resectionschimeric flapsfree anterolateral thigh flaphead and neck cancerhead and neck reconstruction
spellingShingle Vineet Kumar
Samreen Jaffar
Mayur Mantri
Ameya Bindu
Saumya Mathews
Dushyant Jaiswal
Vinay Kant Shankhdhar
Comparison of Reconstruction of Maxilloalveolar Resections in Head and Neck Cancers with Chimeric Anterolateral Thigh Flap (ALT) versus Standard ALT Flap
Indian Journal of Plastic Surgery
maxilloalveolar resections
chimeric flaps
free anterolateral thigh flap
head and neck cancer
head and neck reconstruction
title Comparison of Reconstruction of Maxilloalveolar Resections in Head and Neck Cancers with Chimeric Anterolateral Thigh Flap (ALT) versus Standard ALT Flap
title_full Comparison of Reconstruction of Maxilloalveolar Resections in Head and Neck Cancers with Chimeric Anterolateral Thigh Flap (ALT) versus Standard ALT Flap
title_fullStr Comparison of Reconstruction of Maxilloalveolar Resections in Head and Neck Cancers with Chimeric Anterolateral Thigh Flap (ALT) versus Standard ALT Flap
title_full_unstemmed Comparison of Reconstruction of Maxilloalveolar Resections in Head and Neck Cancers with Chimeric Anterolateral Thigh Flap (ALT) versus Standard ALT Flap
title_short Comparison of Reconstruction of Maxilloalveolar Resections in Head and Neck Cancers with Chimeric Anterolateral Thigh Flap (ALT) versus Standard ALT Flap
title_sort comparison of reconstruction of maxilloalveolar resections in head and neck cancers with chimeric anterolateral thigh flap alt versus standard alt flap
topic maxilloalveolar resections
chimeric flaps
free anterolateral thigh flap
head and neck cancer
head and neck reconstruction
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1782200
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