Reconstruction of radiation-induced damage in patients with facial hemangiomas using free anterolateral thigh flap
Objective: Radiation therapy to treat hemangiomas is an old method that is no longer used due to its severe side effects. However, in Vietnam, radiotherapy has long been used to treat infantile hemangiomas, which has led to severe sequelae in adulthood. This article shares our experience in reconstr...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-03-01
|
| Series: | JPRAS Open |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352587825000063 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832557519545827328 |
|---|---|
| author | Trần Thiết Sơn Phan Tuấn Nghĩa Nguyễn Hữu Trọng Phạm Thị Việt Dung Tạ Thị Hồng Thuý Christopher Runyan |
| author_facet | Trần Thiết Sơn Phan Tuấn Nghĩa Nguyễn Hữu Trọng Phạm Thị Việt Dung Tạ Thị Hồng Thuý Christopher Runyan |
| author_sort | Trần Thiết Sơn |
| collection | DOAJ |
| description | Objective: Radiation therapy to treat hemangiomas is an old method that is no longer used due to its severe side effects. However, in Vietnam, radiotherapy has long been used to treat infantile hemangiomas, which has led to severe sequelae in adulthood. This article shares our experience in reconstructing the sequelae of radiation therapy for facial hemangioma using free anterolateral thigh (ALT) flap. Materials and methods: Six patients underwent facial lesion reconstruction using different ALT flaps, including volume augmentation, fascial, and thinning flaps. Results: The largest flap used was 20 × 8 cm2 and the smallest flap was 11 × 6 cm2. All flaps survived completely and no post-operative complications were noted. The patients were highly satisfied with the surgical outcomes, and the aesthetics of the flap were also excellent, with the flap being similar in color to the facial skin. Conclusion: The ALT flap has several advantages, including flexibility in use, diversity in flap components, and minimal impact on the donor site, making it increasingly popular and effective. |
| format | Article |
| id | doaj-art-6ec1a7b870bd4397a5392d330d38ea04 |
| institution | Kabale University |
| issn | 2352-5878 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JPRAS Open |
| spelling | doaj-art-6ec1a7b870bd4397a5392d330d38ea042025-02-03T04:16:46ZengElsevierJPRAS Open2352-58782025-03-0143419427Reconstruction of radiation-induced damage in patients with facial hemangiomas using free anterolateral thigh flapTrần Thiết Sơn0Phan Tuấn Nghĩa1Nguyễn Hữu Trọng2Phạm Thị Việt Dung3Tạ Thị Hồng Thuý4Christopher Runyan5Department of Plastic and Reconstructive Surgery, Hanoi Medical University, Hanoi, Vietnam; Department of Plastic Reconstructive and Aesthetic Surgery, Bach Mai Hospital, Hanoi, Vietnam; Department of Plastic Reconstructive and Aesthetic Surgery, University of Medicine and Pharmacy, Hanoi National University, VietnamDepartment of Plastic and Reconstructive Surgery, Hanoi Medical University, Hanoi, Vietnam; Department of Plastic Reconstructive and Aesthetic Surgery, Bach Mai Hospital, Hanoi, Vietnam; Corresponding author. Address: No.1 Ton That Tung Street, Dong Da District, Hanoi, Vietnam. Tel: +84 353057322.Department of Plastic Reconstructive and Aesthetic Surgery, Bach Mai Hospital, Hanoi, VietnamDepartment of Plastic and Reconstructive Surgery, Hanoi Medical University, Hanoi, Vietnam; Department of Plastic Reconstructive and Aesthetic Surgery, Bach Mai Hospital, Hanoi, VietnamDepartment of Plastic and Reconstructive Surgery, Hanoi Medical University, Hanoi, Vietnam; Department of Plastic Reconstructive and Aesthetic Surgery, Bach Mai Hospital, Hanoi, VietnamDepartment of Plastic and Reconstructive Surgery, Wake Forest School of Medicine, Winston-Salem, NCObjective: Radiation therapy to treat hemangiomas is an old method that is no longer used due to its severe side effects. However, in Vietnam, radiotherapy has long been used to treat infantile hemangiomas, which has led to severe sequelae in adulthood. This article shares our experience in reconstructing the sequelae of radiation therapy for facial hemangioma using free anterolateral thigh (ALT) flap. Materials and methods: Six patients underwent facial lesion reconstruction using different ALT flaps, including volume augmentation, fascial, and thinning flaps. Results: The largest flap used was 20 × 8 cm2 and the smallest flap was 11 × 6 cm2. All flaps survived completely and no post-operative complications were noted. The patients were highly satisfied with the surgical outcomes, and the aesthetics of the flap were also excellent, with the flap being similar in color to the facial skin. Conclusion: The ALT flap has several advantages, including flexibility in use, diversity in flap components, and minimal impact on the donor site, making it increasingly popular and effective.http://www.sciencedirect.com/science/article/pii/S2352587825000063Radiation-induced damageFace reconstructionMicrosurgeryALT flapHemangioma |
| spellingShingle | Trần Thiết Sơn Phan Tuấn Nghĩa Nguyễn Hữu Trọng Phạm Thị Việt Dung Tạ Thị Hồng Thuý Christopher Runyan Reconstruction of radiation-induced damage in patients with facial hemangiomas using free anterolateral thigh flap JPRAS Open Radiation-induced damage Face reconstruction Microsurgery ALT flap Hemangioma |
| title | Reconstruction of radiation-induced damage in patients with facial hemangiomas using free anterolateral thigh flap |
| title_full | Reconstruction of radiation-induced damage in patients with facial hemangiomas using free anterolateral thigh flap |
| title_fullStr | Reconstruction of radiation-induced damage in patients with facial hemangiomas using free anterolateral thigh flap |
| title_full_unstemmed | Reconstruction of radiation-induced damage in patients with facial hemangiomas using free anterolateral thigh flap |
| title_short | Reconstruction of radiation-induced damage in patients with facial hemangiomas using free anterolateral thigh flap |
| title_sort | reconstruction of radiation induced damage in patients with facial hemangiomas using free anterolateral thigh flap |
| topic | Radiation-induced damage Face reconstruction Microsurgery ALT flap Hemangioma |
| url | http://www.sciencedirect.com/science/article/pii/S2352587825000063 |
| work_keys_str_mv | AT tranthietson reconstructionofradiationinduceddamageinpatientswithfacialhemangiomasusingfreeanterolateralthighflap AT phantuannghia reconstructionofradiationinduceddamageinpatientswithfacialhemangiomasusingfreeanterolateralthighflap AT nguyenhuutrong reconstructionofradiationinduceddamageinpatientswithfacialhemangiomasusingfreeanterolateralthighflap AT phamthivietdung reconstructionofradiationinduceddamageinpatientswithfacialhemangiomasusingfreeanterolateralthighflap AT tathihongthuy reconstructionofradiationinduceddamageinpatientswithfacialhemangiomasusingfreeanterolateralthighflap AT christopherrunyan reconstructionofradiationinduceddamageinpatientswithfacialhemangiomasusingfreeanterolateralthighflap |