In the last decade, the antero-lateral thigh free flap (ALT) has become the most popular free flap for tongue reconstruction because of less donor site morbidity and better cosmetic outcomes. However, fascio-cutaneous ALT may be insufficient to reconstruct major tongue defects, while its muscular-cutaneous variant (using the vastus lateralis muscle) may be too bulky. The present study describes our preliminary experience of tongue reconstruction with vastus lateralis myofascial flap, which could potentially offer unique advantages in head and neck reconstruction including adequate bulk when needed, optimal functional results and obliteration of dead space thus preventing fistulas and infections with minimal morbidity.

Lembo miofasciale di vasto laterale nella ricostruzione della lingua / Pellini, R.; DE VIRGILIO, Armando; Mercante, G.; Pichi, B.; Manciocco, Valentina; Marchesi, P.; Ferreli, F.; Spriano, G.. - In: ACTA OTORHINOLARYNGOLOGICA ITALICA. - ISSN 0392-100X. - 36:4(2016), pp. 321-325. [10.14639/0392-100X-1031]

Lembo miofasciale di vasto laterale nella ricostruzione della lingua

DE VIRGILIO, ARMANDO;MANCIOCCO, Valentina;
2016

Abstract

In the last decade, the antero-lateral thigh free flap (ALT) has become the most popular free flap for tongue reconstruction because of less donor site morbidity and better cosmetic outcomes. However, fascio-cutaneous ALT may be insufficient to reconstruct major tongue defects, while its muscular-cutaneous variant (using the vastus lateralis muscle) may be too bulky. The present study describes our preliminary experience of tongue reconstruction with vastus lateralis myofascial flap, which could potentially offer unique advantages in head and neck reconstruction including adequate bulk when needed, optimal functional results and obliteration of dead space thus preventing fistulas and infections with minimal morbidity.
2016
Free flap; Glossectomy; Rectus femoris; Tongue reconstruction; Vastus lateralis; Otorhinolaryngology2734 Pathology and Forensic Medicine
01 Pubblicazione su rivista::01a Articolo in rivista
Lembo miofasciale di vasto laterale nella ricostruzione della lingua / Pellini, R.; DE VIRGILIO, Armando; Mercante, G.; Pichi, B.; Manciocco, Valentina; Marchesi, P.; Ferreli, F.; Spriano, G.. - In: ACTA OTORHINOLARYNGOLOGICA ITALICA. - ISSN 0392-100X. - 36:4(2016), pp. 321-325. [10.14639/0392-100X-1031]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/899172
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