Combined Free Flaps for Major Head and Neck Reconstruction

Authors

  • Prayuth Chokrungvaranont Division of Plastic & Reconstructive Surgery, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
  • Preecha Tiewtranon Division of Plastic & Reconstructive Surgery, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
  • Charan Mahatumarat Division of Plastic & Reconstructive Surgery, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
  • Pichit Siriwan Division of Plastic & Reconstructive Surgery, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
  • Apichai Angspatt Division of Plastic & Reconstructive Surgery, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

Abstract

             Between June 1995 and April 1997, two patients with large ulcerated recurrent squamous cell carcinoma involving the face and intraoral region were operated upon for extensive excision in desperate attempt to achieve better patient quality of life. The resultant defects required the use of combined latissimus dorsi and serratus anterior muscle flaps for reconstruction of the wounds.

             The procedure can be accomplished in single-stage with only one arterial and one venous anastomosis to the selected recipient vessels. This helps in reducing the operative time. The combined free flaps in both of our cases survived well postoperatively.

References

1. Bawornsilp Chowchuen. Reconstruction of extensive and difficult head and neck. Defects with Microvascular Free Flaps. วารสารศัลยศาสตร์ตกแต่ง 2539; 2: 11-28.

2. Oishi SN, Luce EA. The difficult scalp and skull wound. Clin Plast Surg. 1995; 22: 51.

3. Jones TR, Jones NF. Advance in reconstruction of the upper arodigestive tract and cranial base with free tissue transfer. Clin Plast Surg. 1992; 19: 819

4. Hardesty RA, Jones NF, Swartz WM, Ramasastry SS, Heckler FD, Newton D, Schramm VL. Microsurgery for macrodefects: microvascular free-tissue transfer for massive defects of the head and neck. Am J Surg 1987; 154: 399-405.

5. Shestak KC. Soft tissue reconstruction of craniofacial defect. Clin Plast Surg 1994; 21: 107.

6. Pribaz JJ, Morris DJ, Mulliken JB. Three-dimensional fold free flap reconstruction of complex facial defect using intra-operative modeling. Plast Reconstr Surg 1994; 93: 285.

7. Hamilton SGL, Morrison WA. The scaular free flap. Br J Plast Surg 1982; 35: 2-7.

8. Nassif TM, Vidal L, Bovet JL, Baudet J. The parascapular flap: a new cutaneous microsurgical free flap. Plast Reconstr Surg 1982; 69: 591-600.

9. Soutar DS, Scheker LR, Tanner NSB, et al. The radial forearm flap: A versatile method for intra-oral reconstruction. Br J Plast Surg 1983; 3: 1.

10. Smith RA. The free fascial flap. Plast Reconstr Surg 1980; 66:204.

11. Jones NF, Sekhar LN, Schramm VL. Free rectus abdominis muscle flap reconstruction of the middle and posterior cranial base. Plast Reconstr Surg 1986; 78: 471.

12. Whitney TM, Buncke HJ, Alpert BS, Buncke GM, Lineaweaver WC. The serratus anterior free-muscle flap: experience with 100 consecutive cases. Plast Reconstr Surg 1990;86:481-91.

13. Manktelow RT, Zuker RM, Mckee NH. Functioning free muscle transplantation. J Hand Surg 1984; 9A: 32-9.

14. Coleman JJ, Sultan MR. The bipedicled osteocutaneous scapula flap: a new subscapular system free flap. Plast Reconstr Surg 1991; 87: 682-92.

15. Swariz WM, Banis JC, Newton ED, Ramasastry SS, Jones NF, Acland R. The osteocutaneous scapular flap for mandibular and maxillary reconstruction. Plast Reconstr Surg 1986; 77:530-45.

16. Hildago DA. Fibula free flap: A new method of mandibular reconstruction. Plast Reconstr Surg 1989; 84: 71

17. Taylor GI. Reconstruction of the mandible with free composite iliac bone grafts. Ann Plast Surg 1982; 9: 361.

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Published

2001-06-29

How to Cite

1.
Chokrungvaranont P, Tiewtranon P, Mahatumarat C, Siriwan P, Angspatt A. Combined Free Flaps for Major Head and Neck Reconstruction. Thai J Surg [Internet]. 2001 Jun. 29 [cited 2024 Dec. 23];22(2):43-6. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/243246

Issue

Vol. 22 No. 2 (2001): April - June

Section

Case Reports

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.