Subscribe to RSS
Download PDF
DOI: 10.1055/s-0041-1729504
Anterolateral Thigh Skin and Fascia in Facial Skin Defects with Trismus: Two Problems, One Solution
Abstract
A case series of five patients with skin loss in the lateral face with trismus that followed delayed presentation following trauma, necrotizing infection, and radiation fibrosis was treated with coronoidectomy and condylar excision to effect adequate mouth opening; the anterolateral thigh flap was used for cover and the fascia was used as an interposition graft to prevent recurrence. Two patients with more than 9 years of follow-up had an average of 40 mm interincisal opening.
Keywords
anterolateral thigh flap - coronoid excision - condylectomy - vascularized fascia - facial skin loss - necrotizing infectionPublication History
Article published online:
22 June 2021
© 2021. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Fechner FP, Deschler DD. Microvascular free flap reconstruction after craniofacial trauma. Oper Tech Otolaryngol--Head Neck Surg 2002; 13 (04) 309-315
- 2 Allevi F, Battista V, Moneghini L, Biglioli F. Two typical cases of pseudoankylosis of the jaw: same treatment, different outcome. BMJ Case Rep 2015; 2015: bcr2015-210099
- 3 Bahu SJ, Shibuya TY, Meleca RJ. et al. Craniocervical necrotizing fasciitis: an 11-year experience. Otolaryngol Head Neck Surg 2001; 125 (03) 245-252
- 4 Dang RP, Bradley JP, Zenga J, Pipkorn P. Microvascular reconstruction after extensive cervical necrotizing fasciitis: a case series. Acta Otolaryngol Case Rep 2019; 4 (01) 21-25
- 5 Giessler GA, Borsche A, Lim PK, Schmidt AB, Cornelius CP. First experiences with simultaneous skeletal and soft tissue reconstruction of noma-related facial defects. J Reconstr Microsurg 2012; 28 (02) 85-94
- 6 Hill AJ. Release of mandibular ankylosis due to gross tissue loss in the cheek. Int J Oral Surg 1978; 7 (04) 369-373
- 7 Fujioka M, Daian T, Murakami R, Makino K. Release of extra-articular ankylosis by coronoidectomy and insertion of a free abdominal flap: case report. J Craniomaxillofac Surg 2000; 28 (06) 369-372
- 8 Giessler GA, Schmidt AB, Deubel U, Cornelius CP. Free flap transfer for closure and interposition-arthroplasty in noma defects of the lateral face associated with bony ankylosis. J Craniofac Surg 2004; 15 (05) 766-772
- 9 Alemán RM, Martínez MG. Lateral thigh fascia lata as interpositional graft for temporomandibular joint ankylosis. J Maxillofac Oral Surg 2012; 11 (03) 354-357
- 10 Seth R, Revenaugh PC, Scharpf J, Shipchandler TZ, Fritz MA. Free anterolateral thigh fascia lata flap for complex nasal lining defects. JAMA Facial Plast Surg 2013; 15 (01) 21-28
- 11 Houtmeyers P, Opsomer D, Van Landuyt K, Monstrey S. Reconstruction of the Achilles tendon and overlying soft tissue by free composite anterolateral thigh flap with vascularized fascia lata. J Reconstr Microsurg 2012; 28 (03) 205-209
- 12 Kuo YR, Kuo MH, Chou WC, Liu YT, Lutz BS, Jeng SF. One-stage reconstruction of soft tissue and Achilles tendon defects using a composite free anterolateral thigh flap with vascularized fascia lata: clinical experience and functional assessment. Ann Plast Surg 2003; 50 (02) 149-155
- 13 Rüegg EM, Baratti-Mayer D, Jaquinet A, Montandon D, Pittet-Cuénod B. The surgical management of extra-articular ankylosis in noma patients. Int J Oral Maxillofac Surg 2018; 47 (12) 1527-1533