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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Reconstructive Indications of Anterolateral Thigh Free Flaps in Head and Neck Reconstruction</title><author><name sortKey="Khadakban, Dhiraj" sort="Khadakban, Dhiraj" uniqKey="Khadakban D" first="Dhiraj" last="Khadakban">Dhiraj Khadakban</name><affiliation><nlm:aff id="AF140403oa-1"><institution>Department of Surgical Oncology, Amrita Institute of Medical Sciences, Amrita University, Kochi, Kerala, India</institution></nlm:aff></affiliation></author><author><name sortKey="Kudpaje, Akshay" sort="Kudpaje, Akshay" uniqKey="Kudpaje A" first="Akshay" last="Kudpaje">Akshay Kudpaje</name><affiliation><nlm:aff id="AF140403oa-2"><institution>Department of Head and Neck, Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Amrita University, Kochi, Kerala, India</institution></nlm:aff></affiliation></author><author><name sortKey="Thankappan, Krishnakumar" sort="Thankappan, Krishnakumar" uniqKey="Thankappan K" first="Krishnakumar" last="Thankappan">Krishnakumar Thankappan</name><affiliation><nlm:aff id="AF140403oa-2"><institution>Department of Head and Neck, Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Amrita University, Kochi, Kerala, India</institution></nlm:aff></affiliation></author><author><name sortKey="Jayaprasad, Kiran" sort="Jayaprasad, Kiran" uniqKey="Jayaprasad K" first="Kiran" last="Jayaprasad">Kiran Jayaprasad</name><affiliation><nlm:aff id="AF140403oa-2"><institution>Department of Head and Neck, Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Amrita University, Kochi, Kerala, India</institution></nlm:aff></affiliation></author><author><name sortKey="Gorasia, Tejal" sort="Gorasia, Tejal" uniqKey="Gorasia T" first="Tejal" last="Gorasia">Tejal Gorasia</name><affiliation><nlm:aff id="AF140403oa-1"><institution>Department of Surgical Oncology, Amrita Institute of Medical Sciences, Amrita University, Kochi, Kerala, India</institution></nlm:aff></affiliation></author><author><name sortKey="Vidhyadharan, Sivakumar" sort="Vidhyadharan, Sivakumar" uniqKey="Vidhyadharan S" first="Sivakumar" last="Vidhyadharan">Sivakumar Vidhyadharan</name><affiliation><nlm:aff id="AF140403oa-2"><institution>Department of Head and Neck, Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Amrita University, Kochi, Kerala, India</institution></nlm:aff></affiliation></author><author><name sortKey="Mathew, Jimmy" sort="Mathew, Jimmy" uniqKey="Mathew J" first="Jimmy" last="Mathew">Jimmy Mathew</name><affiliation><nlm:aff id="AF140403oa-2"><institution>Department of Head and Neck, Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Amrita University, Kochi, Kerala, India</institution></nlm:aff></affiliation></author><author><name sortKey="Sharma, Mohit" sort="Sharma, Mohit" uniqKey="Sharma M" first="Mohit" last="Sharma">Mohit Sharma</name><affiliation><nlm:aff id="AF140403oa-2"><institution>Department of Head and Neck, Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Amrita University, Kochi, Kerala, India</institution></nlm:aff></affiliation></author><author><name sortKey="Iyer, Subramania" sort="Iyer, Subramania" uniqKey="Iyer S" first="Subramania" last="Iyer">Subramania Iyer</name><affiliation><nlm:aff id="AF140403oa-2"><institution>Department of Head and Neck, Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Amrita University, Kochi, Kerala, India</institution></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26889347</idno><idno type="pmc">4755731</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4755731</idno><idno type="RBID">PMC:4755731</idno><idno type="doi">10.1055/s-0035-1558455</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000022</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000022</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Reconstructive Indications of Anterolateral Thigh Free Flaps in Head and Neck Reconstruction</title><author><name sortKey="Khadakban, Dhiraj" sort="Khadakban, Dhiraj" uniqKey="Khadakban D" first="Dhiraj" last="Khadakban">Dhiraj Khadakban</name><affiliation><nlm:aff id="AF140403oa-1"><institution>Department of Surgical Oncology, Amrita Institute of Medical Sciences, Amrita University, Kochi, Kerala, India</institution></nlm:aff></affiliation></author><author><name sortKey="Kudpaje, Akshay" sort="Kudpaje, Akshay" uniqKey="Kudpaje A" first="Akshay" last="Kudpaje">Akshay Kudpaje</name><affiliation><nlm:aff id="AF140403oa-2"><institution>Department of Head and Neck, Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Amrita University, Kochi, Kerala, India</institution></nlm:aff></affiliation></author><author><name sortKey="Thankappan, Krishnakumar" sort="Thankappan, Krishnakumar" uniqKey="Thankappan K" first="Krishnakumar" last="Thankappan">Krishnakumar Thankappan</name><affiliation><nlm:aff id="AF140403oa-2"><institution>Department of Head and Neck, Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Amrita University, Kochi, Kerala, India</institution></nlm:aff></affiliation></author><author><name sortKey="Jayaprasad, Kiran" sort="Jayaprasad, Kiran" uniqKey="Jayaprasad K" first="Kiran" last="Jayaprasad">Kiran Jayaprasad</name><affiliation><nlm:aff id="AF140403oa-2"><institution>Department of Head and Neck, Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Amrita University, Kochi, Kerala, India</institution></nlm:aff></affiliation></author><author><name sortKey="Gorasia, Tejal" sort="Gorasia, Tejal" uniqKey="Gorasia T" first="Tejal" last="Gorasia">Tejal Gorasia</name><affiliation><nlm:aff id="AF140403oa-1"><institution>Department of Surgical Oncology, Amrita Institute of Medical Sciences, Amrita University, Kochi, Kerala, India</institution></nlm:aff></affiliation></author><author><name sortKey="Vidhyadharan, Sivakumar" sort="Vidhyadharan, Sivakumar" uniqKey="Vidhyadharan S" first="Sivakumar" last="Vidhyadharan">Sivakumar Vidhyadharan</name><affiliation><nlm:aff id="AF140403oa-2"><institution>Department of Head and Neck, Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Amrita University, Kochi, Kerala, India</institution></nlm:aff></affiliation></author><author><name sortKey="Mathew, Jimmy" sort="Mathew, Jimmy" uniqKey="Mathew J" first="Jimmy" last="Mathew">Jimmy Mathew</name><affiliation><nlm:aff id="AF140403oa-2"><institution>Department of Head and Neck, Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Amrita University, Kochi, Kerala, India</institution></nlm:aff></affiliation></author><author><name sortKey="Sharma, Mohit" sort="Sharma, Mohit" uniqKey="Sharma M" first="Mohit" last="Sharma">Mohit Sharma</name><affiliation><nlm:aff id="AF140403oa-2"><institution>Department of Head and Neck, Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Amrita University, Kochi, Kerala, India</institution></nlm:aff></affiliation></author><author><name sortKey="Iyer, Subramania" sort="Iyer, Subramania" uniqKey="Iyer S" first="Subramania" last="Iyer">Subramania Iyer</name><affiliation><nlm:aff id="AF140403oa-2"><institution>Department of Head and Neck, Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Amrita University, Kochi, Kerala, India</institution></nlm:aff></affiliation></author></analytic><series><title level="j">Craniomaxillofacial Trauma & Reconstruction</title><idno type="ISSN">1943-3875</idno><idno type="eISSN">1943-3883</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Anterolateral thigh (ALT) free flap is a common flap with multitude of indications. The purpose of this article is to review the reconstructive indications of the flap in head and neck defects. This is a retrospective study of 194 consecutive ALT flaps. Data including patient characteristics (age, sex, comorbidities), disease characteristics (histology, T stage), and flap characteristics (size of the flap, type of closure of ALT donor site) were collected. The outcome in terms of flap success rate, surgical, and donor site morbidity were studied. A total of 194 flaps were performed in 193 patients over a period of 10 years. Mean age of the patients was 55 years (range 16–80 years). Out of the 193 patients, 91 (47.1%) patients had oromandibular defects, 52 (26.9%) had tongue defects, 15 (7.7%) had pharyngeal defects, 17 (8.8%) had skull base defects, 4 (2%) had scalp defects, and 14 (7.2%) had contour defects of the neck. The overall flap success rate was 95.8% (8 total flap loss out of 194). Hypertrophic scar was the commonest donor site problem seen in 20 (10.3%) patients. This study shows the versatility of free ALT flap in head and neck reconstruction. It is a reliable and safe. Donor site morbidity is minimal.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Craniomaxillofac Trauma Reconstr</journal-id><journal-id journal-id-type="iso-abbrev">Craniomaxillofac Trauma Reconstr</journal-id><journal-id journal-id-type="doi">10.1055/s-00000151</journal-id><journal-title-group><journal-title>Craniomaxillofacial Trauma & Reconstruction</journal-title></journal-title-group><issn pub-type="ppub">1943-3875</issn><issn pub-type="epub">1943-3883</issn><publisher><publisher-name>Thieme Medical Publishers</publisher-name><publisher-loc>333 Seventh Avenue, New York, NY 10001, USA.</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26889347</article-id><article-id pub-id-type="pmc">4755731</article-id><article-id pub-id-type="doi">10.1055/s-0035-1558455</article-id><article-id pub-id-type="publisher-id">140403oa</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Reconstructive Indications of Anterolateral Thigh Free Flaps in Head and Neck Reconstruction</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Khadakban</surname><given-names>Dhiraj</given-names></name><degrees>MS, DNB</degrees><xref rid="AF140403oa-1" ref-type="aff">1</xref></contrib><contrib contrib-type="author"><name><surname>Kudpaje</surname><given-names>Akshay</given-names></name><degrees>MS</degrees><xref rid="AF140403oa-2" ref-type="aff">2</xref></contrib><contrib contrib-type="author"><name><surname>Thankappan</surname><given-names>Krishnakumar</given-names></name><degrees>MS, DNB, MCh</degrees><xref rid="AF140403oa-2" ref-type="aff">2</xref><xref rid="CO140403oa-1" ref-type="author-notes"></xref></contrib><contrib contrib-type="author"><name><surname>Jayaprasad</surname><given-names>Kiran</given-names></name><degrees>MS, MCh</degrees><xref rid="AF140403oa-2" ref-type="aff">2</xref></contrib><contrib contrib-type="author"><name><surname>Gorasia</surname><given-names>Tejal</given-names></name><degrees>MS, DNB</degrees><xref rid="AF140403oa-1" ref-type="aff">1</xref></contrib><contrib contrib-type="author"><name><surname>Vidhyadharan</surname><given-names>Sivakumar</given-names></name><degrees>MS, DNB</degrees><xref rid="AF140403oa-2" ref-type="aff">2</xref></contrib><contrib contrib-type="author"><name><surname>Mathew</surname><given-names>Jimmy</given-names></name><degrees>MS, MCh</degrees><xref rid="AF140403oa-2" ref-type="aff">2</xref></contrib><contrib contrib-type="author"><name><surname>Sharma</surname><given-names>Mohit</given-names></name><degrees>MS, MCh</degrees><xref rid="AF140403oa-2" ref-type="aff">2</xref></contrib><contrib contrib-type="author"><name><surname>Iyer</surname><given-names>Subramania</given-names></name><degrees>MCh, FRCS</degrees><xref rid="AF140403oa-2" ref-type="aff">2</xref></contrib></contrib-group><aff id="AF140403oa-1"><label>1</label><institution>Department of Surgical Oncology, Amrita Institute of Medical Sciences, Amrita University, Kochi, Kerala, India</institution></aff><aff id="AF140403oa-2"><label>2</label><institution>Department of Head and Neck, Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Amrita University, Kochi, Kerala, India</institution></aff><author-notes><corresp id="CO140403oa-1"><bold>Address for correspondence </bold>Krishnakumar Thankappan, MS, DNB, MCh <institution>Department of Head and Neck Surgery, Amrita Institute of Medical Sciences</institution><addr-line>Kochi 682041, Kerala</addr-line><country>India</country><email>drkrishnakumart@yahoo.co.in</email></corresp></author-notes><pub-date pub-type="epub"><day>24</day><month>7</month><year>2015</year></pub-date><pub-date pub-type="ppub"><month>3</month><year>2016</year></pub-date><volume>9</volume><issue>1</issue><fpage>40</fpage><lpage>45</lpage><history><date date-type="received"><day>02</day><month>10</month><year>2014</year></date><date date-type="accepted"><day>22</day><month>2</month><year>2015</year></date></history><permissions><copyright-statement>© Thieme Medical Publishers</copyright-statement></permissions><abstract><p>Anterolateral thigh (ALT) free flap is a common flap with multitude of indications. The purpose of this article is to review the reconstructive indications of the flap in head and neck defects. This is a retrospective study of 194 consecutive ALT flaps. Data including patient characteristics (age, sex, comorbidities), disease characteristics (histology, T stage), and flap characteristics (size of the flap, type of closure of ALT donor site) were collected. The outcome in terms of flap success rate, surgical, and donor site morbidity were studied. A total of 194 flaps were performed in 193 patients over a period of 10 years. Mean age of the patients was 55 years (range 16–80 years). Out of the 193 patients, 91 (47.1%) patients had oromandibular defects, 52 (26.9%) had tongue defects, 15 (7.7%) had pharyngeal defects, 17 (8.8%) had skull base defects, 4 (2%) had scalp defects, and 14 (7.2%) had contour defects of the neck. The overall flap success rate was 95.8% (8 total flap loss out of 194). Hypertrophic scar was the commonest donor site problem seen in 20 (10.3%) patients. This study shows the versatility of free ALT flap in head and neck reconstruction. It is a reliable and safe. Donor site morbidity is minimal.</p></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>head and neck cancer</kwd><kwd>head and neck reconstruction</kwd><kwd>anterolateral thigh flap</kwd><kwd>oromandibular defect</kwd><kwd>free flaps</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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