Anterolateral thigh free flap- largest size flap till date in lateral skull base defect reconstruction: an interesting case report

Authors

  • Madhusoodan Gupta Department of Plastic Surgery, Max Super Speciality Hospital, Patparganj, New Delhi, India
  • Abid Saleem Department of Plastic Surgery, Max Super Speciality Hospital, Patparganj, New Delhi, India
  • Raghavendra Kaladagi Department of Plastic Surgery, Max Super Speciality Hospital, Patparganj, New Delhi, India
  • Pradeep K. Singh Department of Plastic Surgery, Max Super Speciality Hospital, Patparganj, New Delhi, India
  • Rohit Chandra Department of Plastic Surgery, Max Super Speciality Hospital, Patparganj, New Delhi, India
  • Manoj K. Johar Department of Plastic Surgery, Max Super Speciality Hospital, Patparganj, New Delhi, India
  • Deepti Varshney Pathkind Lab, Moradabad, Uttar Pradesh, India
  • Vishal K. Biswkarma Kharvel Subharti College of Pharmacy, SVSU, Meerut, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2349-2902.isj20211847

Keywords:

Vascularised free tissue, Oncologic surgery, ALT free flap, SCC, Skin graft

Abstract

Vascularised free tissue transfer has revolutionized skull base defect reconstruction. It allows to restores form and functions without compromising the principles of oncoplastic surgery. Anterolateral thigh (ALT) free flap is a workhorse flap in head and neck reconstruction. The versatility of the ALT-free flap makes it unique to reconstruct almost every soft-tissue defect in head and neck reconstruction. Due to the large surface of the anterolateral thigh, a very large flap can be harvested with very little donor site morbidity. Here we have reported a case of 40 years, male patient, with a known case of primary squamous cell carcinoma (SCC) of the left parotid gland. After the surgical extirpation of the tumor, an extensive soft-tissue defect was created in the region of the left lateral skull base defect. For coverage of large defect, we did the ALT free flap size 25×18 cm (450 cm2). The donor site was partially closed primarily and partially skin grafted. The patient was discharged uneventfully on the 7th postoperative day.

Author Biographies

Madhusoodan Gupta, Department of Plastic Surgery, Max Super Speciality Hospital, Patparganj, New Delhi, India

Plastic Surgery Department

Associate Consultant

Abid Saleem, Department of Plastic Surgery, Max Super Speciality Hospital, Patparganj, New Delhi, India

Plastic Surgery Department

Senior Consultant

Raghavendra Kaladagi, Department of Plastic Surgery, Max Super Speciality Hospital, Patparganj, New Delhi, India

Plastic Surgery Department

Associate Consultant

Pradeep K. Singh, Department of Plastic Surgery, Max Super Speciality Hospital, Patparganj, New Delhi, India

Plastic Surgery Department

Senior Consultant

Rohit Chandra, Department of Plastic Surgery, Max Super Speciality Hospital, Patparganj, New Delhi, India

Plastic Surgery Department

Principal Consultant

Manoj K. Johar, Department of Plastic Surgery, Max Super Speciality Hospital, Patparganj, New Delhi, India

Plastic Surgery Department

Head of Department

Deepti Varshney, Pathkind Lab, Moradabad, Uttar Pradesh, India

Pathology

 

Vishal K. Biswkarma, Kharvel Subharti College of Pharmacy, SVSU, Meerut, Uttar Pradesh, India

Pharmaceutical Sciences

Assistant Professor

References

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Published

2021-04-28

Issue

Section

Case Reports