ArticleIndian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India2019
Objective Selection Criteria between ALT and Radial Forearm Flap in Oral Soft Tissues Reconstruction.
Article in Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed, 17 citations in OpenAlex.
- Our experience with super-thin anterolateral thigh flap for intraoral reconstruction.Oral and maxillofacial surgery · 2026Article
- Comparing Functional Outcomes Following TORS With Free Flap Reconstruction Using a Radial Forearm vs. Anterolateral Thigh Flap.Head & neck · 2026Article
- Comparative analysis of volumetric changes between resection volume of oral tongue cancer and post operative volume of radial forearm flaps.Clinical oral investigations · 2024Article
- Radial forearm flap versus antero-lateral thigh flap in oral soft tissue reconstruction: update and statistical analysis on our 77 consecutive cases for an objective selection criteria.Acta bio-medica : Atenei Parmensis · 2023Observational
- Current status and evolution of microsurgical tongue reconstructions, part I.Archives of craniofacial surgery · 2022Article
- Effect of postoperative radiotherapy for free flap volume changing after tongue reconstruction.Oral radiology · 2021Article
- Upper limb traumatic injuries: A concise overview of reconstructive options.Annals of medicine and surgery (2012) · 2021Review
- Breast Cancer-Related Lymphedema: Recent Updates on Diagnosis, Severity and Available Treatments.Journal of personalized medicine · 2021Review
- Extended and unusual indications in jaw reconstruction with the fibula flap: An overview based on our 30-year experience.Annals of medicine and surgery (2012) · 2021Review
- Factors related to delayed treatment: A case report of a huge cutaneous horn and review of the literature.Annals of medicine and surgery (2012) · 2020Article
- Soft tissue coverage of the upper limb: A flap reconstruction overview.Annals of medicine and surgery (2012) · 2020Review
- The Telematic solutions in plastic surgery during COVID-19 pandemic.Acta bio-medica : Atenei Parmensis · 2020Article
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5 authors at 2 institutions in 1 country.
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Abstract
Different locoregional and free flaps were described for oral soft tissues reconstruction after oncological resections; however, free flaps remain the first choice. Among free flaps, the radial forearm flap (RFF) and the anterolateral thigh perforator flap (ALT) are preferred the most. The lack of standardization of the flap choice leaves the selection to the surgeon's experience. The purpose of our observational study is to provide an algorithm to support the flap choice for the reconstruction of oral soft tissues. Sixty patients with squamous cell carcinoma of oral soft tissues were enrolled in our study. All the patients underwent preoperative magnetic resonance imaging (MRI) to measure the three-dimensional size of the tumor. During the follow-up, the patients were evaluated by using the University of Washington-Quality of Life Questionnaire. The questionnaire score was better for small tumors and worse for large tumors in both functional and relational fields. We observed that most of the overlapping results were obtained for small defects and the choice of RFF, as well as for large defects and the use of ALT. We observed that in the preoperative time, it is possible to select which flap between radial forearm and ALT is more appropriate for oral soft tissues defects reconstruction, according to the size of the tumor evaluated by MRI. We propose a decisional algorithm that suggests the type of flap to use between ALT and RFF.
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