Evidence map›Paper›PMID 41384204›Full record

ArticleCureus2025

Comprehensive Facial Reconstruction With Anterolateral Thigh Free Flap After Maxillary Sinus Squamous Cell Carcinoma Resection.

Bhathiya Nakandala, Pragaash Shanmuganathan, Dasith K Jayawickrama

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Bhathiya NakandalaSurgery, National Hospital of Sri Lanka, Colombo, LKA.
Pragaash ShanmuganathanPlastic and Reconstructive Surgery, National Hospital of Kandy, Kandy, LKA.
Dasith K JayawickramaUniversity Surgical Unit, National Hospital of Sri Lanka, Colombo, LKA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Squamous cell carcinoma (SCC) of the maxillary sinus often necessitates extensive surgical resection followed by complex reconstruction and adjuvant therapy. Reconstructive approaches in head and neck surgery have advanced significantly over recent decades, with microvascular free flaps offering superior functional and aesthetic outcomes. We report the case of a 54-year-old male with moderately differentiated SCC of the right maxillary sinus, initially treated with right-sided maxillectomy in 2021 and reconstructed using a forehead local flap. Following adjuvant radiotherapy, the local flap failed within two months, resulting in a large maxillary defect and extensive post-radiation scarring. In January 2025, definitive reconstruction was performed using an anterolateral thigh (ALT) free flap in this fibrotic, irradiated field. Despite the technically challenging dissection, the reconstruction was successful, achieving satisfactory facial contour and proper wound healing. The case highlights the challenges of managing late-stage complications and the importance of free flap repair in facial reconstruction.

Indexed as

anterolateral thigh free flapfacial reconstruction surgerymaxillary sinus tumorsquamous cell carcinoma (scc)total maxillectomy

Identifiers

PMID41384204
PMCPMC12695110

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.