Reconstruction of radiation-induced damage in patients with facial hemangiomas using free anterolateral thigh flap

IF 1.8 Q3 SURGERY JPRAS Open Pub Date : 2025-03-01 Epub Date: 2025-01-10 DOI:10.1016/j.jpra.2025.01.007

Trần Thiết Sơn , Phan Tuấn Nghĩa , Nguyễn Hữu Trọng , Phạm Thị Việt Dung , Tạ Thị Hồng Thuý , Christopher Runyan

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Abstract

Objective

Radiation therapy to treat hemangiomas is an old method that is no longer used due to its severe side effects. However, in Vietnam, radiotherapy has long been used to treat infantile hemangiomas, which has led to severe sequelae in adulthood. This article shares our experience in reconstructing the sequelae of radiation therapy for facial hemangioma using free anterolateral thigh (ALT) flap.

Materials and methods

Six patients underwent facial lesion reconstruction using different ALT flaps, including volume augmentation, fascial, and thinning flaps.

Results

The largest flap used was 20 × 8 cm² and the smallest flap was 11 × 6 cm². All flaps survived completely and no post-operative complications were noted. The patients were highly satisfied with the surgical outcomes, and the aesthetics of the flap were also excellent, with the flap being similar in color to the facial skin.

Conclusion

The ALT flap has several advantages, including flexibility in use, diversity in flap components, and minimal impact on the donor site, making it increasingly popular and effective.

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游离大腿前外侧皮瓣重建面部血管瘤放射损伤

目的放射治疗血管瘤是一种古老的治疗方法，由于其严重的副作用而不再使用。然而，在越南，长期以来一直使用放射治疗治疗婴儿血管瘤，导致成年后严重的后遗症。本文介绍利用游离股前外侧皮瓣重建面部血管瘤放射治疗后遗症的经验。材料和方法6例患者采用不同的ALT皮瓣进行面部病变重建，包括体积增大皮瓣、筋膜皮瓣和减薄皮瓣。结果最大皮瓣面积为20 × 8 cm2，最小皮瓣面积为11 × 6 cm2。所有皮瓣完全存活，无术后并发症。患者对手术效果非常满意，皮瓣的美观性也很好，皮瓣的颜色与面部皮肤相似。结论ALT皮瓣具有使用灵活、成分多样、对供区影响小等优点，越来越受到人们的青睐。

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来源期刊

JPRAS Open Medicine-Surgery

CiteScore

1.60

自引率

0.00%

发文量

审稿时长

22 weeks

期刊介绍： JPRAS Open is an international, open access journal dedicated to publishing case reports, short communications, and full-length articles. JPRAS Open will provide the most current source of information and references in plastic, reconstructive & aesthetic surgery. The Journal is based on the continued need to improve surgical care by providing highlights in general reconstructive surgery; cleft lip, palate and craniofacial surgery; head and neck surgery; skin cancer; breast surgery; hand surgery; lower limb trauma; burns; and aesthetic surgery. The Journal will provide authors with fast publication times.