Infection of Anterolateral Thigh Free Flap With Multiple Digestive Tract Bacteria Involvement After Excision of Auricular Squamous Cell Carcinoma.

IF 1 4区 医学 Q3 SURGERY Journal of Craniofacial Surgery Pub Date : 2025-09-01 Epub Date: 2025-03-07 DOI:10.1097/SCS.0000000000011209
Lei Liao, Hongchang Chen, Xiaomei Ma, Wen Li
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Abstract

Objective: The authors present a case of an infected anterolateral thigh flap repairing the defect after auricular squamous cell carcinoma surgery.

Methods: A 59-year-old male with squamous cell carcinoma in the right auricle was admitted to the hospital. After extended excision of the tumor, the defect was repaired with anterolateral thigh free flap. The flap was accidentally infected with multiple digestive tract bacteria. Computed tomography (CT) angiography was employed to reconstruct the anastomosed artery of the flap. The patient was followed up for 3 years.

Results: The flap survived well. No recurrence or metastasis was observed. In addition, the patient was satisfied with the listening and aesthetic results.

Conclusions: This case suggests that anterior thigh free flap can be a candidate in auricle-mastoid region, CT angiography can serve as an objective predictor to evaluate the vascular status and prognosis of a free flap. It is proved again that free flap is tough in infectious condition.

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耳鳞状细胞癌切除后多消化道细菌累及大腿前外侧游离皮瓣的感染。
目的:介绍用感染的股前外侧皮瓣修复耳廓鳞状细胞癌术后缺损的病例。方法:收治1例59岁男性右耳廓鳞状细胞癌患者。切除肿瘤后,采用股前外侧游离皮瓣修复。皮瓣意外感染了多种消化道细菌。应用CT血管造影重建皮瓣吻合动脉。患者随访3年。结果:皮瓣成活良好。未见复发或转移。此外,患者对听力和美学效果感到满意。结论:本病例提示股前游离皮瓣可作为耳廓-乳突区的候选皮瓣,CT血管造影可作为评价游离皮瓣血管状况及预后的客观指标。再次证明了游离皮瓣在感染条件下的韧性。
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来源期刊
CiteScore
1.70
自引率
11.10%
发文量
968
审稿时长
1.5 months
期刊介绍: ​The Journal of Craniofacial Surgery serves as a forum of communication for all those involved in craniofacial surgery, maxillofacial surgery and pediatric plastic surgery. Coverage ranges from practical aspects of craniofacial surgery to the basic science that underlies surgical practice. The journal publishes original articles, scientific reviews, editorials and invited commentary, abstracts and selected articles from international journals, and occasional international bibliographies in craniofacial surgery.
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