{"title":"Infection of Anterolateral Thigh Free Flap With Multiple Digestive Tract Bacteria Involvement After Excision of Auricular Squamous Cell Carcinoma.","authors":"Lei Liao, Hongchang Chen, Xiaomei Ma, Wen Li","doi":"10.1097/SCS.0000000000011209","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>The authors present a case of an infected anterolateral thigh flap repairing the defect after auricular squamous cell carcinoma surgery.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>The flap survived well. No recurrence or metastasis was observed. In addition, the patient was satisfied with the listening and aesthetic results.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":"2000-2002"},"PeriodicalIF":1.0000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Craniofacial Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/SCS.0000000000011209","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/3/7 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
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.
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.