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

IF 1.5 Q3 SURGERY

JPRAS Open Pub 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

{"title":"Reconstruction of radiation-induced damage in patients with facial hemangiomas using free anterolateral thigh flap","authors":"Trần Thiết Sơn , Phan Tuấn Nghĩa , Nguyễn Hữu Trọng , Phạm Thị Việt Dung , Tạ Thị Hồng Thuý , Christopher Runyan","doi":"10.1016/j.jpra.2025.01.007","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>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.</div></div><div><h3>Materials and methods</h3><div>Six patients underwent facial lesion reconstruction using different ALT flaps, including volume augmentation, fascial, and thinning flaps.</div></div><div><h3>Results</h3><div>The largest flap used was 20 × 8 cm<sup>2</sup> and the smallest flap was 11 × 6 cm<sup>2</sup>. 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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":37996,"journal":{"name":"JPRAS Open","volume":"43 ","pages":"Pages 419-427"},"PeriodicalIF":1.5000,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"JPRAS Open","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2352587825000063","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}

引用次数: 0

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.

查看原文本刊更多论文

求助全文

约1分钟内获得全文求助全文

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.