Treatment of a mastoid defect by free anterolateral thigh flap

Abstract Introduction Free anterolateral thigh (ALT) flap constitutes an alternative to latissimus dorsi and radial forearm flaps for head and neck reconstruction. The authors report a case of mastoid reconstruction in a patient with multi-operated cholesteatoma associated with tubal dysfunction. Ca...

Full description

Saved in:
Bibliographic Details
Published in:European annals of otorhinolaryngology, head and neck diseases head and neck diseases, 2016-06, Vol.133 (3), p.195-198
Main Authors: Pascal, S, Deveze, A, Casanova, D, Philandrianos, C
Format: Article
Language:English
Subjects:
Anterolateral
Cholesteatoma, Middle Ear - complications
Cholesteatoma, Middle Ear - surgery
Defect
Female
Fistula - etiology
Fistula - surgery
Flap
Free
Head and neck
Human health and pathology
Humans
Labyrinth
Life Sciences
Mastoid
Mastoid - surgery
Middle Aged
Otolaryngology
Reconstructive Surgical Procedures - methods
Semicircular Canals - surgery
Surgical Flaps
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c493t-9f3c9a3cdeea8e3d45a7947d78d75a5a45515944378f67a2c605a64ff36963e73
cites cdi_FETCH-LOGICAL-c493t-9f3c9a3cdeea8e3d45a7947d78d75a5a45515944378f67a2c605a64ff36963e73
container_end_page 198
container_issue 3
container_start_page 195
container_title European annals of otorhinolaryngology, head and neck diseases
container_volume 133
creator Pascal, S
Deveze, A
Casanova, D
Philandrianos, C
description Abstract Introduction Free anterolateral thigh (ALT) flap constitutes an alternative to latissimus dorsi and radial forearm flaps for head and neck reconstruction. The authors report a case of mastoid reconstruction in a patient with multi-operated cholesteatoma associated with tubal dysfunction. Case report This patient presented a fistula of the lateral semicircular canal and invagination of retroauricular soft tissues responsible for non-compensated almost complete areflexia with anacusis. She did not present any signs of cholesteatoma recurrence, but chronic inflammation of the mastoidectomy cavity. The head and neck procedure consisted of translabyrinthine labyrinthectomy: resection of the atrophic retroauricular skin, resection of the vestibular neurosensory tissue and obliteration of the mastoidectomy cavity. An ALT flap measuring 5 × 5 cm, anastomosed to the superior thyroid artery and facial vein, was used to cover the defect. Careful defatting of the flap allowed filling of the defect, while providing a sufficient quantity of appropriate tissue. The postoperative course was uneventful and the patient was considerably improved. The only donor site sequelae consisted of a thin linear scar. Conclusion The free anterolateral thigh flap, a reliable, polyvalent flap that can be shaped as needed and which is associated with minimal donor site morbidity, constitutes a good alternative for head and neck reconstruction.
doi_str_mv 10.1016/j.anorl.2015.08.034
format article
fullrecord <record><control><sourceid>proquest_hal_p</sourceid><recordid>TN_cdi_hal_primary_oai_HAL_hal_02314946v1</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S1879729615001337</els_id><sourcerecordid>1796683631</sourcerecordid><originalsourceid>FETCH-LOGICAL-c493t-9f3c9a3cdeea8e3d45a7947d78d75a5a45515944378f67a2c605a64ff36963e73</originalsourceid><addsrcrecordid>eNqFkc9rFDEUxwdRbKn9CwTJUQ87TSa_JgcLpagtLHiwgrfwmnlxs2YmazJb2P_ejNv24MUckkf4fN-Dz2uat4y2jDJ1sW1hSjm2HWWypX1LuXjRnLJem5Xm9MfLp7oz6qQ5L2VL6-F9b6h53Zx0iisujTltLu8ywjziNJPkCZARypzCQAb06GZyfyA-IxKYZswpQr0hknkTfm6Ij7B707zyEAueP75nzffPn-6ub1brr19ur6_WKycMn1fGc2eAuwEReuSDkKCN0IPuBy1BgpCSSSME171XGjqnqAQlvOfKKI6anzUfjn03EO0uhxHywSYI9uZqbZc_2nEmjFAPrLLvj-wup997LLMdQ3EYI0yY9sUybZTqq4AF5UfU5VRKRv_cm1G7eLZb-9ezXTxb2tvquabePQ7Y3484PGeerFbg4xHAquQhYLbFBZwcDiFXq3ZI4T8DLv_Juxim4CD-wgOWbdrnqdq2zJbOUvttWfWyaSYpZZxr_gd2jaIq</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1796683631</pqid></control><display><type>article</type><title>Treatment of a mastoid defect by free anterolateral thigh flap</title><source>ScienceDirect Freedom Collection</source><creator>Pascal, S ; Deveze, A ; Casanova, D ; Philandrianos, C</creator><creatorcontrib>Pascal, S ; Deveze, A ; Casanova, D ; Philandrianos, C</creatorcontrib><description>Abstract Introduction Free anterolateral thigh (ALT) flap constitutes an alternative to latissimus dorsi and radial forearm flaps for head and neck reconstruction. The authors report a case of mastoid reconstruction in a patient with multi-operated cholesteatoma associated with tubal dysfunction. Case report This patient presented a fistula of the lateral semicircular canal and invagination of retroauricular soft tissues responsible for non-compensated almost complete areflexia with anacusis. She did not present any signs of cholesteatoma recurrence, but chronic inflammation of the mastoidectomy cavity. The head and neck procedure consisted of translabyrinthine labyrinthectomy: resection of the atrophic retroauricular skin, resection of the vestibular neurosensory tissue and obliteration of the mastoidectomy cavity. An ALT flap measuring 5 × 5 cm, anastomosed to the superior thyroid artery and facial vein, was used to cover the defect. Careful defatting of the flap allowed filling of the defect, while providing a sufficient quantity of appropriate tissue. The postoperative course was uneventful and the patient was considerably improved. The only donor site sequelae consisted of a thin linear scar. Conclusion The free anterolateral thigh flap, a reliable, polyvalent flap that can be shaped as needed and which is associated with minimal donor site morbidity, constitutes a good alternative for head and neck reconstruction.</description><identifier>ISSN: 1879-7296</identifier><identifier>EISSN: 1879-730X</identifier><identifier>DOI: 10.1016/j.anorl.2015.08.034</identifier><identifier>PMID: 26363599</identifier><language>eng</language><publisher>France: Elsevier Masson SAS</publisher><subject>Anterolateral ; Cholesteatoma, Middle Ear - complications ; Cholesteatoma, Middle Ear - surgery ; Defect ; Female ; Fistula - etiology ; Fistula - surgery ; Flap ; Free ; Head and neck ; Human health and pathology ; Humans ; Labyrinth ; Life Sciences ; Mastoid ; Mastoid - surgery ; Middle Aged ; Otolaryngology ; Reconstructive Surgical Procedures - methods ; Semicircular Canals - surgery ; Surgical Flaps</subject><ispartof>European annals of otorhinolaryngology, head and neck diseases, 2016-06, Vol.133 (3), p.195-198</ispartof><rights>Elsevier Masson SAS</rights><rights>2015 Elsevier Masson SAS</rights><rights>Copyright © 2015 Elsevier Masson SAS. All rights reserved.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c493t-9f3c9a3cdeea8e3d45a7947d78d75a5a45515944378f67a2c605a64ff36963e73</citedby><cites>FETCH-LOGICAL-c493t-9f3c9a3cdeea8e3d45a7947d78d75a5a45515944378f67a2c605a64ff36963e73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,315,786,790,891,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26363599$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://amu.hal.science/hal-02314946$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Pascal, S</creatorcontrib><creatorcontrib>Deveze, A</creatorcontrib><creatorcontrib>Casanova, D</creatorcontrib><creatorcontrib>Philandrianos, C</creatorcontrib><title>Treatment of a mastoid defect by free anterolateral thigh flap</title><title>European annals of otorhinolaryngology, head and neck diseases</title><addtitle>Eur Ann Otorhinolaryngol Head Neck Dis</addtitle><description>Abstract Introduction Free anterolateral thigh (ALT) flap constitutes an alternative to latissimus dorsi and radial forearm flaps for head and neck reconstruction. The authors report a case of mastoid reconstruction in a patient with multi-operated cholesteatoma associated with tubal dysfunction. Case report This patient presented a fistula of the lateral semicircular canal and invagination of retroauricular soft tissues responsible for non-compensated almost complete areflexia with anacusis. She did not present any signs of cholesteatoma recurrence, but chronic inflammation of the mastoidectomy cavity. The head and neck procedure consisted of translabyrinthine labyrinthectomy: resection of the atrophic retroauricular skin, resection of the vestibular neurosensory tissue and obliteration of the mastoidectomy cavity. An ALT flap measuring 5 × 5 cm, anastomosed to the superior thyroid artery and facial vein, was used to cover the defect. Careful defatting of the flap allowed filling of the defect, while providing a sufficient quantity of appropriate tissue. The postoperative course was uneventful and the patient was considerably improved. The only donor site sequelae consisted of a thin linear scar. Conclusion The free anterolateral thigh flap, a reliable, polyvalent flap that can be shaped as needed and which is associated with minimal donor site morbidity, constitutes a good alternative for head and neck reconstruction.</description><subject>Anterolateral</subject><subject>Cholesteatoma, Middle Ear - complications</subject><subject>Cholesteatoma, Middle Ear - surgery</subject><subject>Defect</subject><subject>Female</subject><subject>Fistula - etiology</subject><subject>Fistula - surgery</subject><subject>Flap</subject><subject>Free</subject><subject>Head and neck</subject><subject>Human health and pathology</subject><subject>Humans</subject><subject>Labyrinth</subject><subject>Life Sciences</subject><subject>Mastoid</subject><subject>Mastoid - surgery</subject><subject>Middle Aged</subject><subject>Otolaryngology</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Semicircular Canals - surgery</subject><subject>Surgical Flaps</subject><issn>1879-7296</issn><issn>1879-730X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNqFkc9rFDEUxwdRbKn9CwTJUQ87TSa_JgcLpagtLHiwgrfwmnlxs2YmazJb2P_ejNv24MUckkf4fN-Dz2uat4y2jDJ1sW1hSjm2HWWypX1LuXjRnLJem5Xm9MfLp7oz6qQ5L2VL6-F9b6h53Zx0iisujTltLu8ywjziNJPkCZARypzCQAb06GZyfyA-IxKYZswpQr0hknkTfm6Ij7B707zyEAueP75nzffPn-6ub1brr19ur6_WKycMn1fGc2eAuwEReuSDkKCN0IPuBy1BgpCSSSME171XGjqnqAQlvOfKKI6anzUfjn03EO0uhxHywSYI9uZqbZc_2nEmjFAPrLLvj-wup997LLMdQ3EYI0yY9sUybZTqq4AF5UfU5VRKRv_cm1G7eLZb-9ezXTxb2tvquabePQ7Y3484PGeerFbg4xHAquQhYLbFBZwcDiFXq3ZI4T8DLv_Juxim4CD-wgOWbdrnqdq2zJbOUvttWfWyaSYpZZxr_gd2jaIq</recordid><startdate>20160601</startdate><enddate>20160601</enddate><creator>Pascal, S</creator><creator>Deveze, A</creator><creator>Casanova, D</creator><creator>Philandrianos, C</creator><general>Elsevier Masson SAS</general><general>Elsevier Masson</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope></search><sort><creationdate>20160601</creationdate><title>Treatment of a mastoid defect by free anterolateral thigh flap</title><author>Pascal, S ; Deveze, A ; Casanova, D ; Philandrianos, C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c493t-9f3c9a3cdeea8e3d45a7947d78d75a5a45515944378f67a2c605a64ff36963e73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Anterolateral</topic><topic>Cholesteatoma, Middle Ear - complications</topic><topic>Cholesteatoma, Middle Ear - surgery</topic><topic>Defect</topic><topic>Female</topic><topic>Fistula - etiology</topic><topic>Fistula - surgery</topic><topic>Flap</topic><topic>Free</topic><topic>Head and neck</topic><topic>Human health and pathology</topic><topic>Humans</topic><topic>Labyrinth</topic><topic>Life Sciences</topic><topic>Mastoid</topic><topic>Mastoid - surgery</topic><topic>Middle Aged</topic><topic>Otolaryngology</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Semicircular Canals - surgery</topic><topic>Surgical Flaps</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pascal, S</creatorcontrib><creatorcontrib>Deveze, A</creatorcontrib><creatorcontrib>Casanova, D</creatorcontrib><creatorcontrib>Philandrianos, C</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>European annals of otorhinolaryngology, head and neck diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pascal, S</au><au>Deveze, A</au><au>Casanova, D</au><au>Philandrianos, C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment of a mastoid defect by free anterolateral thigh flap</atitle><jtitle>European annals of otorhinolaryngology, head and neck diseases</jtitle><addtitle>Eur Ann Otorhinolaryngol Head Neck Dis</addtitle><date>2016-06-01</date><risdate>2016</risdate><volume>133</volume><issue>3</issue><spage>195</spage><epage>198</epage><pages>195-198</pages><issn>1879-7296</issn><eissn>1879-730X</eissn><notes>ObjectType-Case Study-2</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-4</notes><notes>content type line 23</notes><notes>ObjectType-Report-1</notes><notes>ObjectType-Article-3</notes><abstract>Abstract Introduction Free anterolateral thigh (ALT) flap constitutes an alternative to latissimus dorsi and radial forearm flaps for head and neck reconstruction. The authors report a case of mastoid reconstruction in a patient with multi-operated cholesteatoma associated with tubal dysfunction. Case report This patient presented a fistula of the lateral semicircular canal and invagination of retroauricular soft tissues responsible for non-compensated almost complete areflexia with anacusis. She did not present any signs of cholesteatoma recurrence, but chronic inflammation of the mastoidectomy cavity. The head and neck procedure consisted of translabyrinthine labyrinthectomy: resection of the atrophic retroauricular skin, resection of the vestibular neurosensory tissue and obliteration of the mastoidectomy cavity. An ALT flap measuring 5 × 5 cm, anastomosed to the superior thyroid artery and facial vein, was used to cover the defect. Careful defatting of the flap allowed filling of the defect, while providing a sufficient quantity of appropriate tissue. The postoperative course was uneventful and the patient was considerably improved. The only donor site sequelae consisted of a thin linear scar. Conclusion The free anterolateral thigh flap, a reliable, polyvalent flap that can be shaped as needed and which is associated with minimal donor site morbidity, constitutes a good alternative for head and neck reconstruction.</abstract><cop>France</cop><pub>Elsevier Masson SAS</pub><pmid>26363599</pmid><doi>10.1016/j.anorl.2015.08.034</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1879-7296
ispartof European annals of otorhinolaryngology, head and neck diseases, 2016-06, Vol.133 (3), p.195-198
issn 1879-7296
1879-730X
language eng
recordid cdi_hal_primary_oai_HAL_hal_02314946v1
source ScienceDirect Freedom Collection
subjects Anterolateral
Cholesteatoma, Middle Ear - complications
Cholesteatoma, Middle Ear - surgery
Defect
Female
Fistula - etiology
Fistula - surgery
Flap
Free
Head and neck
Human health and pathology
Humans
Labyrinth
Life Sciences
Mastoid
Mastoid - surgery
Middle Aged
Otolaryngology
Reconstructive Surgical Procedures - methods
Semicircular Canals - surgery
Surgical Flaps
title Treatment of a mastoid defect by free anterolateral thigh flap
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-09-22T02%3A07%3A39IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_hal_p&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Treatment%20of%20a%20mastoid%20defect%20by%20free%20anterolateral%20thigh%20flap&rft.jtitle=European%20annals%20of%20otorhinolaryngology,%20head%20and%20neck%20diseases&rft.au=Pascal,%20S&rft.date=2016-06-01&rft.volume=133&rft.issue=3&rft.spage=195&rft.epage=198&rft.pages=195-198&rft.issn=1879-7296&rft.eissn=1879-730X&rft_id=info:doi/10.1016/j.anorl.2015.08.034&rft_dat=%3Cproquest_hal_p%3E1796683631%3C/proquest_hal_p%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c493t-9f3c9a3cdeea8e3d45a7947d78d75a5a45515944378f67a2c605a64ff36963e73%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1796683631&rft_id=info:pmid/26363599&rfr_iscdi=true