EVALUATION OF THE DIFFERENCES BETWEEN A CHIMERIC ANTEROLATERAL THIGH FLAP AND A REGULAR ALT FLAP FOR RECONSTRUCTING MAXILLA-ALVEOLAR EXCISION IN PATIENTS WITH HEAD AND NECK CANCER

Abstract

Background: Complex surgical excision is necessary for oral malignant tumors that manifest as a lesion at a locally
advanced stage, typically leaving the maxillary cavity open. Concerns including more operations, postponed adjuvant
therapy, prolonged hospital stays, flap necrosis, fistula development, and/or poor healing are brought on by the maxilla's
continuous production. This has been eliminated using a variety of techniques, each with unique challenges.
Aim: The purpose of this study was to evaluate the conventional ALT flap in comparison to the chimeric anterolateral
thigh flap for maxilla-alveolar excision repair in patients with head and neck cancer.
Methods: Eighty participants who had treatment at the Institute throughout the designated trial period were evaluated to
determine the benefit of reconstruction for maxillo-alveolar resections using chimeric ALT and VL (vastus lateralis).
These 40 individuals were compared to 40 additional age- and gender-matched controls in the research, and reconstruction
was carried out using conventional ALT. The length of hospital stay, postoperative secretions, the sufficiency of maxillary
sinus fill, the duration of adjuvant treatment, intraoperative ease, and postoperative complications were all analyzed using
the modified Clavien-Dindo classification