The Anterolateral Thigh Perforator Flap for Mandibular Reconstruction: A Volumetric and Patient Satisfaction Analysis

Abstract

Purpose: This study investigated the stability and quality of life (QoL) outcomes of patients who received mandibular reconstructions with the anterolateral thigh perforator flap (ALTF) following tumor resection. Methods: Thirty-five patients with oral tumors that were resected and reconstructed with ALTF were included in this study. Volumetric analyses of each ALTF were performed at 6 to 18 months postoperatively. A QoL survey was also conducted 2 years postoperatively and compared by means of an independent-sample t test with 28 patients who had mandibular reconstructions with free fibula flap. Results: There were no significant volumetric changes in the ALTF or the QoL results of either group. Conclusions: Patients with advanced oral cancers have a higher risk of recurrence that mandates closer radiographic surveillance. This may be impaired by artifacts from metallic implants required in free fibula flap reconstructions. Anterolateral thigh perforator flap may be a viable alternative because it is easier for secondary resection, amenable for direct repairs, has volumetric stability, has a lower cost and results in a comparable QoL outcome.