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Updated: Jun 4, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
Anterolateral thigh flap harvested from paralytic lower extremity in a patient with late polio sequel
Valentino Valentini1, Valentina Terenzi, Andrea Cassoni
1Maxillo-Facial Surgery Department, Policlinico Umberto I-Sapienza University of Rome, Viale del Policlinico, 155-00100 Rome, Italy.
Abstract:
Free flap reconstruction is the treatment of choice after extensive head and neck tumour resection. When treating a patient with a previous disability, such as lower extremity paralysis secondary to poliomyelitis, it is important to offer the best reconstruction whilst preserving healthy extremities. We report the case of a 51-year-old man with a squamous cell carcinoma (SCC) of the right tongue and a left lower extremity paralysis secondary to an acute poliomyelitis during childhood in which reconstruction was successfully achieved with a left anterolateral thigh (ALT) free flap.
