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Surgical Approach to Full Soft Tissue Face Allograft Procurement for Vascularized Composite Allotransplantation
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Promising Technique for Facial Nerve Reconstruction in Extended Parotidectomy.

Ithzel Maria Villarreal1, Antonio Rodríguez-Valiente1, Jose Ramon Castelló2

  • 1Departments of Otorhinolaryngology "Puerta de Hierro-Majadahonda" University Hospital, Madrid, Spain.

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Summary

Malignant parotid tumors often require extensive surgery, leading to facial nerve damage. Reconstruction using an anterior-lateral thigh (ALT) flap with vascularized nerve grafts offers improved functional and aesthetic recovery for patients.

Area of Science:

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Background:

Keywords:
Anterior Lateral Thigh flapFacial nerveParotidectomyVascularized flap

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  • Malignant parotid gland tumors are rare but aggressive, posing challenges due to high recurrence and metastasis rates.
  • Surgical resection, often total parotidectomy, may necessitate facial nerve sacrifice, causing significant functional and aesthetic deficits.
  • Reconstruction of these complex defects is a major challenge for surgeons, impacting patient quality of life.