The Application of Free Chimeric Flap in the Reconstruction of Head and Neck Composite Defects

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  Objective:Composite defects in head and neck region after cancer ablation surgery are difficult to reconstruct, that include cheek through-and-through defects and oral composite tissue defects etc.Chimeric flap provides two or more independent tissue blocks connected to a common mother source vessel that can be used to repair separate defects with composite tissue shortage simultaneously.Compared with double free flap, this technique is simple, efficient and resource effective.In this report, we will introduce the experiences in the application of chimeric flap in the reconstruction of head and neck composite defects.Method: Perforate-based and branchbased chimeric anterolateral thigh flap (ALT) and chimeric fibular flap were the main techniques used in our practice.Result: The application of these flaps was described in clinical cases and their concept, anatomy and clinical indications were discussed.Conclusion: Chimeric flap technique is simple and useful in the reconstruction of composite heed and neck defect.
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