Anterolateral thigh osteomyocutaneous femur (ALTO) flap reconstruction for composite mandible and near total tongue defect utilizing a retrograde intramedullary femoral nail stabilization technique: Report of a first case

Leah J. Novinger; Steven B. Cannady; Lawrence D. Wurtz; Michael W. Sim; Michael G. Moore; Avinash V. Mantravadi; Taha Z. Shipchandler

Otolaryngology Case Reports (Jun 2020)

Anterolateral thigh osteomyocutaneous femur (ALTO) flap reconstruction for composite mandible and near total tongue defect utilizing a retrograde intramedullary femoral nail stabilization technique: Report of a first case

Leah J. Novinger,
Steven B. Cannady,
Lawrence D. Wurtz,
Michael W. Sim,
Michael G. Moore,
Avinash V. Mantravadi,
Taha Z. Shipchandler

Affiliations

Leah J. Novinger: Department of Otolaryngology Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, IN, USA
Steven B. Cannady: Department of Otorhinolaryngology, University of Pennsylvania College of Medicine, Philadelphia, PA, USA
Lawrence D. Wurtz: Department of Orthopedic Surgery, Indiana University School of Medicine Indianapolis, IN, USA
Michael W. Sim: Department of Otolaryngology Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, IN, USA
Michael G. Moore: Department of Otolaryngology Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, IN, USA
Avinash V. Mantravadi: Department of Otolaryngology Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, IN, USA
Taha Z. Shipchandler: Department of Otolaryngology Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, IN, USA; Corresponding author. Department of Otolaryngology--Head and Neck Surgery, Division of Facial Plastic & Reconstructive Surgery Indiana University School of Medicine, 1130 W. Michigan Street, Suite 400, Indianapolis, IN, 46202, USA.

Journal volume & issue: Vol. 15

Abstract

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The anterior lateral thigh osteomyocutaneous free flap (ALTO) offers the advantage of reconstructing large bony and soft tissue defects. We report a novel approach for femur stabilization via retrograde intramedullary nail placement in a patient with a near total tongue and large mandibular defect who underwent ALTO reconstruction that saves operating room time and decreases risk of post-operative fracture.

Published in Otolaryngology Case Reports

ISSN: 2468-5488 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Otorhinolaryngology
Website: https://www.journals.elsevier.com/otolaryngology-case-reports/

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