Abstract
In neoadjuvant intra‐arterial infusion chemotherapy patients, the common recipient arteries are frequently damaged owing to preoperative chemotherapy‐induced intima injury. When ante‐grade arterial inflow to the free flap is not available, end‐to‐side carotid arterial anastomosis or exploration of another recipient artery may be an appropriate solution. However, reversed arterial flow is an alternative to such a situation. We report a case with squamous cell carcinoma on the right buccal area, which was successfully reconstructed using a free anterolateral thigh flap with reverse superior thyroid arterial inflow. This alternative method might shorten the operation time and also reduce further exploration injury in the operation field.
Keywords: anterolateral thigh flaps, head and neck reconstruction, reverse artery flow
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