Nghĩa Phan Tuấn, Sơn Trần Thiết, Dung Phạm Thị Việt, Thuý Tạ Thị Hồng, Nam Đặng Phương, Linh Lê Diệp
Department of Plastic and Reconstructive Surgery, Hanoi Medical University, No. 1 Ton That Tung, Kim Lien, Dong Da, Ha Noi, 116177, Hanoi, Vietnam.
Department of Plastic Reconstructive and Aesthetic Surgery, Bach Mai Hospital, No. 78 Giai Phong, Phuong Dinh, Dong Da, Ha Noi, 11500, Hanoi, Vietnam.
J Surg Case Rep. 2025 Jun 2;2025(6):rjaf354. doi: 10.1093/jscr/rjaf354. eCollection 2025 Jun.
NOMA, or oral labial necrosis, is a severe condition characterized by significant facial tissue destruction and elevated mortality rates, particularly in developing regions. Survivors often experience significant long-term consequences, leading to both functional and aesthetic impairments. The reconstruction of NOMA sequelae poses considerable challenges, including issues related to volume deficits, bone defects, and contracture deformities. This report presents two cases in which chimeric anterolateral thigh (ALT) flaps were effectively applied to address complex defects. The versatility of the ALT flap facilitated the reconstruction of multiple components, encompassing skin coverage, volume augmentation, and mucosal lining. This methodology offers a single-stage solution for reconstructing intricate NOMA sequelae, resulting in favorable functional and aesthetic outcomes.
走马疳，即口腔唇部坏死，是一种严重病症，其特征为面部组织严重受损且死亡率高，在发展中地区尤为如此。幸存者往往会面临严重的长期后果，导致功能和美观方面的损害。走马疳后遗症的重建面临诸多挑战，包括体积不足、骨缺损和挛缩畸形等问题。本报告介绍了两例应用嵌合型股前外侧（ALT）皮瓣有效解决复杂缺损的病例。ALT皮瓣的多功能性有助于重建多个部位，包括皮肤覆盖、体积增大和黏膜内衬。这种方法为重建复杂的走马疳后遗症提供了单阶段解决方案，产生了良好的功能和美学效果。
