FUNCTIONAL RECONSTRUCTION OF FACE FOLLOWING ONCOLOGICAL EXCISION

Free tissue transfer has revolutionized the management of complex head and neck defects. In our study 2 cases were selected one was a case of recurrent meibomian cell carcinoma invoving the lateral one third of eye lids and malar region on the right side of face and the other was recurrent soft tissue sarcoma involving the right side of face. Both the cases under went wide local excision invoving the hemiface with ipsilateral modified radical neck dissection.Reconstruction was done using a chimeric anterolateral thigh flap which includes the vastus lateralis muscle, skin paddle and the nerve to vastus lateralis. By this good facial reanimation with well pronounce mesolabial fold, symmetrical smile good oral competence was attained with in 11 months. Both cases donor site was closed primary there by attaining less donor site morbidity.