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10.1186/s13256-025-05658-5 http://scihub22266oqcxt.onion/10.1186/s13256-025-05658-5 41353426!?!41353426 Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=41353426&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215       J+Med+Case+Rep 2025 ; ? (?): ? Nephropedia Template TP {{tp|p=41353426|t=2025. Anterolateral thigh flap to the rescue: anterolateral thigh free flap for secondary reconstruction of facial defect post oncosurgery-a case report |pdf=|usr=}}{{41353426}} gab.com Text Anterolateral thigh flap to the rescue: anterolateral thigh free flap for secondary reconstruction of facial defect post oncosurgery-a case report JO: J Med Case Rep http://www.kidney.de/pget.php?&tw=1&pmid=41353426 #FOAvip BACKGROUND: Orocutaneous fistula is a challenging postoperative complication often encountered in head and neck reconstruction, typically resulting from surgical site dehiscence, infection, or compromised flap vascularity. While the pectoralis major myocutaneous flap has historically been a reliable option for reconstruction, its failure-though uncommon-can lead to persistent fistula formation. This case highlights the effective use of combined local tissue rearrangement and free anterolateral thigh flap for successful secondary reconstruction following pectoralis major myocutaneous flap failure. CASE PRESENTATION: A 31-year-old Indian male patient, previously treated with composite resection and pectoralis major myocutaneous flap reconstruction for carcinoma of the buccal mucosa, presented with orocutaneous fistula due to pectoralis major myocutaneous flap dehiscence and partial necrosis. Conservative wound care failed to achieve closure. The patient underwent secondary reconstruction using local tissue rearrangement and a free anterolateral thigh flap. Postoperative recovery was uneventful, with successful closure of the fistula and restoration of orofacial continuity. CONCLUSION: This case underscores the importance of timely secondary intervention using free tissue transfer and local flap adjustment in managing orocutaneous fistula following pectoralis major myocutaneous failure. The combined approach provided durable closure and functional restoration, offering a viable option in complex salvage scenarios. Twit Text FOAVip Anterolateral thigh flap to the rescue: anterolateral thigh free flap for secondary reconstruction of facial defect post oncosurgery-a case report ????J Med Case Rep http://www.kidney.de/pget.php?&tw=1&pmid=41353426 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=41353426 #FOAvip English Wikipedia <ref>{{Cite pmid|41353426}}</ref> Anterolateral thigh flap to the rescue: anterolateral thigh free flap for secondary reconstruction of facial defect post oncosurgery-a case report #MMPMID41353426 Dixit DS; Borle F; Bhola N; Mundada B J Med Case Rep 2025[Dec]; ? (?): ? PMID41353426show ga BACKGROUND: Orocutaneous fistula is a challenging postoperative complication often encountered in head and neck reconstruction, typically resulting from surgical site dehiscence, infection, or compromised flap vascularity. While the pectoralis major myocutaneous flap has historically been a reliable option for reconstruction, its failure-though uncommon-can lead to persistent fistula formation. This case highlights the effective use of combined local tissue rearrangement and free anterolateral thigh flap for successful secondary reconstruction following pectoralis major myocutaneous flap failure. CASE PRESENTATION: A 31-year-old Indian male patient, previously treated with composite resection and pectoralis major myocutaneous flap reconstruction for carcinoma of the buccal mucosa, presented with orocutaneous fistula due to pectoralis major myocutaneous flap dehiscence and partial necrosis. Conservative wound care failed to achieve closure. The patient underwent secondary reconstruction using local tissue rearrangement and a free anterolateral thigh flap. Postoperative recovery was uneventful, with successful closure of the fistula and restoration of orofacial continuity. CONCLUSION: This case underscores the importance of timely secondary intervention using free tissue transfer and local flap adjustment in managing orocutaneous fistula following pectoralis major myocutaneous failure. The combined approach provided durable closure and functional restoration, offering a viable option in complex salvage scenarios. ?Anterolateral thigh flap to the rescue: anterolateral thigh free flap (epmc).pdf DeepDyve Pubget Overpricing