Novinger, Leah J.Cannady, Steven B.Wurtz, Lawrence D.Sim, Michael W.Moore, Michael G.Mantravadi, Avinash V.Shipchandler, Taha Z.2020-07-232020-07-232020-06-01Novinger, L. J., Cannady, S. B., Wurtz, L. D., Sim, M. W., Moore, M. G., Mantravadi, A. V., & Shipchandler, T. Z. (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. Otolaryngology Case Reports, 15, 100156. https://doi.org/10.1016/j.xocr.2020.1001562468-5488https://hdl.handle.net/1805/23358The 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.en-USAttribution-NonCommercial-NoDerivatives 4.0 InternationalALTOCase studyFree flap reconstructionHead and neck cancerOsteomyocutaneousArticle