Abstract
Objective: To report a case of late-onset anterolateral thigh free flap failure in reconstruction of a defect from excision of buccal carcinoma.
 Methods:
 Design: Case Report
 Setting: Tertiary Government Hospital
 Participant: One
 Results: Complete flap failure of the anterolateral thigh free flap used for reconstructing the defect from a buccal cancer excision was documented on the 29th post-operative day.
 Conclusion: Late-onset flap failure is mainly non-vascular in etiology. However, flap failure is more likely multifactorial. Frequent follow-up after hospital discharge is recommended to monitor flap viability.
 Keywords: free flap, anterolateral thigh flap, flap failure, microvascular surgery, head and neck reconstruction
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