Tuberculosis remains a major global health problem and persistent lymphadenitis or incorrect treatment may result in sinus formation. We present a case of a large anterior neck sinus caused by tuberculous lymphadenitis. We designed an anterolateral thigh myocutaneous flap with 6 × 5 cm of skin and 10 × 7 cm of muscle for the reconstruction of the large sinus. The descending branch of the lateral circumflex femoral artery and 2 venae comitantes were anastomosed with superior thyroid arteries and two anterior neck veins. The patient experienced complete survival of the flap and did not complain of any discomfort. The donor site healed well, and weakness of the lower limb was absent. In conclusion, an anterolateral thigh myocutaneous flap is a good choice for the reconstruction of a neck sinus caused by tuberculous lymphadenitis.

中文翻译：

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大腿前外侧肌皮瓣修复结核性淋巴结炎引起的大前颈窦重建：一例报告

结核病仍然是全球性的主要健康问题，持续的淋巴结炎或不正确的治疗方法可能导致鼻窦形成。我们提出了一例由结核性淋巴结炎引起的大前颈窦的病例。我们设计了一个大腿前外侧肌皮瓣，其皮肤为6×5 cm，肌肉为10×7 cm，用于重建大窦。外侧旋支股动脉的下降分支和2个维纳托共同吻合了甲状腺上动脉和两条颈前静脉。病人的皮瓣完全存活，没有不适感。供体部位愈合良好，下肢无力。总之，大腿前外侧肌皮瓣是结核性淋巴结炎引起的颈部窦重建的好选择。