» Articles » PMID: 21678104

[The Anterolateral Thigh Flap: Its Versatility in Oncological Soft Tissue Reconstruction of the Head and Neck Region]

Overview
Journal Chirurg
Specialty General Surgery
Date 2011 Jun 17
PMID 21678104
Authors
Affiliations
Soon will be listed here.
Abstract

The anterolateral thigh flap (ATL) has become a standard procedure in reconstructive microsurgery. In this study the results with the ALT for reconstruction in the head and neck area after tumor resection in 33 patients were retrospectively analyzed. Patients included 28 men and 5 women aged 47-70 years who suffered from intraoral and extraoral tumors. Satisfactory soft tissue coverage could be achieved in all patients and no flaps were lost. The ALT is a versatile free flap enabling reliable soft tissue reconstruction of complex defects in the head and neck region. Flap dissection and preparation of the recipient area can usually be performed simultaneously. Additional advantages include the long and strong caliber vascular pedicle, the low donor site morbidity and the different possibilities of tissue composition, making the ALT a workhorse flap in modern reconstructive microsurgery.

References
1.
Saint-Cyr M, Schaverien M, Wong C, Nagarkar P, Arbique G, Brown S . The extended anterolateral thigh flap: anatomical basis and clinical experience. Plast Reconstr Surg. 2009; 123(4):1245-1255. DOI: 10.1097/PRS.0b013e31819e2718. View

2.
de Vicente J, de Villalain L, Torre A, Pena I . Microvascular free tissue transfer for tongue reconstruction after hemiglossectomy: a functional assessment of radial forearm versus anterolateral thigh flap. J Oral Maxillofac Surg. 2008; 66(11):2270-5. DOI: 10.1016/j.joms.2008.01.018. View

3.
Lutz B, Wei F . Microsurgical workhorse flaps in head and neck reconstruction. Clin Plast Surg. 2005; 32(3):421-30, vii. DOI: 10.1016/j.cps.2005.02.006. View

4.
Yu P . Reinnervated anterolateral thigh flap for tongue reconstruction. Head Neck. 2004; 26(12):1038-44. DOI: 10.1002/hed.20106. View

5.
Chen H, Lin M, Chou E, Chang S, Chen H, Xu E . Anterolateral thigh perforator flap: varying perforator anatomy. Ann Plast Surg. 2009; 63(2):153-5. DOI: 10.1097/SAP.0b013e3181893888. View