BACKGROUND: Alternative choices were proposed to facilitate a successful reconstruction when no sizable skin perforator is encountered in anterolateral thigh (ALT) flap dissection. METHODS: Alternative choices such as harvest of a tensor fascia latae (TFL) flap, elevation of an anteromedial thigh (AMT) flap, use of a free muscle component with full-thickness skin graft coverage, and use of another donor flap were performed. RESULTS: Between August 1995 and December 2006, 10 of 923 patients underwent ALT flap elevation with no sizable perforators. Of them, each of the 4 patients received reconstruction with a free TFL flap, 3 with an AMT flap, 2 with a free muscle flap, and 1 with a radial forearm flap. There was 1 TFL flap failure due to postoperative venous thrombosis, and the defect was repaired by an AMT flap. CONCLUSION: When no sizable perforator is encountered, successful reconstruction could still be achieved by the proposed alternative choices.
BACKGROUND: Alternative choices were proposed to facilitate a successful reconstruction when no sizable skin perforator is encountered in anterolateral thigh (ALT) flap dissection. METHODS: Alternative choices such as harvest of a tensor fascia latae (TFL) flap, elevation of an anteromedial thigh (AMT) flap, use of a free muscle component with full-thickness skin graft coverage, and use of another donor flap were performed. RESULTS: Between August 1995 and December 2006, 10 of 923 patients underwent ALT flap elevation with no sizable perforators. Of them, each of the 4 patients received reconstruction with a free TFL flap, 3 with an AMT flap, 2 with a free muscle flap, and 1 with a radial forearm flap. There was 1 TFL flap failure due to postoperative venous thrombosis, and the defect was repaired by an AMT flap. CONCLUSION: When no sizable perforator is encountered, successful reconstruction could still be achieved by the proposed alternative choices.
Authors: Stefan Janik; Lena Hirtler; Hannes Traxler; Wolfgang J Weninger; Rudolf Seemann; Boban M Erovic Journal: Eur Arch Otorhinolaryngol Date: 2020-02-25 Impact factor: 2.503
Authors: Hong Nhung Nguyen; Jill Chen; Tan Van Nguyen; Duc Thanh Le; Tai Son Nguyen; Seng-Feng Jeng Journal: Plast Reconstr Surg Glob Open Date: 2021-06-22