The anterolateral thigh alt flap is a versatile soft tissue flap. Anterolateral thigh flap an overview sciencedirect topics. Our pdf merger allows you to quickly combine multiple pdf files into one single pdf document, in just a few clicks. In this article, we describe the techniques available for immediate flap thinning and the vascular complications that can follow trimming. In this report we present a case of reconstruction of a massive perineoscrotal and upper medial thigh defect because of fourniers gangrene using a bilateral pedicle anterolateral thigh alt flap and sartorius muscle flap. View enhanced pdf access article on wiley online library html view download pdf for offline viewing. The anterolateral thigh flap was first described by dr. Based on the availability of a long pedicle with a suitable vessel diameter, low donor site morbidity and versatility. Follow these steps to quickly combine and arrange documents. Anterolateral thigh flap subcutaneous fat was sculpted to recreate the maxilla and cheek contour.
Aim there are a limited number of published studies describing reconstruction with an anterolateral thigh alt flap following lower extremity injury in pediatric patients. The anterolateral thigh alt flap allows for healthy, reliable, vascularized, softtissue coverage of extremity or axial defects of traumatic or acquired deformities. By this submuscular transposition, an additional 5 cm length of the flap pedicle was gained. Contralateral sandwich myocutaneous anterolateral thigh. The utility of the musculocutaneous anterolateral thigh. The anterolateral thigh alt flap is a septocutaneous flap based upon perforators originating from the descending branch of the lateral circumflex femoral system. Pdf reconstruction of foot and ankle defects with a free. Reprinted with permission, cleveland clinic center for medical art and. Evolution of the anterolateral thigh free flap request pdf. Preexpanded anterolateral thigh perforator flap for phalloplasty salvatore darpa, md, phd, britt colebunders, md, filip stillaert, md, stan monstrey, md, phd introduction since the first description in 2005,1 phalloplasty with a free or pedicled anterolateral thigh alt.
View the article pdf and any associated supplements and figures for a period of 48 hours. A practical guide to the use of the anterolateral thigh flap. Download as an information leaflet pdf anterolateral free flap alt an anterolateral free flap is also known as an alt flap. In this study, we introduced scalp reconstruction using free anterolateral thigh alt flaps and evaluated postoperative outcomes in nine patients between march 2000 and april 2012. Its ease of dissection together with the long and reliable pedicle make it extremely suitable as a freeskin flap. The role of the anterolateral thigh free flap in reconstructing head and neck defects is ever expanding, with many novel harvesting and reconstructive techniques described in recent years. Anterolateral thigh flap reconstruction of full thickness buccal defect samantha s. Free anterolateral thigh flap guang yang and kevin c.
On the basis of their location and origin, a simple classification system is introduced to assist flap. This method enabled the primary closure of the donor site and provided the positive functional and esthetic outcomes. It can provide abundant soft tissue coverage and minimal donor site morbidity. Original article risk factors of free anterolateral thigh.
Symptom distress check list scl90 was applied for evaluating mental health conditions of patients. Anterolateral thigh flap for skull base reconstruction. We aimed to assess the aesthetic outcome of surgical reconstruction by free alt flap using binocular singlerefraction magnifying glasses and a modified post operative surveillance protocol. Characteristics of the anterolateral thigh flap in a. The anterolateral thigh alt free flap was first described by song et al. The lateral edge of the flap can be incised down to the muscle and elevated subfascially from lateral to. Anterolateral thigh flap harvest based on a single musculocutaneous perforator. Anterolateral thigh flap reconstruction of full thickness. We report the senior authors experience over a fiveyear period with the use of the alt flap. The utility of the musculocutaneous anterolateral thigh flap in pharyngolaryngeal reconstruction in the high. Chisquared test, fishers exact test and regression analysis were used to assess risk factors for free anterolateral thigh flap failure. Pdf versatility of the free anterolateral thigh flap. Chung the free anterolateral thigh alt flap is a versatile flap.
Reconstruction of large groin defect after dfsp resection was performed by splitskin paddle anterolateral thigh flap instead of skin graft considering that the patient was a 29yearold woman. It can be used for large soft tissue defects both extraorally and intraorally figs. The lateral edge of the flap can be incised down to the muscle and elevated subfascially from lateral to medial, taking. Maakt het mogelijk om pdfbestanden samen te voegen met een simpele drag anddrop interface. The flap can however be modified as an island flap. Aesthetic outcome after reconstruction of complex soft. How to combine files into a pdf adobe acrobat xi prozelfstudies. Posterior thigh flaps have routinely been used to cover such wounds. Preoperative ct angiography for anterolateral thigh. Pdf efficient design of split anterolateral thigh flap. We report a case in which the mandible, floor of the mouth and skin of the neck needed to be reconstructed in a heavily irradiated field.
Local perforator pedicle flaps and muscle flaps can be employed and combined for such a reconstruction. Technical pearls in the harvest of the anterolateral thigh perforator flap are as follows. The alt flap is a fasciocutaneous flap described by song et al. It is one of the most commonly used flaps for reconstruction of head and neck defects after ablation. A true chimeric flap can also be elevated by combining the. Anterolateral free flap alt british association of.
Backgrounda thinned anterolateral thigh flap is often necessary to achieve optimal skin resurfacing. The aim of this study was to present our experiences with the application of. Celik n, wei fc, lin ch, cheng mh, chen hc, jeng sf, kuo yr 2002 technique and strategy in anterolateral thigh perforator flap surgery, based on an analysis of 15 complete and partial failures in 439 cases. The anterolateral thigh alt flap has gained popularity in reconstructive surgery in recent years as its advantages have come to be widely recognized. The anterolateral thigh flap is ideally suited for reconstruction in the oral and maxillofacial region. Learn how to combine files into a single pdf file using adobe acrobat dc. Vascularized fascia can be included or the pedicle may be. Additionally, it has a long pedicle with a suitable vessel diameter, which is able to anastomose with the recipient vessels beyond the injured. The main nutrient vessel of the anterolateral thigh flap is the perforator originating from the descending branch of the lateral circumflex femoral artery lcfa. The anterolateral thigh alt flap is the workhorse flap for abdominal wall reconstruction. Note preservation of motor branches from the femoral nerve. Hand reconstruction using the thin anterolateral thigh flap.
Head and neck reconstruction with anterolateral thigh flap. Our goal was to present our experience with the free anterolateral thigh flap for reconstruction of various cutaneous and mucosal defects of the head and neck. A thin layer of fat below scarpas fascia is preserved with the deep fascia to create a thin fat and fascial flap. We present our experience with the anterolateral thigh flap in reconstructing a through and through defect of the buccal mucosa and cheek. Below we show how to combine multiple pdf files into a single document. Characteristics of the anterolateral thigh flap in a western population and its application in head and neck reconstruction. The anterolateral thigh flap alt is one of the most common flaps used in reconstructive microsurgery, due to its demonstrated lower donorsite morbidity when compared to other sites. It can be harvested as a fasciocutaneous or myocutaneous flap. Original article free anterolateral thigh fascia lata flap. In the present case, the surgical scar is less conspicuous and the patient. We present a case of a large anterior neck sinus caused by tuberculous lymphadenitis.
Despite this, there are case reports of specific donorsite complications following the raising of an alt flap. A single osteocutaneous fibula flap was insufficient to reconstruct the defect, and a free anterolateral thigh alt flap. Bilateral pedicle anterolateral thigh alt flap combined. Deze gratis online tool maakt het mogelijk om meerdere pdf bestanden of afbeeldingen te combineren in een pdf document. Ramos, md1 1 department of otolaryngology head and neck surgery. We could obtain sufficient flap volume using the anterolateral thigh flap for tongue reconstruction. Soda pdf merge tool allows you to combine two or more documents into a single pdf file for free. The single perforatorbased anterolateral thigh flap is a good option for soft tissue reconstruction in patients with oral tongue squamous cell carcinoma. The anterolateral thigh flap can be considered to be one of the workhorses of perforator flaps. Efficient design of split anterolateral thigh flap in extremity reconstruction article pdf available in plastic and reconstructive surgery 1286.
A cervicofacial advancement flap was used to provide additional skin coverage d. Anterolateral thigh myocutaneous flap for reconstruction. A combination of bovie cauterie and bipolar cauterie are used for perforator dissection and the lateral skin paddle incision is left intact until the entire pedicle is harvested. A free and open source software to merge, split, rotate and extract pages from pdf files. It supplies a large area of skin on the anterolateral aspect of the thigh. Hand reconstruction using the thin anterolateral thigh flap article in plastic and reconstructive surgery 1162. Island posterior thigh flap revisited in covering extensive sacral. The number of cutaneous perforators for the anterolateral thigh flap ranged from one to three. Five patients had problems of exposed prosthesis, three required. Pdf merge combinejoin pdf files online for free soda pdf.
690 617 719 124 360 109 778 422 476 368 1259 376 458 1150 214 1383 1143 1450 434 297 719 1115 1378 1374 367 71 390 625 752 428