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Published on: September 29, 2018
Head and neck reconstruction using lateral thigh free flap: flap design
1Department of Plastic and Reconstructive Surgery, College of Medicine, Sung-Kyun-Kwan University, Samsung Medical Center, Seoul, Korea.
Microsurgery
|May 7, 1999
Summary
Lateral thigh free flaps, based on the profunda femoris artery, are a reliable option for head and neck reconstruction. Careful patient selection and flap design are key to successful outcomes in this versatile surgical technique.
Area of Science:
- Plastic Surgery
- Head and Neck Surgery
- Microsurgery
Background:
- Head and neck reconstruction presents challenges due to complex anatomy.
- Free flap surgery offers a viable solution for tissue defects.
- The lateral thigh free flap is a potential reconstructive option.
Observation:
- Eleven lateral thigh free flaps were utilized for head and neck reconstruction.
- Flaps were based on the second and third perforators of the profunda femoris artery.
- The versatility in flap design and wide cutaneous territory were noted.
Findings:
- The lateral thigh free flap proved useful and reliable in head and neck reconstruction.
- Free design of the skin island within the lateral thigh region is possible.
- Adequate skin island thickness is achievable through careful patient selection and understanding of subcutaneous variations.
Implications:
- This technique offers a versatile and reliable method for head and neck reconstruction.
- Patient selection and precise flap design are critical for optimal results.
- Further understanding of subcutaneous thickness variations can refine surgical planning.
