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Related Experiment Videos

The lateral arm flap.

M Ninkovic1, C Harpf, A H Schwabegger

  • 1Department of Plastic and Reconstructive Surgery, Leopold-Franzens University of Innsbruck, Austria. milomir.ninkovic@uibk.ac.at

Clinics in Plastic Surgery
|June 13, 2001
PubMed
Summary
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The anterolateral thigh (ALT) flap and the extended ALT flap are excellent choices for head and neck reconstruction. These fasciocutaneous flaps offer advantages like quick dissection, design flexibility, and sensory potential, making them superior options.

Area of Science:

  • Plastic Surgery
  • Head and Neck Surgery
  • Reconstructive Surgery

Background:

  • Head and neck reconstruction presents challenges in selecting optimal fasciocutaneous flaps.
  • Conventional methods may have limitations in terms of donor site morbidity and functional outcomes.

Observation:

  • The anterolateral thigh (ALT) flap and the extended ALT (ELAF) flap are evaluated for head and neck reconstruction.
  • Key features include ease and speed of dissection under tourniquet, design variability, and sensory innervation potential.

Findings:

  • Both ALT and ELAF flaps demonstrate superiority over other fasciocutaneous options.
  • The ELAF offers pliable, thin tissue and a longer pedicle compared to the radial forearm (RFF) flap.
  • Donor sites for ALT/ELAF flaps allow primary closure with acceptable scarring and no functional deficit, unlike the RFF flap.

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Implications:

  • The ALT and ELAF flaps are strongly recommended for clinical application in head and neck reconstruction.
  • These flaps offer improved outcomes and reduced donor site morbidity.
  • Wider adoption of ALT/ELAF flaps could enhance reconstructive surgery practices.