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[Anterolateral thigh free flap. Surgical technique]
J Tiguemounine1, A Picard, B Laure
1Service de Chirurgie Plastique Reconstructrice et Esthétique, C.H.R.U. de Tours. jean.tig@wanadoo.fr
Revue De Stomatologie Et De Chirurgie Maxillo-Faciale
|January 23, 2003
Summary
The anterolateral thigh free flap, supplied by the lateral circumflex femoral artery, is a versatile option for head and neck reconstruction. Its harvesting technique and properties are detailed for reconstructive surgery.
Area of Science:
- Plastic Surgery
- Microsurgery
- Anatomy
Context:
- The anterolateral thigh (ALT) free flap is increasingly utilized in reconstructive surgery.
- Its application is particularly noted in Asia for head and neck defect reconstruction.
- It serves as an alternative to traditional flaps like the radial forearm or rectus abdominis flaps.
Purpose:
- To describe the anatomy and vascularization of the anterolateral thigh free flap.
- To present the harvesting technique for this flap.
- To outline the properties and clinical applications of the ALT flap.
Summary:
- The anterolateral thigh free flap is a cutaneous or fasciocutaneous flap based on perforators from the descending branch of the lateral circumflex femoral artery.
- Venous outflow is achieved through the perforators or via the deep femoral or femoral vein.
- This flap is a valuable tool for reconstructing defects following head and neck tumor ablation, especially in Asian surgical practices.
Impact:
- Provides surgeons with detailed anatomical and technical information for utilizing the ALT flap.
- Highlights the flap's efficacy as a substitute for other commonly used flaps in complex reconstructions.
- Contributes to the understanding and application of ALT flaps in plastic and reconstructive surgery.