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Head and neck reconstruction with anterolateral thigh flap
Antti A Mäkitie1, Nigel J P Beasley, Peter C Neligan
1Wharton Head and Neck Centre, Princess Margaret Hospital, University Health Network, Toronto, Ontario, USA.
Summary
The free anterolateral thigh flap is a reliable option for head and neck reconstruction in white patients. This versatile flap demonstrated successful outcomes with manageable donor site morbidity.
Area of Science:
- Plastic Surgery
- Head and Neck Surgery
- Reconstructive Surgery
Background:
- The free anterolateral thigh flap is a reconstructive option for complex defects.
- Its application in head and neck reconstruction, particularly in Caucasian populations, requires further elucidation.
Observation:
- A retrospective review of 37 patients (1994-2002) undergoing head and neck reconstruction using the free anterolateral thigh flap.
- Analysis included patient demographics, flap characteristics, surgical outcomes, and donor site morbidity.
- The majority of patients (n=33) were of white ethnicity.
Findings:
- Thirty-nine free anterolateral thigh flaps were utilized, ranging from 24 to 252 cm(2).
- A high success rate was observed, with one arterial failure (2.6%) and two salvageable venous occlusions.
- Primary closure was achieved in most donor sites, with two requiring skin grafting.
Implications:
- This study represents the first report on the use of the free anterolateral thigh flap in a predominantly white cohort.
- The free anterolateral thigh flap is confirmed as a versatile and dependable choice for head and neck defect reconstruction.
- Findings support the broader application of this flap in reconstructive surgery.