Related Experiment Video
Updated: Jun 6, 2026
07:57
An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps
Published on: December 5, 2025
[Preparative technique of anterolateral thigh flap]
Kai Wang1, Hong-yu Tan, Han-jiang Wu
1Department of Oral and Maxillofacial Surgery, The Second Xiangya Hospital of Central South University, Changsha 410011, China. wangkai730112@163.com
Summary
This study details surgical techniques for anterolateral thigh (myocutaneous) flaps in oral and maxillofacial reconstruction. The method achieved a 98.8% flap survival rate, offering satisfactory functional and aesthetic outcomes.
Area of Science:
- Microsurgery
- Plastic and Reconstructive Surgery
- Oral and Maxillofacial Surgery
Context:
- Reconstruction of oral and maxillofacial defects following malignant tumor resection presents significant challenges.
- Free anterolateral thigh (myocutaneous) flaps offer a viable solution for complex tissue defects.
Purpose:
- To investigate and refine surgical techniques for harvesting anterolateral thigh (myocutaneous) flaps.
- To evaluate the efficacy and outcomes of these flaps in oral and maxillofacial reconstruction.
Summary:
- A review of 245 free anterolateral thigh (myocutaneous) flaps demonstrated a 98.8% survival rate.
- Surgical planning involved precise incision design (3 cm medial to the iliac-patella line) and targeted perforator selection.
- Flap sizes ranged from 4x4 cm to 10x25 cm, with 18 thinned flaps achieving successful outcomes.
Impact:
- This technique provides a reliable method for reconstructing extensive defects, restoring both form and function.
- Optimized surgical approaches enhance flap viability and patient recovery in complex oncologic reconstructions.
- Understanding perforator locations and defect size guides reconstructive strategies, minimizing complications and improving aesthetic results.
