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Related Experiment Video

Updated: Jun 2, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
06:32

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

Oral cavity defect reconstruction using anterolateral thigh free flaps.

F Bussu1, M Salgarello, L B Adesi

  • 1Institute of Otolaryngology, Università Cattolica del Sacro Cuore, Policlinico Agostino Gemelli, Rome. francesco.bussu@rm.unicatt.it

B-ENT
|May 14, 2011
PubMed
Summary

The anterolateral thigh (ALT) free flap is a versatile option for oral cancer reconstruction, offering good oncological and functional outcomes with low donor site morbidity. It is a preferred choice for mobile tongue defects.

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Area of Science:

  • Oncology
  • Plastic Surgery
  • Head and Neck Surgery

Background:

  • Oral cavity and pharyngeal cancers represent a significant health burden in Europe.
  • Advances in microvascular free flap reconstruction have improved oral cancer prognosis.
  • The anterolateral thigh flap is increasingly utilized for oral cavity reconstruction.

Purpose of the Study:

  • To evaluate the efficacy of the anterolateral thigh (ALT) free flap in reconstructing oral cavity defects.
  • To assess oncological and functional outcomes in patients undergoing ALT flap reconstruction.
  • To determine the quality of life following oral cavity reconstruction with ALT flaps.

Main Methods:

  • A retrospective review of 73 free flaps used for oral cavity reconstruction in 70 patients between July 2004 and February 2009.

Related Experiment Videos

Last Updated: Jun 2, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
06:32

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

  • Evaluation of oncological and functional results, specifically comparing ALT flaps with other free flaps.
  • Quality of life assessment using the FACT-H&N questionnaire.

    • Main Results:

    • No significant differences in functional or oncological outcomes were observed between ALT flaps and other free flaps.
    • Adjuvant irradiation may negatively impact swallowing function post-reconstruction.
    • The ALT flap demonstrated favorable results in oral cavity reconstruction.

    Conclusions:

    • The anterolateral thigh (ALT) free flap is recommended for oral soft tissue defect reconstruction due to its versatility and long pedicle.
    • Low donor site morbidity is a key advantage of the ALT flap.
    • The ALT flap is particularly suitable for mobile tongue reconstruction.