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Evolution of the anterolateral thigh free flap
Evan M Graboyes1, Joshua D Hornig
1Department of Otolaryngology - Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.
Current Opinion in Otolaryngology & Head and Neck Surgery
|August 9, 2017
Summary
The anterolateral thigh (ALT) free flap is a versatile option for head and neck cancer reconstruction. Advanced chimeric techniques offer improved functional and aesthetic outcomes for complex defects.
Area of Science:
- Plastic Surgery
- Head and Neck Oncology
- Reconstructive Surgery
Background:
- Head and neck cancer defects often require complex reconstructive solutions.
- The anterolateral thigh (ALT) free flap has emerged as a valuable tool in reconstructive surgery.
Purpose of the Study:
- To review recent literature on the evolution of the ALT free flap.
- To explore advanced applications of the ALT free flap in head and neck oncologic reconstruction.
Main Methods:
- Literature review of recent studies on ALT free flap techniques.
- Analysis of chimeric flap harvest and inset methods for various defects.
Main Results:
- The ALT free flap is highly versatile, allowing for chimeric harvest of skin, muscle, fascia, nerve, and bone.
- Successful reconstruction of pharyngocutaneous, oromandibular, and radical parotidectomy defects has been reported.
- Good functional and aesthetic outcomes are consistently demonstrated with ALT free flap reconstructions.
Conclusions:
- The ALT free flap's versatility makes it a preferred choice for head and neck cancer defect reconstruction.
- Evolving chimeric harvest techniques expand the advanced reconstructive uses of the ALT free flap for complex defects.
