Superthin Flap Harvesting Procedure: Technical Note

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Microsurgery

Background:

• The anterolateral thigh (ALT) flap is a well-established option for complex wound coverage due to its tissue versatility.
• Previous studies confirm that adjusting ALT flap thickness is safe and does not negatively impact outcomes.
• The subdermal plexus has been extensively studied via cadaveric and angiographic research.

Purpose of the Study:

• To demonstrate the versatility of the adipofascial flap harvested around perforators.
• To showcase the expanded utility of superthin ALT perforator (ALTP) flaps.
• To present a simpler, safer, and faster harvesting technique for ALTP free flaps.

Main Methods:

• Harvesting of superthin ALT perforator (ALTP) free flaps.
• Utilizing an adipofascial flap technique around selected perforators.
• Application of the technique for complex wound coverage.

Main Results:

• The described superthin ALTP free flap harvesting technique is simpler, safer, and less time-consuming.
• The adipofascial flap approach around perforators allows for safe expansion of superthin ALTP flap usage.
• Tailoring flap thickness can be safely performed without compromising flap outcomes.

Conclusions:

• The superthin ALTP free flap is a versatile reconstructive option.
• The adipofascial harvesting technique enhances the safety and applicability of superthin ALTP flaps.
• This approach expands the reconstructive potential for complex defects.