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Updated: Aug 17, 2025

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Superthin Flap Harvesting Procedure: Technical Note.

Sara Calabrese1, Marco Innocenti2

  • 1Department of Plastic and Reconstructive Microsurgery, Careggi Universital Hospital, Florence, Italy.

Archives of Plastic Surgery
|December 16, 2022
PubMed
Summary
This summary is machine-generated.

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The superthin anterolateral thigh perforator (ALTP) free flap offers a versatile and safe option for complex wound coverage. This technique allows for tailored flap thickness, expanding its reconstructive potential without compromising outcomes.

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.
Keywords:
dermisfasciafree tissue flapsheadmicrosurgerymorbidityneckperforator flapreconstructive surgical proceduresthigh

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  • 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.