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New Approach for Superthin Anterolateral Thigh Flap Elevation.

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Superthin anterolateral thigh (ALT) flaps offer a reliable solution for soft tissue reconstruction, minimizing limitations associated with conventional flaps. This technique simplifies harvest and reduces complications for better patient outcomes.

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Area of Science:

  • Microsurgery
  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • Anterolateral thigh (ALT) flaps are versatile for soft tissue reconstruction.
  • Conventional thick ALT flaps can lead to range of motion limitations and cosmetic issues.
  • Superthin ALT flaps aim to overcome these limitations.

Purpose of the Study:

  • To develop and propose strategies for easier harvest of superthin ALT flaps.
  • To minimize technical difficulties in superthin ALT flap elevation.
  • To provide step-by-step instructions for reliable superthin ALT flap dissection.

Main Methods:

  • Retrospective analysis of 60 free superthin ALT flaps in 56 patients.
  • Flaps were elevated above superficial Scarpa's fascia using a vertical approach.
  • Data collected between January 2018 and February 2019.

Main Results:

  • Flaps were used for lower extremity (38), head and neck (16), and upper extremity (6) reconstructions.
  • Mean follow-up was 7 months, with a median hospital stay of 10 days.
  • Overall flap loss rate was 13.2% (4 total, 4 partial).

Conclusions:

  • Superthin ALT flaps are a reliable and effective option for soft tissue defect reconstruction.
  • The vertical approach provides a wide field of view for easy perforator dissection.
  • This technique simplifies superthin ALT flap elevation.