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Facial reconstruction with thinned anterolateral thigh free flap
Trần Thiết Sơn1,2,3, Phan Tuấn Nghĩa1,3, Phạm Thị Việt Dung1,3
1Department of Plastic and Reconstructive Surgery, Hanoi Medical University, No.1 Ton That Tung Street, Dong Da District, Hanoi, Vietnam.
BMC Surgery
|October 9, 2024
Summary
This study introduces a refined thinning technique for the anterolateral thigh (ALT) flap, significantly reducing its thickness for improved facial reconstruction. This method enhances the ALT flap
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Microsurgery
Background:
- Facial reconstruction presents challenges for plastic surgeons, particularly in selecting optimal techniques.
- The anterolateral thigh (ALT) flap is a versatile option, but its inherent thickness can limit its application in facial contouring.
- Existing thinning techniques for flaps lack specific application guidelines for the ALT flap in facial reconstruction.
Purpose of the Study:
- To report a refined thinning technique for the anterolateral thigh (ALT) flap.
- To evaluate the safety and efficacy of the thinned ALT flap in facial reconstruction.
- To establish best practices for applying the thinning technique to the ALT flap for optimal outcomes.
Main Methods:
- A retrospective analysis of 117 patients undergoing facial reconstruction.
- Application of a thinning technique to 73 anterolateral thigh (ALT) flaps.
- Detailed assessment of flap thickness reduction and surgical outcomes.
Main Results:
- Flap thickness was significantly reduced from an average of 22.5 mm to 5.9 mm after thinning.
- The thinned ALT flap proved suitable for facial coverage, contouring, and recreating 3D facial structures.
- The 12/45 flap configuration allowed for flexible reconstruction in challenging anatomical locations.
Conclusions:
- The thinning technique effectively overcomes the thickness limitations of the ALT flap for facial reconstruction.
- Understanding perforator anatomy is crucial for successful ALT flap thinning.
- The thinned ALT flap offers enhanced versatility for extensive whole-body reconstruction.
