Minimally Invasive Strategy for Harvesting Anterolateral Thigh Flaps

The anterolateral thigh (ALT) flap is one of the most versatile and frequently used flaps in reconstructive surgery. Although techniques for flap harvesting are well established, donor-site morbidities remain a common concern. We report the case of an 83-year-old man who underwent oral cancer resection and reconstruction using a right ALT flap. We used a minimally invasive strategy to reduce donor-site morbidity, including microvascular re-anastomosis of the vascular pedicle. The free flap was successfully transferred, and the postoperative course was uneventful. Lower extremity function tests revealed no dysfunction after surgery. In reconstructive surgery, successful flap transfer and minimal donor-site morbidity are essential. Minimally invasive strategies should be promoted in surgical practice.