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Practical and Reliable Approach to Harvesting Superthin ALT Free Flap for Tongue Reconstruction
Ho Hyung Lee1, Jihye Rina Oh2, Jong-Woo Choi2
1Department of Reconstructive Plastic Surgery, Hanyang University Hospital.
Annals of Plastic Surgery
|May 20, 2026
Summary
Superthin anterolateral thigh (ALT) flaps provide a reliable method for hemitongue reconstruction. Preserving a deep fascia cuff enhances safety and practicality in this surgical technique.
Area of Science:
- Plastic Surgery
- Head and Neck Surgery
- Reconstructive Surgery
Background:
- Superthin anterolateral thigh (ALT) flaps are advantageous for hemitongue reconstruction.
- A deep fascia cuff technique enhances safety and practicality.
Purpose of the Study:
- To evaluate the safety and efficacy of superthin ALT flaps with a deep fascia cuff in hemitongue reconstruction.
- To analyze the correlation between flap thickness/cuff diameter and complications.
Main Methods:
- Retrospective review of 37 hemitongue reconstruction cases.
- Analysis of flap thickness and deep fascia cuff diameter.
- Assessment of flap-related complications such as thrombosis and flap failure.
Main Results:
- Mean flap thickness was 0.69 cm; mean cuff diameter was 3.09 cm.
- No significant correlation was found between flap thickness or cuff diameter and complications.
- The technique demonstrated a low complication rate.
Conclusions:
- Superthin ALT flaps with a preserved deep fascia cuff represent a reliable and intuitive method.
- This standardized approach ensures safe and effective hemitongue reconstruction.
- The technique is suitable for improving functional and aesthetic outcomes.