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Lateral thigh free flap in head and neck reconstruction
M J Miller1, G P Reece, M Marchi
1Department of Reconstructive and Plastic Surgery, University of Texas M.D. Anderson Cancer Center, Houston, USA.
Plastic and Reconstructive Surgery
|August 1, 1995
Summary
The lateral thigh flap, based on the profunda femoris artery, is a reliable option for head and neck reconstruction. It offers ample, pliable tissue for defects, though its vascular pedicle requires careful handling.
Area of Science:
- Plastic Surgery
- Head and Neck Surgery
- Reconstructive Surgery
Background:
- Head and neck defects often require complex reconstructive solutions.
- The lateral thigh flap is an alternative reconstructive option.
- Understanding its vascular anatomy and clinical utility is crucial.
Purpose of the Study:
- To evaluate the anatomical basis and clinical efficacy of the lateral thigh flap for head and neck reconstruction.
- To compare its characteristics with the radial forearm flap.
Main Methods:
- Anatomical dissections and injection studies were performed on cadavers.
- Clinical cases involving tumor ablation defects were analyzed.
- The flap's vascular pedicle, based on the third perforator of the profunda femoris artery, was examined.
Main Results:
- The lateral thigh flap successfully restored defects in the oral cavity, pharynx, cervical esophagus, and external skin.
- It provides a significant volume of thin, pliable tissue.
- Compared to the radial forearm flap, it offers more tissue and better scar concealment, but has a shorter, more variable pedicle.
Conclusions:
- The lateral thigh flap is a reliable and effective option for head and neck reconstruction in selected patients.
- Careful consideration of its vascular pedicle characteristics is essential for successful outcomes.