Anterolateral thigh flap. Medical search. Frequent questions

Tubed fasciocutaneous flaps (e.g., from the anterolateral thigh or radial forearm) are most commonly used, because they permit good postoperative speech and result in low systemic morbidity. (thieme-connect.de)
HD radial forearm flap with english subtitles. (dentaltu.be)
1. Radial Forearm Flap -- 2. (nshealth.ca)
In 1978, Chang described the radial fasciocutaneous forearm flap. (medscape.com)

Abstract This technical note describes the harvesting and insetting of a chimeric anterolateral thigh (ALT) flap to reconstruct a through and through cheek defect. (pocketdentistry.com)
Use of the chimeric anterolateral thigh free flap in lower extremity reconstruction. (dkmc.or.kr)

Deep Inferior Epigastric Artery Perforator Flap. (nshealth.ca)

The objective of this study was to evaluate the utility of the anterolateral thigh (ALT) flap for reconstruction of the traumatically injured lower extremity. (johnshopkins.edu)
METHODS: Prospective data were collected on all patients who underwent lower extremity reconstruction with an ALT flap during a 3.5-year period at a primary adult resource center (PARC). (johnshopkins.edu)
CONCLUSION: The ALT flap is a useful tool for trauma reconstruction in lower extremity salvage. (johnshopkins.edu)
We have shown that the ALT flap can be performed successfully in the traumatically injured patient even when harvested from the ipsilateral lower extremity. (johnshopkins.edu)
The purpose of the present study was to compare the functional and aesthetic outcomes of upper and lower extremity reconstruction with either suprafascial or subfascial harvested anterolateral (ALT) flaps. (uniss.it)

Here, we report the use of a free split anterolateral thigh (s-ALT) flap for reconstruction of a 14 cm × 16 cm soft tissue defect of the left upper posterior thigh region due to sarcoma resection in a patient. (uzh.ch)
The ALT flap was harvested based on two musculocutaneous perforators from the right thigh and anastomosed to the contralateral descending branch of the lateral circumflex femoral artery (LCFA) in perforator-to-perforator manner, in order to gain more pedicle length and being able to cover the posterior thigh defect. (uzh.ch)
Even though it requires technical skills and experience in perforator dissection, we believe that the s-ALT flap anstomosed to the contralateral LCFA in perforator to perforator fashion, may be a good solution in case of such a difficultly located extensive defect of the posterior thigh. (uzh.ch)
In the present 2 cases, 2 female patients (age 17 years and 35 years) with abdominal wall desmoid tumor underwent primary radical resection and autologous reconstruction of an abdominal wall defect in the lateral oblique muscle area (defect size, 13?Ã-?5?cm and 8?Ã-?6?cm) using an anterolateral thigh and iliotibial tract flap. (dtrf.org)
Although the size of the flap is dictated by the needs of the head and neck defect, certain principles apply. (medscape.com)
Use of the flap allows primary closure of the defect with minimal aesthetic deformity or functional impact. (medscape.com)
It is a big challenge to repair a large abdominal wall defect after tumor resection, and en bloc resection with vascularized tissue reconstruction might be an alternative to achieve an improved survival for abdominal wall tumors. (biomedcentral.com)
Thereafter, we removed the tumor and involved tissues and organs and repaired the sizeable abdominal wall defect used by biological meshes and vascularized anterolateral thigh flaps. (biomedcentral.com)
Biological mesh combined with vascularized anterolateral thigh flaps could effectively repair the large abdominal wall defect and restore the biological function of the abdominal wall. (biomedcentral.com)
As a result, a large soft-tissue defect on the third and fourth toe region was successfully covered by a contralateral anterolateral thigh free flap. (handmicro.org)
Then, contralateral anterolateral thigh (ALT) free flap reconstruction of the defect was conducted. (handmicro.org)
Jejunal free flap surgery was performed in six patients with a total laryngopharyngectomy defect between March 2009 and January 2013. (thieme-connect.de)
Significant loss of soft tissue requires flaps of sufficient bulk to adequately reconstruct the defect. (medscape.com)
Proper flap design and tailoring of the flap to fit a certain tissue defect result in optimal functional and cosmetic outcomes. (medscape.com)
Many options are available to cover a palatal defect, including local or free flaps. (e-acfs.org)
The objective of this study was to evaluate the usefulness of palatal mucoperiosteal island flap in covering a palatal defect after tumor excision. (e-acfs.org)
Either unilateral or bilateral palatal island flaps were used depending on the size of defect. (e-acfs.org)
After complete extirpation of tumor lesion, the flap was designed to be much bigger than the defect itself depending on operator's experience, and the hard palate was infiltrated using 1% Xylocaine with epinephrine 1:100,000 in a subperiosteal plane. (e-acfs.org)

Since the flap is thinner anteriorly, and the septocutaneous perforators predominately pass anteriorly over the iliotibial tract, most of the flap should lie over the iliotibial tract. (medscape.com)
The flap may potentially be split into 2 paddles based on separate perforators, or it can be de-epithelialized to create 2 separate skin islands on the same perforator. (medscape.com)
The anterolateral thigh flap is a fasciocutaneous flap usually based on the musculocutaneous and septocutaneous perforators of the descending branch of the lateral circumflex femoral artery and its venae comitantes. (medscape.com)
[ 1 ] The anterolateral thigh flap, first described in 1984 by Song et al, is a fasciocutaneous flap usually based on the musculocutaneous and septocutaneous perforators of the descending branch of the lateral circumflex femoral artery and its venae comitantes. (medscape.com)
However, if a fasciocutaneous flap is unavailable due to a lack of perforators or an obese thigh, the next choice is a jejunal flap. (thieme-connect.de)
Perforators Detected in Computed Tomography Angiography for Anterolateral Thigh Free Flap: Am I the Only One Who Feels Inaccurate? (elsevierpure.com)

Comparison associated with Donor Web site Morbidity In between Anterolateral Thigh and also Radial Wrist No cost Flaps with regard to Head and Neck Remodeling: A Systematic Evaluation along with Meta-Analysis. (micrornamimic.com)

The pedicled latissimus dorsi flap has a long pedicle and can often reach the vertex but can be quite bulky and requires patient repositioning for harvest. (medscape.com)
Latissimus Dorsi Flap -- 5. (nshealth.ca)

The anastomosis process for the flap was as follows. (thieme-connect.de)
Proximal flap anastomosis was performed using hand-sewn sutures in an interrupted fashion. (thieme-connect.de)
After firing, the end-to-end anastomosis device is removed gently via the jejunal flap lumen. (thieme-connect.de)

It has been used extensively as both a pedicled and free flap for breast reconstruction. (medscape.com)
158. "Total breast reconstruction with the fat-augmented latissimus dorsi (FALD) flap: High safety in a single-center uncontrolled case series. (diepflap.it)
151. "A multicentre study of the relationship between abdominal flap and mastectomy weights in immediate unilateral free flap breast reconstruction and the effect of adjuvant radiotherapy. (diepflap.it)

Many techniques including the tongue flap, buccal mucosal flap, forehead flap, the temporalis, the mucoperiosteal island flap, and the fasciocutaneous free flap have been introduced to reconstruct oral defects [ 1 , 2 , 3 ]. (e-acfs.org)

Lateral Arm Flap -- 3. (nshealth.ca)
In the same year, Song described the lateral arm flap. (medscape.com)

In 1976, Harii first transferred a free gracilis flap, and Robinson introduced the dorsalis pedis fasciocutaneous free flap. (medscape.com)

The perforating vessels are identified and preserved in the flap fascia as the dissection is carried down to the intermuscular septum, as shown below. (medscape.com)

She underwent total maxillectomy with reconstruction of hard palate with micro vascular anterolateral thigh flap. (drashishgoel.com)

Pedicled myocutaneous flaps have been the reconstructive option of choice in the past. (medscape.com)
A free myocutaneous flap is the best option for reconstructing large soft tissue defects in difficult locations such as the orbit. (medscape.com)
It can be harvested as a muscle-only flap or as a myocutaneous flap. (medscape.com)
3] As a myocutaneous flap, it is particularly suitable for reconstructing partial and total glossectomy defects (see the image below). (medscape.com)
The advent of microsurgery in the 1970s and the description by Ponten in 1981 of myocutaneous and fasciocutaneous flaps started a new era in lower limb and foot surgery. (medscape.com)
The use of several muscular5 and myocutaneous flaps (sometimes neurovascular)6 has been described with varying degrees of success. (rbcp.org.br)

We identified 19 patients who underwent palatal reconstruction between October 2006 and July 2013 using either unilateral or bilateral palatal mucoperiosteal island flaps after tumor excision at the Severance Hospital (Seoul, Korea). (e-acfs.org)

The anterolateral thigh (ALT) flap is one of the most commonly used flap worldwide in reconstructive surgery, as both free flap and pedicled local flap. (uzh.ch)
The lateral thigh free flap is a fascial or fasciocutaneous flap based on the smaller vessels that extend from the profunda femoris system to the skin. (medscape.com)
A free fascial graft from the lateral thigh area is ideal for defects that require placement of bulk without lining. (medscape.com)
Plate exposure after anterolateral thigh free-flap reconstruction in head and neck cancer patients with composite mandibular defects. (bvsalud.org)
The ischemic time seems to be a very important factor affecting the likelihood of postoperative complications, especially for free flaps. (thieme-connect.de)
therefore, a cutaneous free flap without muscle cannot be harvested. (medscape.com)
In 1973, O'Brien (as well as Daniel and Taylor in 1975) described the first free groin flap for reconstruction of the foot. (medscape.com)
In 1982, the rectus abdominis muscle flap first was harvested as a free flap by Cunningham and Bunkis. (medscape.com)
While the iliac crest immediately was used for the foot only, in 1983 Taylor first described the reconstruction of the first metatarsal bone by a free fibula flap. (medscape.com)
The records of all patients who had free flap reconstruction of their defects were retrieved from the unit database. (njps.org)
Free flaps represent 1.7% of all major flap surgeries performed. (njps.org)
Among these patients, those between the ages of 21 and 30 years had highest number of free flaps accounting for 26% of the study population. (njps.org)
Reconstructions with free and pedicled flaps usually involve highly complex technical procedures, with considerable failure rates (12%) and the risk of amputation (18%)3,7, which are related to the patient's condition (instability, hemodynamic imbalance), the small percentage of surrounding viable tissue, and rarity of receptor areas for transfer. (rbcp.org.br)

Since its first description, the flap has proven to be useful in many head and neck reconstructive situations. (medscape.com)
Although not optimal for small or shallow defects, the rectus flap provides the reconstructive surgeon with an excellent option to reconstruct large defects. (medscape.com)
The use of the dermal replacement template expands the reconstructive options for complex burn (and nonburn) wounds, prevents the need for prolonged staged procedures, allows successful coverage of vital structures without the use of a flap and, particularly, ensures extremity preservation. (rbcp.org.br)

In special circumstances, it can be combined with other flaps (such as the fibula or iliac crest), using the "mosaic" principle to provide coverage of extremely large and challenging head and neck defects. (medscape.com)
HD Fibula Flap with english subtitles Surgery performed at centre léon bérard, Lyon, France, By Dr Deneuve. (dentaltu.be)

As a muscle-only flap, it has become indispensable for reconstruction following skull base surgery. (medscape.com)
The demographic characteristics, indications for surgery, choice of flap and the complications were documented. (njps.org)

B) Inset, jejunum flap. (thieme-connect.de)
A new nasal cavity and maxilla reconstruction method using jejunum flap with non-vascularised bone. (twmu.ac.jp)

The mean flap size was 20.7 × 8.4 cm, with 64% harvested from the injured limb. (johnshopkins.edu)
The mean flap size was 110.4 ± 27.8 cm2 in group 1 and 159.7 ± 44.4 cm2 in group 2. (uniss.it)

Sixty patients who underwent hand or foot reconstruction with an ALT flap between January 2013 and January 2015 were included in the study (34 flaps elevated on a subfascial plane and 26 on a suprafascial plane). (uniss.it)

Motor reinnervation of the rectus muscle, which allows for preservation of muscle bulk over time, has been described and serves to increase the usefulness of this versatile flap. (medscape.com)

The structures of arteria circumflexa femoris lateralis (ACFL) were observed and the digitized visible models of ALT flap were established through 3D computerized reconstructions methods from these data using Amira 3.1 software. (unboundmedicine.com)

Angiographic and Doppler identification of perforating vessels may be helpful but is not critical to the success of the flap. (medscape.com)

RESULTS: Fifty-six patients underwent a total of 59 ALT flap harvests during the study period. (johnshopkins.edu)
Between October 2006 and July 2013, we identified 19 patients who underwent palatal reconstruction using a palatal mucoperiosteal island flap after tumor excision. (e-acfs.org)

The flap offers the advantages of being pliable with a large cutaneous territory, having a lengthy pedicle with good caliber vessels, possessing multiple components (adipofascial, muscle, fascia, and skin), being used as a sensate flap, and having the possibility of chimeric applications. (medscape.com)

Patients reconstructed with a fasciocutaneous or chimeric type of ALT flap had higher rates of plate exposure than those reconstructed with a musculocutaneous type of ALT flap (p = 0.002). (bvsalud.org)

This flap has gained acceptance in head and neck reconstruction because it has been proven to be a donor site with reliable vascularity, ease of harvest, and extreme versatility. (medscape.com)
The rectus abdominis flap is favored for this application because of its ease of harvest and reliability. (medscape.com)

The suprafascial harvested ALT flap group reported a significant difference in terms of donor site morbidity. (uniss.it)

The flap may be used for very large defects and requires no muscular sacrifice. (medscape.com)

Anterolateral thigh flap (ALT) was the most common donor flap. (njps.org)

In 1984, Lovie described the ulnar flap and Franklin the deltoid, both of which also are suitable for the foot. (medscape.com)

The advent of microsurgical techniques has allowed this versatile flap to be transposed to repair soft tissue defects of the head and neck. (medscape.com)
1] The flap provides healthy muscle, with or without a skin paddle, that can be used to replace soft tissue bulk. (medscape.com)

The lateral thigh flap is reliable, and it can be dissected easily while the head and neck ablative procedure is in progress. (medscape.com)

This study aimed to identify the risk factors for postoperative plate exposure in head and neck cancer patients with composite mandibular defects undergoing tumor ablation followed by bridging plate and anterolateral thigh (ALT) flap transfer. (bvsalud.org)
The type of ALT flap, postoperative RT, and intraoperative blood loss were the predisposing factors for increased risk of postoperative plate exposure in the specific disease group. (bvsalud.org)

The palatal mucoperiosteal island flap is a good reconstruction modality for palatal defects if used under appropriate indications. (e-acfs.org)

This flap is most commonly used for glossectomy defects, orbital/maxillary defects, and (as a muscle-only flap) skull base reconstruction. (medscape.com)

The purpose of this study was to observe the anatomy of arteria circumflexa femoris lateralis (ACFL) flap and to discuss the methods in the visualization of anterolateral thigh (ATL) flap by digitalized technique. (unboundmedicine.com)
The digitized models could offer the anatomy of ALT flap perfectly, and the reconstructed methods may be used in other flap reconstruction with 3D demonstration. (unboundmedicine.com)

[ 2 ] Koshima et al and Kimata first described the use of this flap for reconstruction of head and neck defects. (medscape.com)
The lateral thigh flap is indicated for large head and neck defects. (medscape.com)

In elective situations, the graft may be avoided by pre-expanding the flap site for several months prior to flap elevation. (medscape.com)

Clinical applications of ALT flap have currently extended to extremity (hand and foot) as well as oral cavity reconstruction. (uniss.it)

In addition, the flap can easily be harvested using a 2-team approach without patient repositioning. (medscape.com)
01). The suprafascial plane for elevating ALT flaps presented several advantages over the traditional subfascial approach in terms of functional and aesthetic outcomes, providing a thin flap allowing increased versatility to achieve better contour of flap, and minimizing the need for secondary debulking. (uniss.it)

The limited ability to contour pedicled flaps often leads to bulkiness in the wrong location. (medscape.com)

However, these flaps are often unsuitable because of restricted pedicle length. (medscape.com)

A skin island with underlying muscle cuff from the thigh was taken and its vessels were anastomosed to the vessels in the neck. (drashishgoel.com)

The 3D reconstructed visible models established from these datasets perfectly displayed the characteristic of ACFL and ALT flap anatomy. (unboundmedicine.com)

Group 1 (subfascial harvested ALT flap) was composed of 23 male and 11 female patients with an average age of 53.4 years (range, 36-72 years). (uniss.it)
Group 2 (suprafascial harvested ALT flap) was composed of 18 male and 8 female patients with an average age of 48.7 years (range, 32-69 years). (uniss.it)
Patients in whom other flaps would be too thin can benefit from this flap. (medscape.com)

Sandwich Fascial Anterolateral Thigh Flap in Head and Neck Reconstruction: Evolution or Revolution? (uninsubria.it)

Anatomy8

Diseases1

Chemicals and Drugs2

Analytical, Diagnostic and Therapeutic Techniques and Equipment13

Health Care1

Forearm4

Chimeric anterolateral thigh2

Deep Inferior Epigastric Artery Perf1

Lower extremity5

Defect18

Perforators6

Radial1

Latissimus dorsi flap2

Anastomosis3

Breast Reconstruction3

Forehead Flap1

Lateral Arm Flap2

Fasciocutaneous free flap1

Dissection1

Vascular1

Myocutaneous6

Island Flaps1

Free13

Reconstructive3

Fibula2

Surgery2

Jejunum flap2

Mean flap size2

Reconstruction with an ALT flap1

Rectus muscle1

Reconstructions1

Doppler1

Underwent2

Fascia1

Musculocutaneous1

Harvest2

Morbidity1

Large defects1

Donor1

19841

Soft tissue2

Procedure1

Postoperative2

Indications1

Commonly1

Methods2

Neck defects2

Elevation1

Extremity1

Approach2

Contour1

Pedicle length1

Vessels1

Anatomy1

Patients3

Head1