De-epithelialised anterior (anterolateral and anteromedial) thigh flaps for dead space filling and contour correction in head and neck reconstruction

Anatomy of the anteromedial thigh flap based on the oblique branch of the descending branch of the lateral circumflex femoral artery

“…In general, the blood supply of the AMT flap is based on the cutaneous perforators originating from the medial or lateral margin of the sartorius muscle [4]. The perforators of the AMT flap have been previously determined by several authors [2,9,11,24,25,29]. It mainly arises from the LCFA, which has 3 branches: the ascending, the transverse, and the descending [26].…”

“…The authors concluded that the groin flap with AMT extension was a useful modification for repairing the defects [21]. The AMT flaps based on the descending branch of the lateral circumflex femoral vessels provided a long vascular pedicle and a large flap without sacrificing principal vessels and muscles for reconstruction of head and neck region defects following tumour ablation and oromandibular defects [2]. Although, many studies in literature described the advantages of using AMT flaps, there were some studies which reported the disadvantages of these flaps due to possible variations of the LCFA [1,2].…”

A Case of Harvesting Anterolateral Thigh Flaps Twice from the Ipsilateral Thigh of a Single Patient in Separate Operations

“…There are several skin perforators arising from the descending branch of the lateral femoral circumflex artery [2]. It is possible to elevate a large flap and two skin paddle flaps by utilizing two of these skin perforators [1]. Until now, harvesting of an anterolateral thigh flap with two skin paddles has been reported [1], but harvesting of flap elevations from the ipsilateral thigh twice in the same patient in two operations has not been reported.…”

“…It is possible to elevate a large flap and two skin paddle flaps by utilizing two of these skin perforators [1]. Until now, harvesting of an anterolateral thigh flap with two skin paddles has been reported [1], but harvesting of flap elevations from the ipsilateral thigh twice in the same patient in two operations has not been reported. The advantage of double free flap transplantations from the same site is low donor site morbidity.…”

“…Until now, harvesting of an anterolateral thigh flap with two skin paddles by utilizing two of these skin perforators has been reported [1], but harvesting of flap elevations from the ipsilateral thigh twice in the same patient in two operations has not been reported. We harvested anterolateral thigh flaps from the ipsilateral thigh of a single patient on two occasions using two of these perforators.…”