Free Combined Composite Flaps Using the Lateral Circumflex Femoral System for Repair of Massive Defects of the Head and Neck Regions

Anterolateral Thigh Twin Free Flaps from a Single Donor Site—a Modification Based on the Oblique Branch of the Lateral Circumflex Femoral Artery

“…Hemi thigh flap [5], giant thigh flap [6], extended ALT flap [7] and combined anterolateral and anteromedial thigh flaps [8] are notable modifications which were used to reconstruct large defects. Chimeric modification of the ALT flap was used to reconstruct more complex defects with more freedom and ease [9,10]. A simple chimeric flap has separate soft tissue components, but has a common vascular source.…”

“…A simple chimeric flap has separate soft tissue components, but has a common vascular source. A chain circle chimeric flap has one of the component flaps anastomosed back with the axial vessel [9]. In this case, one end of the component flap vessel is anastomosed with the axial vessel and the other end to a branch of the axial vessel ensuring maximum safety to the component flap.…”

Effects of Radiotherapy on Pharyngeal Reconstruction After Pharyngo-Laryngectomy

“…Free anterolateral thigh fasciocutaneous flap was popularized by Song et al in 1984 6 and later modified by Koshima et al [7][8] for clinical application. As in the pectoralis major myocutaneous flap, the skin paddle of the anterolateral thigh flap can be fashioned into a tube for the reconstruction of the circumferential pharyngeal defects after tumour resection.…”

BipaddlePectoralis Major Myocutaneous Flap for oral cancer reconstruction: Operative technique, flap reliability and outcome, Asingle Institute experience.

“…Ideal reconstruction should replace all these diseased structures to achieve acceptable aesthetic and functional results. Primary reconstruction of such defects with microsurgical techniques is now the protocol in almost all major cancer centers [1,2]. But in view of the long operative time, specific and costly materials, the need for expertise and infrastructure and the large work volume in developing countries offering microsurgical reconstruction to all patients with such defects is not possible.…”