Microsurgical Workhorse Flaps in Head and Neck Reconstruction

Lutz, Barbara S.; Wei, Fu‐Chan

doi:10.1016/j.cps.2005.02.006

Cited by 131 publications

(99 citation statements)

References 56 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Soft-tissue defects have most commonly been reconstructed using radial forearm (RF) and anterolateral thigh (ALT) flaps following the excision of head and neck cancers [1][2][3]. RF flaps have a thin texture that facilitates folding and can be easily harvested.…”

Section: Introductionmentioning

confidence: 99%

Reconstruction of soft-tissue defects of the head and neck: radial forearm flap or anterolateral thigh flap?

Liu

Guo

et al. 2011

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

This study compared the reliability, practicability and impact to donor site functionality of radial forearm (RF) and anterolateral thigh (ALT) flaps used for the reconstruction of head and neck soft-tissue defects. The clinical data of patients who underwent reconstruction using RF flaps (n = 53) and ALT flaps (n = 21) after tumour ablation were reviewed. Pedicle length, skin area harvested and flap survival rate were compared between the two flap types. A questionnaire was used to compare the patients' perceptions of donor site functionality. Pedicle length did not significantly differ between RF and ALT flaps (7.5 vs. 9 cm, p = 0.733). A significantly larger mean area of skin was harvested in the ALT group than in the RF group (65 vs. 38 cm(2), p = 0.001). Flap survival rates did not differ between the two groups (p = 0.554). Patients in the ALT group were more satisfied with the appearance of the donor sites than were those in the RF group (p = 0.029). Significantly more patients in the RF group complained of donor site numbness than in the ALT group (p = 0.014). No ALT group patients complained of movement impairment or weakness at the donor sites, but 10% of RF group patients experienced impairment (p = 0.014) and 35% felt weakness (p = 0.001). The ALT and RF flaps showed similar practicability and reliability for the reconstruction of soft-tissue defects, but ALT flaps had fewer impacts to donor site functionality than RF flaps.

show abstract

Section: Introductionmentioning

confidence: 99%

Reconstruction of soft-tissue defects of the head and neck: radial forearm flap or anterolateral thigh flap?

Liu

Guo

et al. 2011

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

show abstract

“…Song et al [1] were the first to describe this flap and since then it has grown in popularity. Its advantages include a constant and dependable vascular anatomy, relative easy flap elevation, the availability of a large cutaneous paddle, long vascular pedicle and minimal donor site morbidity [2,3] . It was initially used as a free flap for reconstruction of the head and neck area, trunk, upper limb and lower limb [4][5][6] .…”

Section: Discussionmentioning

confidence: 99%

Soft Tissue Cover for an Exposed Transplanted Kidney with a Pedicled Myocutaneous Anterolateral Thigh Perforator and Vastus Lateralis Flap

Faizal

Safawi²,

Sundram

et al. 2011

Urol Int

View full text Add to dashboard Cite

Surgical wound infection after a renal transplant procedure can lead to graft loss in the presence of host immunosuppression and graft exposure to the environment. Early cover of the wound with well-vascularized tissue will facilitate early wound healing and preservation of the graft. The pedicle anterolateral thigh perforator flap is a popular flap used for soft tissue reconstruction in the groin and perineum. We present a case of an anterolateral thigh flap used to cover an exposed transplanted kidney after surgical wound breakdown.

show abstract

“…Die Vielseitigkeit und Verlässlichkeit dieses Perforatorlappens in der Weichteilrekonstruktion wurde vor allem von Wei et al [5,13,25,26] in großen klinischen Studien propagiert. Dies führte zur Verbreitung und standardmä-ßigen Verwendung des ALT an vielen mikrochirurgischen Zentren und beendete teilweise die Vorherrschaft des Radialislappen bei der Kopf-Hals-Rekonstruktion.…”

Section: Seine Vielseitigkeit Bei Der Onkologischen Weichteilrekonstrunclassified

Der anterolaterale Oberschenkellappen

Ensat¹,

Schubert²,

Hladik³

et al. 2011

Chirurg

View full text Add to dashboard Cite

The anterolateral thigh flap (ATL) has become a standard procedure in reconstructive microsurgery. In this study the results with the ALT for reconstruction in the head and neck area after tumor resection in 33 patients were retrospectively analyzed. Patients included 28 men and 5 women aged 47-70 years who suffered from intraoral and extraoral tumors. Satisfactory soft tissue coverage could be achieved in all patients and no flaps were lost. The ALT is a versatile free flap enabling reliable soft tissue reconstruction of complex defects in the head and neck region. Flap dissection and preparation of the recipient area can usually be performed simultaneously. Additional advantages include the long and strong caliber vascular pedicle, the low donor site morbidity and the different possibilities of tissue composition, making the ALT a workhorse flap in modern reconstructive microsurgery.

show abstract

Microsurgical Workhorse Flaps in Head and Neck Reconstruction

Cited by 131 publications

References 56 publications

Reconstruction of soft-tissue defects of the head and neck: radial forearm flap or anterolateral thigh flap?

Reconstruction of soft-tissue defects of the head and neck: radial forearm flap or anterolateral thigh flap?

Soft Tissue Cover for an Exposed Transplanted Kidney with a Pedicled Myocutaneous Anterolateral Thigh Perforator and Vastus Lateralis Flap

Der anterolaterale Oberschenkellappen

Contact Info

Product

Resources

About