Usefulness of the anterolateral thigh flap with vascularized fascia lata for reconstruction of orbital floor and nasal surface after total maxillectomy

Abstract

Microvascular reconstruction using a composite ALT-FL flap provided a reliable fascial component for orbital floor and nasal surface reconstruction of total maxillectomy defects.

Anatomy of the Vascularized Lateral Femoral Condyle Flap

“…21,25 In each case, the lateral femoral condyle flap could be used to provide an additional bone graft when needed. In addition, the typically thin subcutaneous layer in the lateral thigh region could be another advantage for the use of the lateral femoral condyle flap.…”

“…In addition, we suggest that the lateral femoral condyle flap be used as an alternative source to the anterolateral thigh flap, with a vascularized iliotibial band, during tendon repair surgery. [21][22][23][24][25][26] Using the lower lateral thigh region as a source for a fasciocutaneous flap was first described by Laitung, who performed a study on cadavers in 1989. 27 Currently, there is no study analyzing the anatomical variance of the blood supply in the region of the lateral femoral condyle that focuses on the perfusion of the iliotibial band.…”

Soft Tissue Microvascular Reconstruction of Orbital Exenteration Defects

“…20 Finally, Joo et al showed in 22 patients the role of the chimeric ALT-fascia lata flap for complicated orbital defects to recreate the nasal lining and orbital floor. 48 In conclusion, the ALT's versatility makes it an ideal workhorse flap for orbital reconstruction, regardless of the dissection challenges and minor limitations.…”

“…These chimeras can be a mix of fascia, skin, de-epithelized soft tissue, and adjacent tensor fascia lata. 48 The tensor fascia lata can be used to perform a static facial sling for those cases requiring facial reanimation.…”

Reconstruction of the palate using a vascularized bare muscle flap following total maxillectomy: A case report

“…In the treatment of large defects, reconstructions with free flaps such as a rectus abdominis muscle flap [1], latissimus dorsi muscle flap [2], anterolateral thigh flap [3], iliac crest flap [4], and fibula flap [5] are most commonly reported. In the treatment of small defects, artificial materials produce results similar to those seen with flaps.…”