2014
DOI: 10.1002/micr.22227
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Using the proximal perforator-based anterolateral thigh flap from the same donor site to salvage the reconstruction after failure of the distal perforator-based anterolateral thigh flap

Abstract: We presented a patient who experienced the anterolateral thigh (ALT) flap failure but the reconstruction was successfully salvaged by harvesting a second ALT flap from the same donor site 2 days after the first reconstruction. A 47-year-old man received cancer ablation for right mouth floor squamous cell carcinoma. The resultant defect was planned to be reconstructed with the ALT flap. During the flap dissection, we identified three proximal cutaneous perforators originating from the transverse branch of the l… Show more

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Cited by 4 publications
(2 citation statements)
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“…This reconstruction, however, resulted in additional scarring and thigh deformity that certainly exceeds those of a direct closure of these donor site wounds. The use of the remaining proximal thigh perforators has also been reported in the context of the previously failed ALT flap that was based more distal perforators from the same thigh . The success rate and reliability of these elegant techniques, however, is difficult to ascertain based on few reported cases.…”
Section: Discussionmentioning
confidence: 99%
“…This reconstruction, however, resulted in additional scarring and thigh deformity that certainly exceeds those of a direct closure of these donor site wounds. The use of the remaining proximal thigh perforators has also been reported in the context of the previously failed ALT flap that was based more distal perforators from the same thigh . The success rate and reliability of these elegant techniques, however, is difficult to ascertain based on few reported cases.…”
Section: Discussionmentioning
confidence: 99%
“…A nterolateral thigh flap (ALTF) is one of the most important flaps for wound reconstruction 1,2 ; it has the advantages of a long vascular pedicle, a large donor area, less sacrifice of the main blood vessels of the limb, easy-to-obtain sensory flaps, and less influence on the function and appearance of the donor site. 3,4 Using the descending branch of the lateral femoral circumflex artery (LCFA-db) as the vascular pedicle of the reconstruction flap is a classic surgical design. 5,6 However, the preoperative plan (using the LCFA-db as the source artery) could fail due to anatomical variants and individual differences in the LCFA-db.…”
mentioning
confidence: 99%