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CC BY-NC-ND 4.0 · Indian J Plast Surg 2023; 56(05): 457-460
DOI: 10.1055/s-0043-1774383
Case Report

Papillon Flap—Design Modification of ALT Flap for Circumferential Laryngopharyngeal Defect

Sukhdeep Singh
1   Department of Plastic, Aesthetic and Reconstructive Surgery, Medanta- The Medicity, Gurgaon, Haryana, India
,
Vimalendu Brajesh
1   Department of Plastic, Aesthetic and Reconstructive Surgery, Medanta- The Medicity, Gurgaon, Haryana, India
,
Aditya Aggarwal 
1   Department of Plastic, Aesthetic and Reconstructive Surgery, Medanta- The Medicity, Gurgaon, Haryana, India
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Abstract

Anterolateral thigh (ALT) free flap is a commonly used flap for reconstruction of circumferential laryngopharyngeal defects. The flap is harvested as an ellipse and tubed along its length. We would like to present a design modification of the ALT flap where the tubing of the flap is done along the width of the flap. This design has advantages as it allows for a two-layered closure without the harvest of additional tissue and provides skin for neck coverage also. After inset, the flap resembles a butterfly, hence the name “Papillon Flap.”

Keywords

pharyngeal reconstruction - tubed anterolateral thigh (ALT) free flap - papillon flap


Publikationsverlauf

Artikel online veröffentlicht:
20. September 2023

© 2023. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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