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DOI: 10.1055/s-0044-1787056
Tailoring of ALT Flap for Optimizing Donor Site Morbidity
Abstract
Wide and irregular-shaped defects at the lower trunk region are not uncommon following wide local excision of tumors. Pedicled anterolateral thigh (ALT) perforator flap has been the workhorse for these types of defects. But, in most of the cases flap donor sites cannot be closed primarily due to wide and irregular-shaped flap requirement. We propose a method of harvesting ALT flap in elliptical shape, dividing it into two or more geometrically predesigned islands based on perforators and rearranging them to fit into the defect, and thus achieving primary closure of the flap donor site.
Publikationsverlauf
Artikel online veröffentlicht:
30. Mai 2024
© 2024. 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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References
- 1 Song YG, Chen GZ, Song YL. The free thigh flap: a new free flap concept based on the septocutaneous artery. Br J Plast Surg 1984; 37 (02) 149-159
- 2 Boca R, Kuo YR, Hsieh CH, Huang EY, Jeng SF. A reliable parameter for primary closure of the free anterolateral thigh flap donor site. Plast Reconstr Surg 2010; 126 (05) 1558-1562
- 3 Kimata Y, Uchiyama K, Ebihara S. et al. Anterolateral thigh flap donor-site complications and morbidity. Plast Reconstr Surg 2000; 106 (03) 584-589
- 4 Mureau MA, Posch NA, Meeuwis CA, Hofer SO. Anterolateral thigh flap reconstruction of large external facial skin defects: a follow-up study on functional and aesthetic recipient- and donor-site outcome. Plast Reconstr Surg 2005; 115 (04) 1077-1086
- 5 Tsai FC, Yang JY, Mardini S, Chuang SS, Wei FC. Free split-cutaneous perforator flaps procured using a three-dimensional harvest technique for the reconstruction of postburn contracture defects. Plast Reconstr Surg 2004; 113 (01) 185-193 , discussion 194–195
- 6 Marsh DJ, Chana JS. Reconstruction of very large defects: a novel application of the double skin paddle anterolateral thigh flap design provides for primary donor-site closure. J Plast Reconstr Aesthet Surg 2010; 63 (01) 120-125
- 7 Zhang YX, Hayakawa TJ, Levin LS, Hallock GG, Lazzeri D. The economy in autologous tissue transfer: part 1. The kiss flap technique. Plast Reconstr Surg 2016; 137 (03) 1018-1030
- 8 Xiong L, Guo N, Gazyakan E, Kneser U, Hirche C. The anterolateral thigh flap with kiss technique for microsurgical reconstruction of oncological scalp defects. J Plast Reconstr Aesthet Surg 2018; 71 (02) 273-276
- 9 Chang N-J, Waughlock N, Kao D, Lin C-H, Lin C-H, Hsu C-C. Efficient design of split anterolateral thigh flap in extremity reconstruction. Plast Reconstr Surg 2011; 128 (06) 1242-1249
- 10 Scaglioni MF, Barth AA, Giovanoli P. Reconstruction of an upper posterior thigh extensive defect with a free split-anterolateral thigh (s-ALT) flap by perforator-to-perforator anastomosis: a case report. Microsurgery 2019; 39 (01) 91-94