The anterolateral thigh flap in head and neck reconstruction: "Pearls and pitfalls"

被引:43
作者
Shaw, Richard J. [1 ,2 ]
Batstone, Martin D. [2 ,3 ]
Blackburn, Tim K. [2 ,4 ]
Brown, James S. [2 ]
机构
[1] Univ Liverpool, Dept Surg & Oncol, Sch Canc Studies, Liverpool L69 3GA, Merseyside, England
[2] Aintree Univ Hosp NHS Fdn Trust, Reg Maxillofacial Unit, Liverpool L9 7AL, Merseyside, England
[3] Royal Brisbane & Womens Hosp, Maxillofacial Unit, Brisbane, Qld, Australia
[4] Manchester Royal Infirm, Univ Dept Oral & Maxillofacial Surg, Manchester, Lancs, England
关键词
Anterolateral thigh; Free flap; Head and neck; Perforator; Reconstruction; PERFORATOR FLAP; ARTERY; SURGERY;
D O I
10.1016/j.bjoms.2009.07.026
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
The anterolateral thigh (ALT) flap has found a permanent and highly valued place in head and neck reconstruction because of its versatility, two-team method of operating, and favourable donor site. The principal disadvantages are related to unpredictable vascular anatomy and the need to meticulously dissect the perforator. With these issues in mind we present a series of practical "pearls and pitfalls". Our experience has not only given us more confidence to use this flap in an increasing variety of defects, but also given us a new perspective on the applicability of chimeric flaps and perforator techniques in a wide range of donor sites. (C) 2009 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:5 / 10
页数:6
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