Pharyngeal reconstruction by anterolateral thigh flap with vastus lateralis muscle transfer for effective swallowing after total glossolaryngectomy: A case report

Head & Neck ◽  
2019 ◽  
Vol 41 (7) ◽  
Author(s):  
Hideki Kadota ◽  
Kenichi Kamizono ◽  
Sei Yoshida ◽  
Masuo Hanada ◽  
Yusuke Inatomi ◽  
...  
Keyword(s):  
Case Report ◽  
Vastus Lateralis ◽  
Anterolateral Thigh Flap ◽  
Vastus Lateralis Muscle ◽  
Muscle Transfer ◽  
Anterolateral Thigh ◽  
Lateralis Muscle ◽  
Pharyngeal Reconstruction

scholarly journals Secondary reconstruction of below knee amputation stump with free anterolateral thigh flap

2010 ◽  
Vol 43 (01) ◽  
pp. 108-110
Author(s):  
Dinesh Kadam
Keyword(s):  
Soft Tissue ◽  
Vastus Lateralis ◽  
Pressure Effects ◽  
Tissue Loss ◽  
Anterolateral Thigh Flap ◽  
Vastus Lateralis Muscle ◽  
Knee Amputation ◽  
Amputation Stump ◽  
Anterolateral Thigh ◽  
Soft Tissue Loss

ABSTRACTBelow knee stump preservation reduces ambulatory energy expenditure and improves the quality of life. Reconstruction of soft tissue loss around the stump is a challenging task. Below knee stump reconstruction demands stable skin with sufficient soft tissue to allow weigh bearing. Microsurgical tissue transfer is increasingly being used as a salvage option. Anterolateral thigh flap with additional vastus lateralis muscle provides extra cushioning effect. We report two cases of amputation below knee successfully salvaged. The anterolteral flap with abundant tissue and stable skin offers a reliable option for cover. Two patients with below knee amputation were reconstructed secondarily. After 6 to 20 months of follow -up, stumps showed no signs of pressure effects. Patients are able to bear 50-70 hours of weight per week.

Clinical Study to Analyze the Intramuscular Anatomy of Musculocutaneous Perforators of Anterolateral Thigh Flaps

2017 ◽  
Vol 33 (09) ◽  
pp. 619-623
Author(s):  
G. Karthikeyan ◽  
Gurusamy Vishwanath ◽  
S.K. Singh ◽  
R. Venkatnaryanan ◽  
Gopi Renganathan
Keyword(s):  
Vastus Lateralis ◽  
Anatomical Variation ◽  
Limiting Factor ◽  
Clinical Anatomy ◽  
Vastus Lateralis Muscle ◽  
Reconstructive Procedures ◽  
Flap Viability ◽  
Anterolateral Thigh ◽  
Lateralis Muscle ◽  
Alt Flap

Background Anterolateral thigh (ALT) flap is a common flap used for many microsurgical reconstructive procedures. Majority of these flaps are based on the musculocutaneous perforators, which, after arising from source artery, course through the bulk of the vastus lateralis muscle. The vascular anatomy of the ALT flap has been often decried as its limiting factor. Methods In this prospective study conducted over 3 years, 207 cases of ALT flap were evaluated. During the harvest of ALT flap, musculocutaneous perforators were laid open through the vastus lateralis, and its variations and pattern were studied for clinical anatomy as well as impact of anatomy on the viability of the flap postoperatively. Results The perforators were recognized to be grouped into three broadly distinguishable anatomical patterns: linear (I), branching (Y), or tortuous (S). While the majority of perforators (51%) were linear “I” perforators, serpentine “S” and branching “Y” perforators were 28 and 21%, respectively. The clinical outcomes were also related to the simplicity of these perforators course as linear “I” perforators had 100% flap viability. Conclusion During the harvest of 207 ALT flaps through 3 years, it could be deciphered that the musculocutaneous perforators traverse through the bulk of vastus lateralis muscle in only three types of patterns (IYS pattern). This identification of pattern could help in prevention of injury while delineating the perforators. Identification and typing of anatomical variation of the musculocutaneous perforator within the vastus muscle could lead to a predictable and safer harvest of the ALT flap.

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