Anterolateral thigh flap fascia lata suspension in oral floor reconstruction

2010 ◽  
Vol 121 (3) ◽  
pp. 555-557 ◽  
Author(s):  
Wan Jing Zhang ◽  
Ardalan Ebrahimi ◽  
Michael D. Kernohan ◽  
Jonathan R. Clark
Keyword(s):  
Fascia Lata ◽  
Anterolateral Thigh Flap ◽  
Anterolateral Thigh

scholarly journals Salvage of a Near-Total Penile Amputation following Urinary Fistulization and Carbapenemase-Producing Klebsiella pneumoniae Infection with a Composite ALT Flap and Vascularized Fascia Lata

2021 ◽  
Vol 07 (03) ◽  
pp. e237-e240
Author(s):  
Ricardo Horta ◽  
Margarida Mendes ◽  
Diogo Barreiro ◽  
Alexandre Almeida ◽  
Mariana Jarnalo ◽  
...  
Keyword(s):  
Klebsiella Pneumoniae ◽  
Wound Dehiscence ◽  
Fascia Lata ◽  
Anterolateral Thigh Flap ◽  
Salvage Procedure ◽  
Penile Amputation ◽  
Anterolateral Thigh ◽  
Circumferential Reinforcement ◽  
Complex Wounds ◽  
Alt Flap

AbstractReconstruction of complex penile defects is always challenging, as some defects are not possible to reconstruct with skin or mucosa grafts, and even local flaps may be precluded in complex wounds. We present a case of a 63-year-old otherwise healthy man, who underwent transurethral resection of the prostate for benign prostatic hyperplasia. After the procedure, he developed panurethral necrosis with consequent stricture. Three urethroplasties for reconstruction of the bulbar and distal urethra using buccal mucosa grafts, a preputial flap, and penile skin were performed by urology team in different institutions, but serious urinary fistulization and carbapenemase-producing Klebsiella pneumoniae (KPC) infection translated in a chronic wound, urethra necrosis, and near-total penile amputation. A composite anterolateral thigh flap and vascularized fascia lata were used with success together with a perineal urethroplasty in different stages, improving the ischemic wound condition. The extended segment of fascia lata was used for Buck's fascia replacement and circumferential reinforcement to cover the erectile bodies of the penis. The postoperative period was uneventful and after 12 months, there were no signs of recurrence or wound dehiscence. He was able and easily adapted to void in a seated position through the perineal urethrostomy that was made. To the best of our knowledge, this procedure has not been reported previously as a salvage procedure in a fistulizated and KPC infected penis, but it may be considered to avoid penile amputation in chronic infected and intractable wounds.

Achilles Tendon Region Defects: Delayed Composite Anterolateral Thigh Flap With Stripping of Fascia Lata: A Case Series

2020 ◽  
Vol 66 (12) ◽  
pp. 13-22
Author(s):  
Cesare Tiengo ◽  
Regina Sonda ◽  
Andrea Monticelli ◽  
Francesco Messana ◽  
Alberto Crema ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Achilles Tendon ◽  
Short Form ◽  
Case Series ◽  
Fascia Lata ◽  
Anterolateral Thigh Flap ◽  
Soft Tissue Reconstruction ◽  
Medical Outcomes ◽  
Anterolateral Thigh ◽  
Tissue Reconstruction

Defects of the Achilles tendon that include the surrounding soft tissue represent a challenge due to complex functionality and biomechanics. PURPOSE: The purpose of this study was to evaluate the functional and physical functioning score outcomes of patients following microsurgical reconstruction of the yarrow region, using a combination of objective, subjective, and semi-subjective measurements. METHODS: Between 2007 and 2018, 15 patients underwent delayed Achilles tendon region reconstruction with different anterolateral thigh flap types. Seven (7) patients underwent tendon and soft tissue reconstruction with a chimeric anterolateral thigh flap (ALT) and rolled-up fascia lata, and 8 patients underwent soft tissue reconstruction and only tendon coverage with fascia lata. Follow-up assessments included maximal range of motion (MROM) (plantarflexion and dorsiflexion), the American Orthopedic Foot and Ankle Society Ankle-Hindfoot Scale score, and the Medical Outcomes Study 36-item Short-Form Health Survey physical functioning subscore. RESULTS: A total of 15 patients (11 males and 4 females with a mean age of 39.86 years) were evaluated during a mean follow-up time of 23 months (SD = 7.12). The MROM for plantarflexion and dorsiflexion was 42.71 degrees (SD = 2.9) and 24.8 degrees (SD = 4.29), respectively, in patients who underwent composite ALT with a rolled-up fascia lata. The MROM for plantarflexion and dorsiflexion was 43 degrees (SD = 5.37) and 27.37 degrees (SD = 3.2), respectively, in patients who underwent fasciocutaneous ALT. The mean American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale score was 82 for the first group and 86.87 for the second, whereas the mean Medical Outcomes Study 36-item Short-Form Health Survey scores were 82.57 and 81.5, respectively, for the 2 groups. Statistical analysis showed no significant difference between the 2 groups. CONCLUSIONS: The results of this case series suggest that the single-stage composite reconstruction with a fasciocutaneous flap with or without a strip of fascia lata is a safe and reliable strategy for composite reconstruction of the Achilles tendon region. Additional studies to evaluate these outcomes and instruments to evaluate functioning are necessary.

Quadriceps tendon reconstruction using a fascia lata included in a reverse‐flow anterolateral thigh flap

Microsurgery ◽  
2019 ◽  
Vol 39 (7) ◽  
pp. 642-646 ◽  
Author(s):  
Elena Lucattelli ◽  
Luca Delcroix ◽  
Carla Baldrighi ◽  
Sara Tanini ◽  
Marco Innocenti
Keyword(s):  
Reverse Flow ◽  
Quadriceps Tendon ◽  
Fascia Lata ◽  
Anterolateral Thigh Flap ◽  
Tendon Reconstruction ◽  
Anterolateral Thigh

Reconstruction of complex soft tissue defects including tendons with anterolateral thigh flap extended to fascia lata: Long term recovery and functional outcomes

Microsurgery ◽  
2019 ◽  
Vol 39 (5) ◽  
pp. 405-415 ◽  
Author(s):  
Pietro G. Summa ◽  
Gianluca Sapino ◽  
Mario Cherubino ◽  
Giorgio De Santis ◽  
Sebastien Durand ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Functional Outcomes ◽  
Fascia Lata ◽  
Anterolateral Thigh Flap ◽  
Soft Tissue Defects ◽  
Anterolateral Thigh ◽  
Tissue Defects
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