Pedicled ipsilateral anterolateral thigh (ALT) with flow‐through to a secondary contralateral‐free ALT flap for coverage of large thigh, trochanteric, and gluteal area defects: A case report

Microsurgery ◽  
2021 ◽  
Author(s):  
Shameem A. Haque ◽  
Andreas Georgiou ◽  
Alexander Woollard
Keyword(s):  
Case Report ◽  
Anterolateral Thigh ◽  
Flow Through ◽  
Alt Flap

ALT Flaps

2019 ◽  
pp. 403-412
Author(s):  
Jonathan A. Zelken ◽  
Ming-Huei Cheng
Keyword(s):  
Surface Area ◽  
Free Flap ◽  
Dead Space ◽  
Free Flaps ◽  
Diverse Range ◽  
Anterolateral Thigh ◽  
Flow Through ◽  
Alt Flap

The anterolateral thigh (ALT) flap is one of the most versatile and reliable of the thigh-based free flaps. The ALT flap is indicated for reconstruction of a diverse range of defects of various surface area and depths; it can be used as a “ultra-thin” flap for resurfacing, rolled up for filling in dead space, or taken with muscle to obliterate spaces or provide bulk. The flap has been used in trauma salvage as a flow-through flap, as a tissue carrier to “piggy back” additional flaps. The flap can be raised as a pedicled (proximally or distally) or a free flap, either supra- or subfascia with or without muscle or additional tissue components.

Reconstruction of a full-thickness buccal defect with anterolateral thigh flap – case report

2018 ◽  
Vol 7 (2) ◽  
pp. 39-42
Author(s):  
Małgorzata Czesak ◽  
Daniel Majszyk ◽  
Ewa Osuch-Wójcikiewicz ◽  
Kazimierz Niemczyk
Keyword(s):  
Squamous Cell Carcinoma ◽  
Case Report ◽  
Tumor Resection ◽  
Free Flaps ◽  
Anterolateral Thigh Flap ◽  
Full Thickness ◽  
Simultaneous Reconstruction ◽  
Anterolateral Thigh ◽  
Alt Flap ◽  
Tissue Defects

Extensive tissue defects resulting from tumor resection within the head and neck require simultaneous reconstruction. One of the most commonly used free flaps in reconstruction oral cavity is the free anterolateral thigh flap. A case of a 57-year-old woman with squamous cell carcinoma of the cheek has been presented, in which the reconstruction of the full thickness of the cheek with a folded free anterolateral thigh flap has been performed. The authors provide treatment methods and the possibility of using ALT flap.

Improving Outcomes in Anterolateral Thigh Flap Donor-Site Reconstruction Using Propeller Flaps: A Retrospective Comparative Study with Skin Grafting

2020 ◽  
Author(s):  
Domenico Pagliara ◽  
Maria Lucia Mangialardi ◽  
Stefano Vitagliano ◽  
Valentina Pino ◽  
Marzia Salgarello
Keyword(s):  
Comparative Study ◽  
Skin Graft ◽  
Donor Site ◽  
Split Thickness Skin Graft ◽  
Tactile Sensitivity ◽  
Aesthetic Outcome ◽  
Propeller Flap ◽  
Thickness Skin ◽  
Anterolateral Thigh ◽  
Alt Flap

Abstract Background After anterolateral thigh (ALT) flap harvesting, skin graft of the donor site is commonly performed. When the defect width exceeds 8 cm or 16% of thigh circumference, it can determine lower limb function impairment and poor aesthetic outcomes. In our comparative study, we assessed the functional and aesthetic outcomes related to ALT donor-site closure with split-thickness skin graft compared with thigh propeller flap. Methods We enrolled 60 patients with ALT flap donor sites. We considered two groups of ALT donor-site reconstructions: graft group (30 patients) with split-thickness skin graft and flap group (30 patients) with local perforator-based propeller flap. We assessed for each patient the range of motion (ROM) at the hip and knee, tension, numbness, paresthesia, tactile sensitivity, and gait. Regarding the impact on daily life activities, patients completed the lower extremity functional scale (LEFS) questionnaire. Patient satisfaction for aesthetic outcome was obtained with a 5-point Likert scale (from very poor to excellent). Results In the propeller flap group, the ROMs of hip and knee and the LEFS score were significantly higher. At 12-month follow-up, in the graft group, 23 patients reported tension, 19 numbness, 16 paresthesia, 22 reduction of tactile sensitivity, and 5 alteration of gait versus only 5 patients experienced paresthesia and 7 reduction of tactile sensitivity in the propeller flap group. The satisfaction for aesthetic outcome was significantly higher in the propeller flap group. Conclusion In high-tension ALT donor-site closure, the propeller perforator flap should always be considered to avoid split-thickness skin graft with related functional and aesthetic poor results.

Sign in / Sign up

Export Citation Format

Share Document