Role of ALT Perforator Flaps in Head and Neck Reconstruction.

IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE
Journal of Maxillofacial & Oral Surgery Pub Date : 2025-02-01 Epub Date: 2023-08-31 DOI:10.1007/s12663-023-01990-9
Sagarika Khowala, M E Sham, Thyagraj Reddy, Suresh Menon, S Archana
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引用次数: 0

Abstract

Background: The anterolateral thigh flap is a versatile flap that offers many advantages. These include a long and reliable pedicle that enables a wide arc of rotation, the possibility to harvest a large skin area, raising the flap with underlying fascia and minimal donor site morbidity. The purpose of this study is to show better esthetics and function with the use of ALT perforator flap in head and neck region. It is a large prospective case study done in our institute with regular follow-up which shows the outcomes of ALT flap.

Materials and method: From 2020 to 2022, hundred patients were reconstructed with anterolateral thigh flap. The flap was used for reconstruction in head and neck region. The patient group consisted of 53 males and 47 females. The age range was 30-90 years with a mean age of 61 years. Patients who had extensive soft tissue defect in the head and neck and had been reconstructed by free ALT flap have been reported. Flap data (type, length, and width), duration of flap elevation, donor-site morbidity, post-operative complications, and follow-up data including aesthetic and functional outcome were recorded.

Results: We experienced no flap loss. The donor site was closed directly in twenty-eight out of eighty patients, and the remaining twenty patients were closed by split thickness skin grafting. Satisfactory aesthetic and functional outcome were achieved in all patients.

Conclusion: Our experience illustrates the versatility in the clinical application of the anterolateral thigh flap. The many advantages of the flap, such as the long and reliable pedicle, a large area of skin that can be harvested, the potential to supercharge the flap and the minimal donor site morbidity, highlight the diversity of defects that can be reconstructed using this flap.

ALT穿孔皮瓣在头颈部重建中的作用
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来源期刊
Journal of Maxillofacial & Oral Surgery
Journal of Maxillofacial & Oral Surgery DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
1.90
自引率
0.00%
发文量
138
期刊介绍: This journal offers comprehensive coverage of new techniques, important developments and innovative ideas in Oral and Maxillofacial Surgery. Practice-applicable articles help develop the methods used to handle dentoalveolar surgery, facial injuries and deformities, TMJ disorders, oral cancer, jaw reconstruction, anesthesia and analgesia. The journal also includes specifics on new instruments, diagnostic equipment’s and modern therapeutic drugs and devices. Journal of Oral and Maxillofacial Surgery is recommended for first or priority subscription by the Dental Section of the Medical Library Association. Specific topics covered recently have included: ? distraction osteogenesis ? synthetic bone substitutes ? fibroblast growth factors ? fetal wound healing ? skull base surgery ? computer-assisted surgery ? vascularized bone grafts Benefits to authorsWe also provide many author benefits, such as free PDFs, a liberal copyright policy, special discounts on Elsevier publications and much more. Please click here for more information on our author services.
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