OBJECTIVE The anterolateral thigh flap is a versatile flap that can be used in a free or pedicled fashion. Because of the large amount of potential soft tissue, low donor site morbidity, and long pedicle lengths, many researchers consider it to be the perfect free flap. However, dissection of this and other perforator flaps can become an arduous experience with learning curves to overcome. Near...

Objective: The goals of this research were to (1) assess the efficacy free flap reconstruction in patients with early and recurrent head neck cancers, (2) investigate variables associated these surgeries that increase risk problems. Study Design: Retrospective Place Duration: Frontier Medical College, Abbottabad, from March, 2022 August, 2022. Methods: Total 200 cancer included study. Patients ...

Anterolateral thigh flap is used for reconstruction of various soft tissue defects. We planned the study to evaluate the versatility of the anterolateral thigh flap as it may be used for reconstruction of head and neck, torso and extremities with minimal donor-site morbidity. The retrospective study was conducted at Aga Khan University Hospital, Karachi, and comprised date from October 2012 to ...

The contractures were released up to the healthy subcutaneous fat. This created wide defects in both the groins. The right side was addressed first. Doppler examination revealed a number of perforators in the upper third of medial thigh. A 12 cm x 6 cm flap was drawn on the medial thigh based on a dominant perforator about 5 cm below the inguinal ligament (Figure 2). The lateral margin of the f...

BACKGROUND Pharyngoesophageal defects are commonly reconstructed with free jejunal or fasciocutaneous flaps, with various outcomes, and a direct comparison is lacking. METHODS Fifty-seven circumferential pharyngoesophageal reconstructions with an anterolateral thigh flap (n = 26 patients) performed by a single surgeon or jejunal flap (n = 31 patients) performed by six experienced surgeons bet...

BACKGROUND Although the anterolateral thigh flap has been extensively used for head and neck reconstruction in Asia, reported variations of vascular anatomy seem confusing and may have contributed to the unpopularity of this flap in the United States. The purposes of this study are to classify the vascular anatomy and to assess the suitability of this flap for head and neck reconstruction in a ...

OBJECTIVE To determine systematically the pattern of the cutaneous perforator of the lateral circumflex femoral artery (LCFA) in anterolateral thigh perforator (ALT) flap. MATERIAL AND METHOD Sixty dissections of the LCFA were carried out in 30 preserved cadavers. The number; type, origin, and location of the cutaneous perforators of the LCFA were studied and measured. RESULTS There were 16...