The Anterolateral Thigh Flap in Head and Neck Reconstruction

The anterolateral thigh (ALT) free flap has become a workhorse for head and neck reconstruction. This paper offers a thorough introduction to the ALT flap, covering its anatomy, surgical technique, adaptable designs, and use in a range of clinical settings along with case studies. With its long vasc...

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Bibliographic Details
Published inOral and maxillofacial surgery clinics of North America Vol. 36; no. 4; p. 451
Main Authors Pu, Jingya Jane, Atia, Andrew, Yu, Peirong, Su, Yu-Xiong
Format Journal Article
LanguageEnglish
Published United States 01.11.2024
Subjects
Free Tissue Flaps - blood supply
Head and Neck Neoplasms - surgery
Humans
Plastic Surgery Procedures - methods
Thigh - surgery
Microsurgery
Anterolateral thigh flap
Oral cancer
Surgical planning
Head and neck reconstruction
Free flap
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Summary:The anterolateral thigh (ALT) free flap has become a workhorse for head and neck reconstruction. This paper offers a thorough introduction to the ALT flap, covering its anatomy, surgical technique, adaptable designs, and use in a range of clinical settings along with case studies. With its long vascular pedicle and tissue versatility, the ALT flap is well-suited for matching varied defects. Still, understanding possible anatomic variances and managing complications are critical to its success. With this paper as a comprehensive guidance, surgeons can apply the ALT flap for difficult head and neck reconstructions and achieve the best possible results.
ISSN:1558-1365
DOI:10.1016/j.coms.2024.07.001