Diagnostic Accuracy of Peroperative Color Doppler Ultrasonography for Determining the Nature of Anterolateral Thigh Flap Perforators

Colour Doppler assessment of the perforators of anterolateral thigh flap and its usefulness in preoperative planning.

UNLABELLED The role of the anterolateral thigh flap (ALTF) in reconstructive microsurgery grows systematically from mid-eighties of the twenty century until now. Significant anatomic variability of the perforators supplying the ALTF was described in literature. THE AIM OF THE STUDY was ultrasonographic assessment of the ALTF perforators in terms of localization, symmetry, diameter and flow velo...

Contralateral Pedicled Anterolateral Thigh Flap (ATL) for Upper Thigh Defect in the Era of Free ATL?

Anterolateral thigh flap.

A 64-year-old Japanese male had a squamous cell carcinoma (T4N1M0) in the left gingival and buccal mucosa, so a radical wide resection involving left radical neck dissection was performed. An anterolateral thigh flap measuring 15 x 8 cm was raised from the left thigh and transferred to the defect. The postoperative course was eventful. There was no postoperative flap necrosis, infection, not ev...

Free anterolateral thigh flap raised on musculocutaneous perforators of rectus femoris muscle.

The anterolateral thigh flap (ALTF) has been in wide clinical use for the last two decades, its major disadvantage has been its variable anatomy. We are presenting a case in which no substantial perforators were found to be arising from either the lateral septum of thigh or Vastus Laterlis muscle. In this case, instead of raising another flap, we used the same skin paddle raised on the musculoc...

The Clinical Application of Anterolateral Thigh Flap

The anterolateral thigh flap can provide a large skin paddle nourished by a long and large-caliber pedicle and can be harvested by two-team work. Most importantly, the donor-site morbidity is minimal. However, the anatomic variations decreased its popularity. By adapting free-style flap concepts, such as preoperative mapping of the perforators and being familiar with retrograde perforator disse...