The Anterolateral Thigh Flap

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...

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

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...

Reinnervated anterolateral thigh flap for tongue reconstruction.

BACKGROUND Total or near-total glossectomy defects are commonly reconstructed with rectus abdominis myocutaneous flaps for coverage. Sensory reinnervation has rarely been performed. METHODS Thirteen consecutive total or near-total glossectomy reconstructions were performed in a 12-month period with anterolateral thigh flaps with (n = 8) or without (n = 5) sensory reinnervation to the lingual ...

Anterolateral thigh flap for postmastectomy breast reconstruction.

Most postmastectomy defects are reconstructed by use of lower abdominal-wall tissue either as a pedicled or free flap. However, there are some contraindications for using lower abdominal flaps in breast reconstruction, such as inadequate soft-tissue volume, previous abdominoplasty, lower paramedian or multiple abdominal scars, and plans for future pregnancy. In such situations, a gluteal flap h...