Supercharging and Augmenting Venous Drainage of an Anterolateral Thigh Free Flap: Options and Indications
نویسندگان
چکیده
SUMMARY This study introduces the options for supercharging and augmenting venous drainage of an anterolateral thigh free flap. Clinical indications and options for additional microvascular anastomoses are reviewed in 5 consecutive patients. The indications were simultaneous mucosal and cutaneous defects, divergent mucosal defects, and extensively wide and long cutaneous defects. Three additional vascular pedicles were anastomosed: the transverse branch of the lateral circumflex (n = 3), a perforator coming directly off the superficial femoral artery (n = 1), and a posterior perforator from the profundus femoral artery (n = 1). The anastomosis of a separate pedicle from the superior, medial, and/or posterior-lateral thigh may be a useful technique when confronted with an extensive defect that may not reliably be reconstructed with a routine anterolateral thigh flap based on a single perforator.
منابع مشابه
Incorporating a Racket-Handle Skin Bridge and Venous Supercharging to Improve Reliability of the Distally Based Anterolateral Thigh Flap
Sir, The distally based anterolateral thigh flap is one anatomical variant of the versatile regional flap commonly employed to reconstruct large knee defects [1]. Venous congestion poses a common concern for such flaps as oedema can potentiate complications such as tip necrosis and eventually scar development. To limit loss of mobility secondary to scarring in the knee, the surgeon should take ...
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