Role of the Anterolateral Thigh Flap in Head and Neck Reconstruction: Advantages of Moderate Skin and Subcutaneous Thickness
2002; Thieme Medical Publishers (Germany); Volume: 18; Issue: 3 Linguagem: Inglês
10.1055/s-2002-28463
ISSN1098-8947
AutoresBin Nakayama, Ikuo Hyodo, Yasuhisa Hasegawa, Yasushi Fujimoto, Hidehiro Matsuura, Hiroshi Yatsuya, Shuhei Torii,
Tópico(s)Cleft Lip and Palate Research
ResumoSkin-flap thickness is an important consideration when choosing a free flap for head and neck reconstruction. The anterolateral thigh flap, the rectus abdominis flap, and the radial forearm flap, which included the epidermis, the dermal, and the subcutaneous layers, were measured using ultrasonography in 31 patients. The mean skin and subcutaneous thickness of the anterolateral thigh flap was 7.1 mm; the rectus abdominis flap was 13.7 mm; and the radial forearm flap was 2.1 mm. Further analysis revealed a statistically significant difference among the skin and subcutaneous thickness of the three flap groups. Of the 44 anterolateral thigh flap transfers done for head and neck reconstruction after cancer ablative surgery, 41 (93.2 percent) were transferred successfully.
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