Journal of Oral and Maxillofacial Surgery
Volume 66, Issue 6 , Pages 1093-1098 , June 2008

Thinned Anterolateral Thigh Cutaneous Flap and Radial Fasciocutaneous Forearm Flap for Reconstruction of Oral Defects: Comparison of Donor Site Morbidity

  • Andrea Loreti, MD

      Affiliations

    • Plastic Surgery Consultant, Breast, Plastic, and Reconstructive Surgery Unit, San Giovanni-Addolorata Hospital, Rome, Italy.
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Loreti: Via Capo D'Africa 23, 00184 Rome, Italy
    • ,
  • Giovanni Di Lella, MD

      Affiliations

    • Ear, Nose, and Throat and Maxillofacial Surgery Consultant, Maxillofacial Surgery Unit, San Giovanni-Addolorata Hospital, Rome, Italy.
    • ,
  • Stefano Vetrano, MD

      Affiliations

    • Maxillofacial Surgery Consultant, Maxillofacial Surgery Unit, San Giovanni-Addolorata Hospital, Rome, Italy.
    • ,
  • Massimiliano Tedaldi, MD

      Affiliations

    • Resident, Maxillofacial Surgery Unit, San Giovanni-Addolorata Hospital, Rome, Italy.
    • ,
  • Aldo Dell'Osso, MD

      Affiliations

    • Head, Breast, Plastic, and Reconstructive Surgery Unit, San Giovanni-Addolorata Hospital, Rome, Italy.
    • ,
  • Giuseppe Poladas, MD

      Affiliations

    • Head, Maxillofacial Surgery Unit, San Giovanni-Addolorata Hospital, Rome, Italy.

References 

  1. Kimata Y, Uchiyama K, Ebihara S, et al. Anterolaleral thigh flap donor side complications and morbidity. Plast Reconstr Surg. 2000;106:584
  2. Song YG, Chen GZ. The free thigh flap: A new free flap concept based on the septocutaneous artery. Br J Plast Surg. 1984;37:149
  3. Cormack GC, Lamberty BGH. A classification of fascio-cutaneous flaps according to their patterns of vascularisation. Br J Plast Surg. 1984;37:80
  4. Kimura N, Satoh K. Consideration of a thin flap as an entity and clinical applications of the thin anterolateral thigh flap. Plast Reconstr Surg. 1996;97:985
  5. Soutar DS, McGregor IA. The radial forearm flap in intraoral reconstruction: The experience of 60 consecutive cases. Plast Reconstr Surg. 1986;78:1
  6. Meek MF, Vermey A, Robinson EH, et al. Radial forearm flap: 8 years experience with oral and oropharyngeal reconstruction (Donor and acceptor site morbidity). Eur J Plast Surg. 1988;21:293
  7. Lutz BS, Wei FC, Chang SC, et al. Donor site morbidity after suprafascial elevation of the radial forearm flap: A prospective study in 95 consecutive cases. Plast Reconstr Surg. 1999;103:132
  8. Chou EK, Ulusal BM, Ulusal A, et al. Using the descending branch of the lateral femoral circumflex vessel as a source of two independent flaps. Plast Reconstr Surg. 2006;117:2059
  9. Wei FC, Jain V, Suominen S, et al. Confusion among perforator flaps: What is a true perforator flap?. Plast Reconstr Surg. 2001;107:874
  10. Kimata Y, Uchiyama K, Ebihara S, et al. Anatomic variations and technical problems of the anterolateral thigh flap: A report of 74 cases. Plast Reconstr Surg. 1998;102:1517
  11. Fu-Chan W, Vivek J, Naci C, et al. Have we found an ideal soft tissue flap? (An experience with 672 anterolateral thigh flaps). Plast Reconstr Surg 109. 2002;1:
  12. Ribuffo D, Cigna E, Gargano F, et al. The innervated anterolateral thigh flap: Anatomical study and clinical implications. Plast Reconstr Surg. 2005;115:464
  13. Pan SC, Yu JC, Shieh SJ, et al. Distally based anterolateral thigh flap: An anatomic and clinical study. Plast Reconstr Surg. 2004;114:1768
  14. Alkureishi LW, Shaw-Dunn J, Ross GL. Effects of thinning the anterolateral thigh flap on the blood supply to the skin. Br J Plast Surg. 2003;56:401
  15. Mureau MA, Posch NA, Meeuwis CA, et al. Anterolateral thigh flap reconstruction of large external facial skin defects: A follow-up study on functional and aesthetic recipient and donor site outcome. Plast Reconstr Surg. 2005;115:1077
  16. Lewin JS, Barringer DA, May AH. Functional outcomes after laryngopharyngectomy with anterolateral thigh flap reconstruction. Head Neck. 2006;28:142
  17. Koshima I, Hosoda S, Inagawa K, et al. Free combined anterolateral thigh flap and vascularized fibula for wide, through-and-through oromandibular defects (J). Reconstr Microsurg. 1998;14:529
  18. Wei FC, Jain V, Suominem S, et al. Combined anterolateral thigh flap and vascularized fibula osteoseptocutaneous flap in reconstruction of extensive composite mandibular defects. Plast Reconstr Surg. 2002;109:45
  19. Adani R, Tarallo L, Marcoccio I, et al. First web-space reconstruction by the anterolateral thigh flap. J Hand Surg. 2006;31:640
  20. Wang HT, Erdmann D, Fletcher JW, et al. Anterolateral thigh flap technique in hand and upper extremity reconstruction. Tech Hand Up Extrem Surg. 2004;8:257
  21. Ozkan O, Coskunfirat OK, Ozgentas HE. The use of free anterolateral thigh flap for reconstructing soft tissue defects of the lower extremities. Ann Plast Surg. 2004;43:455
  22. Ao M, Nagase Y, Mae O, et al. Reconstruction of post-traumatic defects of the foot by flow-through anterolateral or anteromedial thigh flaps with preservation of posterior tibial vessels. Ann Plast Surg. 1997;38:598
  23. Sasaki K, Nozaki M, Nakazawa H. Reconstruction of a large abdominal wall defect using combined free tensor fasciae latae muscolocutaeous flap and anterolateral thigh flap. Plast Reconstr Surg. 1999;102:2244
  24. Wei FC, Suominen S, Cheng MH. Anterolateral thigh flap for postmastectomy breast reconstruction. Plast Reconstr Surg. 2002;110:82
  25. Kaplan JL, Allen RJ, Guerra A, et al. Anterolateral thigh flap for breast reconstruction: Review of the literature and case reports. J Reconstr Microsurg. 2003;19:63
  26. Davidge K, Pusic A, Disa JJ, et al. Use of the anterolateral thigh flap as an alternative to the rectus flap in obese and overweight patients. Ann Plast Surg. 2006;56:536
  27. Rosenberg JJ, Chandawarkar R, Ross MI, et al. Bilateral anterolateral thigh flaps for large-volume breast reconstruction. Microsurgery. 2004;24:281
  28. Yildirim S, Taylan G, Akoz T. Use of fascia component of the anterolateral thigh flap for different reconstructive purposes. Ann Plast Surg. 2005;55:479
  29. Yang JY, Tsai FC, Chana JS. Use of free thin anterolateral thigh flaps combined with cervicoplasty for reconstruction of postburn anterior cervical contractures. Plast Reconstr Surg. 2002;110:39
  30. Hidalgo DA. Aesthetic improvements in free flap mandible reconstruction. Plast Reconstr Surg. 1991;88:574
  31. Huang CH, Chen HC, Huang YL, et al. Comparison of the radial forearm flap and the thinned anterolateral thigh cutaneous flap for reconstruction of tongue defect: An evaluation of donor-site morbidity. Plast Reconstr Surg. 2004;114:1704

PII: S0278-2391(07)01946-5

doi: 10.1016/j.joms.2007.09.021

Journal of Oral and Maxillofacial Surgery
Volume 66, Issue 6 , Pages 1093-1098 , June 2008

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