Nearby perforator flaps as alternative choices for anterolateral thigh flap when lacking useful perforator / 中华耳鼻咽喉头颈外科杂志
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
; (12): 486-489, 2013.
Article
in Zh
| WPRIM
| ID: wpr-301439
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To explore the proposal using nearby perforator flaps as alternative reconstructive choices for anterolateral thigh (ALT) flap when lacking useful perforator.</p><p><b>METHODS</b>From August 2010 to August 2012, 8 cases with head and neck cancer were found lacking reliable perforator during ALT flap elevation, a tensor fascia latae (TFL) flap or an anteromedial thigh (AMT) flap was used to complete the reconstruction.</p><p><b>RESULTS</b>All 8 alternative flaps were successfully harvested, other donor sites were not needed. Flap harvest time was 50-85 min. Of 5 TFL flaps, pedicle lengths were 6-10 cm, and the diameters of the arteries and veins were 2.5-3.0 mm and 2.5-3.5 mm respectively. Of 3 AMT flaps, pedicle lengths were 10-15 cm, the rectus femoris branch was used as pedicle in 1 flap, with artery and vein more than 1.0 mm in diameter, and the descending branch of the lateral circumflex femoral artery was used as pedicle in other 2 flaps, the diameters of the arteries were 3.5 and 3.0 mm respectively, the diameters of the veins were 3.5 mm. The donor sites were directly closed in 7 cases and skin graft was performed in another case. All the flaps were alive and no complication was found in the donor sites.</p><p><b>CONCLUSION</b>TFL or AMT flap is an good alternative to ALT flap lacking useful perforator.</p>
Full text:
1
Database:
WPRIM
Main subject:
Arteries
/
General Surgery
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Surgical Flaps
/
Thigh
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Skin Transplantation
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Plastic Surgery Procedures
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Perforator Flap
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Head and Neck Neoplasms
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Methods
Limits:
Humans
Language:
Zh
Journal:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
Year:
2013
Document type:
Article