Role of the anterolateral thigh flap in head and neck reconstruction: Advantages of moderate skin and subcutaneous thickness

Bin Nakayama, Ikuo Hyodo, Yasuhisa Hasegawa, Yasushi Fujimoto, Hidehiro Matsuura, Hiroshi Yatsuya, Shuhei Torii

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

Skin-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. The anterolateral thigh flap creates a moderately thick skin flap, and is less variable in thickness across its area than is the rectus abdominis flap. The flap is adaptable for reconstruction of head and neck soft-tissue defects.

Original languageEnglish
Pages (from-to)141-145
Number of pages5
JournalJournal of Reconstructive Microsurgery
Volume18
Issue number3
DOIs
Publication statusPublished - 06-05-2002

All Science Journal Classification (ASJC) codes

  • Surgery

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