Application of Anteromedial Thigh Flap for the Reconstruction of Oral and Maxillofacial Defects

Free profunda femoris artery perforator flap as a first-line choice of reconstruction for partial glossectomy defects

“…Debate about differences in functional outcomes of these 2 flaps is extensive, with most authors concluding that both have similar results and tending to favor the latter because of suggested better resistance to postradiotherapy deformity, donor site potential complications, and aesthetic concerns . Many other free flap options have been described for reconstruction of the partial glossectomy defect, including the lateral arm, gracilis, vertical rectus abdominis myocutaneous, tensor fasciae latae, peroneal artery, medial sural perforator, anteromedial, anterior tibial perforator, superficial circumflex iliac artery, deep inferior epigastric artery perforator, and supraclavicular and rectus abdominis musculoperitoneal flaps. Most of those flaps have shown good outcomes at the expense of a difficult dissection, donor site morbidity, inconvenience of flap harvest, or the need of more extensive (and expensive) preoperative evaluation, therefore, they are reserved as the second choice for comorbid patients or those in which traditional ALT or radial forearm could not be used for other reasons.…”

Chimeric flaps pedicled with the lateral circumflex femoral artery for individualised reconstruction of through-and-through oral and maxillofacial defects

“…11,20 There are many cutaneous perforators consistently located in the upper and lower parts of the ALT region, which make chimeric ALT and ALT flaps reliable, easily raised, and the cause of minimal donor-site morbidity. They are the preferred anterior thigh chimeric flaps.…”

“…These 2 flaps can form chimeric ALT and AMT flaps that share the same vascular pedicle. 11,20 In the present series, 29 chimeric ALT and ALT flaps and 12 chimeric ALT and AMT flaps were raised to repair through-and-through defects. The use of separated flaps for the intraoral mucosa lining and the extraoral skin lining resulted in reconstructions with good functional results, acceptable aesthetic outcomes, and a high degree of patients' satisfaction.…”

Using the Saphenous Artery and Great Saphenous Vein Combined with Anterolateral Thigh Flap to Treat Skin Defects after Amputation

“…To cover the remaining wounds, free flap graft is often necessary. 4 5 6 7 However, fewer blood vessels that can be used for anastomosis are left, and inflammatory reaction after trauma can occur. Thus, choosing suitable blood vessels to anastomose with the descending branch of the contralateral circumflex femoral artery is critical to the success of the treatment.…”