Adipofascial perforator flaps for “aesthetic” head and neck reconstruction

Hanasono, Matthew M.; Skoracki, Roman J.; Silva, Amanda K.; Yu, Peirong

doi:10.1002/hed.21637

Cited by 42 publications

(48 citation statements)

References 26 publications

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“…Advantages are this flap provides a long, large vascular pedicle, this flap can provide a huge amount of skin, muscle, and fascia with little donor site morbidity, It can be used as a sensate or a flow-through flap (17,18). The anterolateral thigh free flap can technically be combined with iliac bone (31).…”

Section: Discussionmentioning

confidence: 99%

Microvascular Free Flaps Reconstruction of Composite Resection Defects

2017

IJSR

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Section: Discussionmentioning

confidence: 99%

Microvascular Free Flaps Reconstruction of Composite Resection Defects

2017

IJSR

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“…9 This flap is also used for reconstruction of head and neck contour and extremity defects. [15][16][17] In this study, we use this flap to provide oral lining and obliterate the ITF cavity. The intraoral part gradually shrinks and gets mucosalized providing a smooth taut surface for dental prosthesis.…”

Section: Discussionmentioning

confidence: 99%

Versatility of Adipofascial Anterolateral Thigh Flap for Reconstruction of Maxillary Defects with Infratemporal Fossa Extension

Kekatpure

Hedne

Chavre

et al. 2014

Craniomaxillofacial Trauma & Reconstruction

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Tumors arising from the posterior hard palate or posterolateral maxilla may extend to involve the infratemporal fossa (ITF). Resection of these tumors results in infrastructural maxillectomy with ITF defects. In this study, we describe the use of an adipofascial anterolateral thigh flap (ALT) specifically for such defects. This case series includes four patients who underwent an infrastructure maxillectomy with ITF clearance and the resultant defects were reconstructed using adipofascial anterolateral thigh flaps. The complications as well as the functional outcomes were assessed. This study included patients with lesions involving the hard palate, posterolateral part of maxilla with extension into the ITF. The mean flap dimension was 150 cm2 (range, 120–180 cm2). All flaps were harvested based on a single perforator. The flap was used to obliterate the ITF defect and also to achieve oroantral separation. All flaps mucosalized well within 6 weeks. All patients were on oral diet and had adequate mouth opening. There were no donor-site complications. Adipofascial ALT is an excellent choice for infrastructural maxillectomy defects with ITF extension. The intraoral part got mucosalized well and provided a smooth and taut surface. A large adipofascial tissue flap helps obliterate the ITF, thus minimizing complications.

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“…The selection of the right flap for the right patient is vital for the reconstructive success and outcome. The following general selection algorithm has proven helpful in addressing this issue: perforator flaps for example are beneficial for coverage of smaller-sized lesions (Hanasono et al 2011); RFF for medium sized ones (Chen et al 2005); and ALT are used for reconstructions needing larger volumes of tissue (Wei et al 2002;Yu 2004). This algorithm can support decision making in most common cases, but problems remain in patients with huge defects.…”

Section: Introductionmentioning

confidence: 98%