The combined free partial vastus lateralis with anterolateral thigh perforator flap reconstruction of extensive composite defects  N.A.S. Posch, M.A.M. Mureau, S.J. Flood, S.O.P. Hofer  British Journal of Plastic Surgery  Volume 58, Issue 8, Pages 1095-1103 (December 2005) DOI: 10.1016/j.bjps.2005.04.022 Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 1 Schematic representation of a musculocutaneous vastus lateralis with anterolateral thigh skin flap with a skin island based on multiple perforators on top of the vastus lateralis muscle. British Journal of Plastic Surgery 2005 58, 1095-1103DOI: (10.1016/j.bjps.2005.04.022) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 2 Lumbar defect in a 10-year-old spina bifida patient with exposed osteosynthesis material after T8-L5 spondylodesis and failed local flap coverage. British Journal of Plastic Surgery 2005 58, 1095-1103DOI: (10.1016/j.bjps.2005.04.022) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 3 Musculocutaneous partial vastus lateralis with anterolateral thigh skin flap in right donor leg. British Journal of Plastic Surgery 2005 58, 1095-1103DOI: (10.1016/j.bjps.2005.04.022) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 4 Reconstructed lumbar area showing musculocutaneous partial vastus lateralis with anterolateral thigh flap at 7 months follow-up. British Journal of Plastic Surgery 2005 58, 1095-1103DOI: (10.1016/j.bjps.2005.04.022) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 5 Schematic representation of a musculocutaneous vastus lateralis with anterolateral thigh skin perforator flap with a skin island based on a single skin perforator enabling maximal rotation of the skin in relation to the muscle. British Journal of Plastic Surgery 2005 58, 1095-1103DOI: (10.1016/j.bjps.2005.04.022) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 6 Right temporal defect after extensive resection of a basal cell carcinoma with transdural growth. British Journal of Plastic Surgery 2005 58, 1095-1103DOI: (10.1016/j.bjps.2005.04.022) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 7 Musculocutaneous partial vastus lateralis with anterolateral thigh skin perforator flap, where the skin part was harvested on a single perforator enabling liberal independent movement of muscle and skin. British Journal of Plastic Surgery 2005 58, 1095-1103DOI: (10.1016/j.bjps.2005.04.022) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 8 Reconstructed temporal defect showing musculocutaneous partial vastus lateralis with anterolateral thigh skin perforator flap at 1 year follow-up. British Journal of Plastic Surgery 2005 58, 1095-1103DOI: (10.1016/j.bjps.2005.04.022) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 9 Schematic representation of a chimera musculocutaneous vastus lateralis with anterolateral thigh skin perforator flap with a muscular part on its individual vascular pedicle. British Journal of Plastic Surgery 2005 58, 1095-1103DOI: (10.1016/j.bjps.2005.04.022) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 10 Defect after resection of 70% of the base of the tongue while leaving the anterior mobile tongue mostly intact. British Journal of Plastic Surgery 2005 58, 1095-1103DOI: (10.1016/j.bjps.2005.04.022) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 11 Chimera musculocutaneous partial vastus lateralis with anterolateral thigh skin perforator flap with the muscular part on its individual vascular pedicle branching of the perforator vessels to the skin part of the flap. British Journal of Plastic Surgery 2005 58, 1095-1103DOI: (10.1016/j.bjps.2005.04.022) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 12 Intraoperative result of base of tongue reconstruction after inset of a chimera musculocutaneous partial vastus lateralis with anterolateral thigh skin perforator flap. British Journal of Plastic Surgery 2005 58, 1095-1103DOI: (10.1016/j.bjps.2005.04.022) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions