Jagdeep S. Chana, Fu-chan Wei  British Journal of Plastic Surgery 

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Presentation transcript:

A review of the advantages of the anterolateral thigh flap in head and neck reconstruction  Jagdeep S. Chana, Fu-chan Wei  British Journal of Plastic Surgery  Volume 57, Issue 7, Pages 603-609 (October 2004) DOI: 10.1016/j.bjps.2004.05.032

Figure 1 Surface markings of the anterolateral thigh flap. British Journal of Plastic Surgery 2004 57, 603-609DOI: (10.1016/j.bjps.2004.05.032)

Figure 2 Perforator being dissected back to descending branch of the circumflex femoral vessels. British Journal of Plastic Surgery 2004 57, 603-609DOI: (10.1016/j.bjps.2004.05.032)

Figure 3 A thin suprafascial anterolateral thigh flap. (A) Note the perforator emerging from the fascia and preserved sensory nerve. (B) Elevated cutaneous flap with a small fascia cuff around the perforator. British Journal of Plastic Surgery 2004 57, 603-609DOI: (10.1016/j.bjps.2004.05.032)

Figure 4 ALT flap for tongue reconstruction and submental augmentation after hemiglossectomy and radical neck dissection. (A) Inset of flap for tongue reconstruction and neck augmentation. (B) Appearance of reconstructed tongue two years postoperation. (C) and (D) Face and neck appearance 2 years postoperation. British Journal of Plastic Surgery 2004 57, 603-609DOI: (10.1016/j.bjps.2004.05.032)

Figure 5 Extensive composite mandibular defect reconstruction with a fibula osteoseptocutaneous flap for intraoral lining and the mandible defect and an anterolateraled thigh flap for external face defect (A) Extensive composite left mandibular defect. (B) After double flap reconstruction. (C) Appearance one and half year after surgery. British Journal of Plastic Surgery 2004 57, 603-609DOI: (10.1016/j.bjps.2004.05.032)