Anterolateral thigh flap (ALTF), since its first description, has challenged the role of the radial artery forearm free flap (RFFF) in head and neck reconstruction. The aim of our study was to objectively compare the two flaps in head and neck reconstruction. From March 2006 to January 2008, 61 head and neck reconstructions were done, 33 using RFFF and 28 using ALTF. Mean patient age was 46.93 years. There were 54 tumor and six trauma cases. Flap elevation time, pedicle length and diameter, flap failure, and re-exploration rates were not significantly different between the two flaps ( p value = 0.698, 0.978, 0.832, 0.908, respectively). Significantly larger flaps were harvested from the anterolateral thigh compared to the forearm ( p value = 0.000, 0.001). At the same time, the donor site complications were significantly lower in the ALTF cases ( p value = 0.029). Considering the larger amount of flap available from a hidden donor site with a reliable vascular pedicle and a low frequency of donor site morbidity, we recommend that ALTF should be considered as a first choice for soft tissue defects in the head and neck region.
European Journal of Plastic Surgery – Springer Journals
Published: Apr 1, 2009
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.
Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera