Yu Peirong
Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, FC-8.2000, 1400 Holcombe Boulevard, Houston 77030, USA.
Head Neck. 2004 Sep;26(9):759-69. doi: 10.1002/hed.20050.
Although the anterolateral thigh flap has been extensively used for head and neck reconstruction in Asia, reported variations of vascular anatomy seem confusing and may have contributed to the unpopularity of this flap in the United States. The purposes of this study are to classify the vascular anatomy and to assess the suitability of this flap for head and neck reconstruction in a Western population.
Seventy-two consecutive anterolateral thigh flaps for head and neck reconstruction was retrospectively reviewed.
The number of cutaneous perforators for the anterolateral thigh flap ranged from one to three. On the basis of their location and origin, a simple classification system is introduced to assist flap dissection. Of the 72 thighs explored, 68 flaps (94%) were raised successfully.
The vascular anatomy of the flap follows predictable patterns. The anterolateral thigh flap is well suited for head and neck reconstruction in Westerners.
尽管股前外侧皮瓣在亚洲已广泛用于头颈部重建，但所报道的血管解剖变异似乎令人困惑，这可能是该皮瓣在美国不受欢迎的原因之一。本研究的目的是对头颈部重建的股前外侧皮瓣的血管解剖进行分类，并评估该皮瓣在西方人群中用于头颈部重建的适用性。
回顾性分析72例连续用于头颈部重建的股前外侧皮瓣。
股前外侧皮瓣的皮穿支数量为1至3支。根据其位置和起源，引入了一个简单的分类系统以协助皮瓣解剖。在探查的72条大腿中，68例皮瓣（94%）成功切取。
该皮瓣的血管解剖遵循可预测的模式。股前外侧皮瓣非常适合西方人进行头颈部重建。
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