Ng Raymond W M, Chan Jimmy Y W, Mok Vivian
Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, Hong Kong SAR, China.
Ann Plast Surg. 2008 Aug;61(2):201-3. doi: 10.1097/SAP.0b013e318158a013.
Anterolateral thigh (ALT) flap is one of the popular flaps for soft-tissue reconstruction. It is a versatile flap which commonly used to resurface external skin defect and internal mucosal lining. In addition if raised as musculocutaneous flap, the muscle portion provides bulk to fill up any potential space. With increase knowledge on the vascular anatomy of this flap, it is possible to harvest 2 skin paddles base on more than one branches of the supplying vessel. This technique is commonly employed to provide coverage of more than one epithelial surfaces such as the complex facial defect after maxillectomy where both the cheek skin and oral mucosa reconstruction are required. Using similar concept, we report a case in which a large external skin defect was successfully covered with an ALT flap and the donor site could be closed primarily without skin grafting.
股前外侧（ALT）皮瓣是软组织重建中常用的皮瓣之一。它是一种多功能皮瓣，常用于修复体表皮肤缺损和内部黏膜内衬。此外，如果将其作为肌皮瓣掀起，肌肉部分可提供体积以填充任何潜在间隙。随着对该皮瓣血管解剖学认识的增加，基于供应血管的多个分支有可能切取两个皮岛。该技术通常用于覆盖多个上皮表面，如在需要同时进行颊部皮肤和口腔黏膜重建的上颌骨切除术后复杂面部缺损的修复。运用类似的理念，我们报道了一例通过ALT皮瓣成功修复大面积体表皮肤缺损且供区可直接缝合而无需植皮的病例。
