Division of Oral and Maxillofacial Surgery, Faculty of Dentistry, The University of Hong Kong, Prince Philip Dental Hospital, 34 Hospital Road, Sai Ying Pun, Hong Kong.
Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Oral Maxillofac Surg Clin North Am. 2024 Nov;36(4):451-462. doi: 10.1016/j.coms.2024.07.001. Epub 2024 Aug 13.
The anterolateral thigh (ALT) free flap has become a workhorse for head and neck reconstruction. This paper offers a thorough introduction to the ALT flap, covering its anatomy, surgical technique, adaptable designs, and use in a range of clinical settings along with case studies. With its long vascular pedicle and tissue versatility, the ALT flap is well-suited for matching varied defects. Still, understanding possible anatomic variances and managing complications are critical to its success. With this paper as a comprehensive guidance, surgeons can apply the ALT flap for difficult head and neck reconstructions and achieve the best possible results.
股前外侧皮瓣(ALT)游离皮瓣已成为头颈部重建的常用方法。本文全面介绍了 ALT 皮瓣,包括其解剖结构、手术技术、可适应的设计以及在各种临床环境中的应用,并结合病例进行了说明。由于其血管蒂长且组织多样性,股前外侧皮瓣非常适合匹配各种不同的缺损。然而,了解可能存在的解剖变异和处理并发症对于确保手术成功至关重要。本文为外科医生提供了全面的指导,使他们能够对头颈部复杂重建应用 ALT 皮瓣,并获得最佳的治疗效果。