Sorrentino Joshua M, Al Afif Ayham, Magner William J, Sigurdson S Lynn, Davies Jason M, Fenstermaker Robert A, Ghannam Moleca, McSpadden Ryan P
Head and Neck Reconstructive Surgery Department, Roswell Park Comprehensive Cancer Center and Jacobs School of Medicine and Biomedical Sciences, University of Buffalo, New York, USA.
J Laryngol Otol. 2025 Mar;139(3):237-241. doi: 10.1017/S0022215124001385.
The adipofascial anterolateral thigh (AF-ALT) free flap represents a versatile technique in head and neck reconstructions, with its applications increasingly broadening. The objective was to detail the novel utilization of the AF-ALT flap in orbital and skull base reconstruction, along with salvage laryngectomy onlay in our case series.
We conducted a retrospective analysis at Roswell Park Comprehensive Cancer Center, spanning from July 2019 to June 2023, focusing on patient demographics and reconstructive parameters data.
The AF-ALT flap was successfully employed in eight patients (average age 59, body mass index [BMI] 32.0) to repair various defects. Noteworthy outcomes were observed in skull base reconstructions, with no flap failures or major complications over an average 12-month follow-up. Donor sites typically healed well with minimal interventions.
Our series is the first to report the AF-ALT flap's efficacy in anterior skull base and orbital reconstructions, demonstrating an additional innovation in complex head and neck surgeries.
股前外侧脂肪筋膜（AF-ALT）游离皮瓣是一种用于头颈部重建的多功能技术，其应用范围日益扩大。目的是详细介绍AF-ALT皮瓣在眼眶和颅底重建中的新应用，以及在我们的病例系列中用于挽救性喉切除修补术的情况。
我们在罗斯韦尔帕克综合癌症中心进行了一项回顾性分析，时间跨度为2019年7月至2023年6月，重点关注患者人口统计学和重建参数数据。
AF-ALT皮瓣成功应用于8例患者（平均年龄59岁，体重指数[BMI]32.0），用于修复各种缺损。在颅底重建中观察到了显著效果，平均12个月的随访期间未出现皮瓣失败或重大并发症。供区通常在极少干预的情况下愈合良好。
我们的系列研究首次报告了AF-ALT皮瓣在前颅底和眼眶重建中的疗效，展示了复杂头颈部手术中的又一项创新。
