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J Reconstr Microsurg 2015; 31(09): 684-687
DOI: 10.1055/s-0035-1558431
Letter to the Editor: Short Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Adipofascial Anterolateral Thigh Free Flaps for Oncologic Hand and Foot Reconstruction

Katie Weichman
1   Division of Plastic and Reconstructive Surgery, Department of Surgery, Montefiore Medical Center, Bronx, New York, New York
,
Robert J. Allen Jr.
2   Department of Plastic Surgery, Langone Medical Center, New York University, New York, New York
,
Vishal Thanik
2   Department of Plastic Surgery, Langone Medical Center, New York University, New York, New York
,
Evan Matros
3   Division of Plastic and Reconstructive Surgery, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York
,
Babak J. Mehrara
3   Division of Plastic and Reconstructive Surgery, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York
› Author Affiliations
Further Information

Publication History

02 May 2015

10 June 2015

Publication Date:
15 September 2015 (online)

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The anterolateral thigh flap (ALT) was first described in 1984 for use in patients suffering from neck burn contracture.[1] Since that time it has proven to be advantageous in numerous different reconstructive scenarios. Despite this versatility, one criticism of the ALT is the propensity for flap thickness adjustments. Several solutions to this problem have been proposed: primary thinning, secondary liposuction, and, recently, the adipofascial ALT flap (aALT).

The aALT is harvested in a similar fashion to the standard fasciocutaneous ALT; however, the skin and subcutaneous adipose tissue are removed from the flap before transfer, leaving an ultrathin flap on the range of 0.5 to 2.8 cm.[2] Herein, we describe our experience using the aALT for reconstruction of oncologic defects of the hand and foot.

 

  • References

  • 1 Song YG, Chen GZ, Song YL. The free thigh flap: a new free flap concept based on the septocutaneous artery. Br J Plast Surg 1984; 37 (2) 149-159
    CrossrefPubMedGoogle Scholar
  • 2 Agostini T, Russo GL, Zhang YX, Spinelli G, Lazzeri D. Adipofascial anterolateral thigh flap safety: applications and complications. Arch Plast Surg 2013; 40 (2) 91-96
    Article in Thieme ConnectPubMedGoogle Scholar
  • 3 Agostini T, Agostini V, Lazzeri D. The versatility of the adipofascial anterolateral flap. Plast Reconstr Surg 2010; 126 (3) 1129-1130
    PubMedGoogle Scholar
  • 4 Hsieh CH, Yang CC, Kuo YR, Tsai HH, Jeng SF. Free anterolateral thigh adipofascial perforator flap. Plast Reconstr Surg 2003; 112 (4) 976-982
    CrossrefPubMedGoogle Scholar
  • 5 Agostini T, Agostini V. Adipofascial anterolateral thigh free flap for hemifacial atrophy. Acta Otorhinolaryngol Ital 2009; 29 (2) 103-107
    PubMedGoogle Scholar
  • 6 Wang HT, Fletcher JW, Erdmann D, Levin LS. Use of the anterolateral thigh free flap for upper-extremity reconstruction. J Hand Surg Am 2005; 30 (4) 859-864
    CrossrefPubMedGoogle Scholar
  • 7 Wang X, Qiao Q, Liu Z , et al. Free anterolateral thigh adipofascial flap for hemifacial atrophy. Ann Plast Surg 2005; 55 (6) 617-622
    CrossrefPubMedGoogle Scholar
  • 8 Wolff KD, Kesting M, Löffelbein D, Hölzle F. Perforator-based anterolateral thigh adipofascial or dermal fat flaps for facial contour augmentation. J Reconstr Microsurg 2007; 23 (8) 497-503
    Article in Thieme ConnectPubMedGoogle Scholar
  • 9 Agostini T, Agostini V. Adipofascial versus fasciocutaneous anterolateral thigh flap in oral cavity reconstruction. Focus on the vascular supply. J Plast Reconstr Aesthet Surg 2009; 62 (12) e633-e634
    CrossrefPubMedGoogle Scholar
  • 10 Hanasono MM, Skoracki RJ, Silva AK, Yu P. Adipofascial perforator flaps for “aesthetic” head and neck reconstruction. Head Neck 2011; 33 (10) 1513-1519
    CrossrefPubMedGoogle Scholar