Nearby perforator flaps as alternative choices for anterolateral thigh flap when lacking useful perforator
10.3760/cma.j.issn.1673-0860.2013.06.010
- VernacularTitle:应用周边穿支皮瓣作为股前外侧皮瓣皮穿支血管缺失时的替代方案研究
- Author:
Jie LIU
1
;
Bin ZHANG
;
De-Zhi LI
;
Song NI
;
Chang-Ming AN
;
Zhen-Gang XU
;
Shao-Yan LIU
Author Information
1. 100021,北京协和医学院中国医学科学院肿瘤研究所肿瘤医院头颈外科
- Keywords:
Surgical flaps;
Head and neck neoplasms;
Carcinoma,squamous cell
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2013;48(6):486-489
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the proposal using nearby perforator flaps as alternative reconstructive choices for anterolateral thigh (ALT) flap when lacking useful perforator.Methods From August 2010 to August 2012,8 cases with head and neck cancer were found lacking reliable perforator during ALT flap elevation,a tensor fascia latae (TFL) flap or an anteromedial thigh (AMT) flap was used to complete the reconstruction.Results All 8 alternative flaps were successfully harvested,other donor sites were not needed.Flap harvest time was 50-85 min.Of 5 TFL flaps,pedicle lengths were 6-10 cm,and the diameters of the arteries and veins were 2.5-3.0 mm and 2.5-3.5 mm respectively.Of 3 AMT flaps,pedicle lengths were 10-15 cm,the rectus femoris branch was used as pedicle in 1 flap,with artery and vein more than 1.0 mm in diameter,and the descending branch of the lateral circumflex femoral artery was used as pedicle in other 2 flaps,the diameters of the arteries were 3.5 and 3.0 mm respectively,the diameters of the veins were 3.5 mm.The donor sites were directly closed in 7 cases and skin graft was performed in another case.All the flaps were alive and no complication was found in the donor sites.Conclusion TFL or AMT flap is an good alternative to ALT flap lacking useful perforator.
