Variability of anterolateral thigh flap perforator locations – clinical implications-Reference-Cited by-同舟云学术

Variability of anterolateral thigh flap perforator locations – clinical implications

Published:2023-12-14 Issue:SUPLEMENT 1 Volume:96 Page:36-40
ISSN:0032-373X
Container-title:Polish Journal of Surgery
language:
Short-container-title:Pol Przegl Chir

Author:

Gabryszewski Mateusz¹,Kasielska-Trojan Anna²^ORCID,Sitek Aneta³,Antoszewski Bogusław²

Affiliation:

1. Individual Course of Study – Plastic, Reconstructive and Aesthetic Surgery Clinic, Institute of Surgery, Medical University of Lodz, Poland

2. Plastic, Reconstructive and Aesthetic Surgery Clinic, Institute of Surgery, Medical University of Lodz, Poland

3. Department of Anthropology, University of Lodz, Poland

Abstract

Introduction: The anterolateral thigh flap is an example of a free flap widely applied for reconstruction of tissues within various areas of the body. Aim: The aim of the study was to determine the most common locations of the ALT flap perforators in men and women as well as to clarify any potential differences in the location of the vessel in male vs. female subjects. Material and method: In years 2021–2022, a study was conducted at the Plastic, Reconstructive, and Aesthetic Surgery Clinic in a group of 90 volunteers (45 women and 45 men, a total of 180 lower extremities) to determine the location of the anterolateral thigh flap perforator against the flap surface using a portable Doppler probe. Results: Variable locations were revealed for the anterolateral thigh flap perforator within the study. In women, the perforator is located more distally from the anterior superior iliac spine, most frequently within the inferolateral quadrant, while being located closer to the anterior superior iliac spine, and most frequently within the superolateral quadrant, in men. No perforator was found in 3.3% of the examined limbs. No statistically significant differences were observed between the course of the perforators within the left and right lower limbs in individual patients. Conclusions: The location of the ALT flap perforator is subject to sexual dimorphism, which facilitates the investigation area being narrowed down to the well-defined locations of its most frequent occurrence when planning anterolateral thigh flap reconstructive procedures.

Publisher

Index Copernicus

Link

https://ppch.pl/gicid/pdf/01.3001.0053.9856

Reference25 articles.

1. Song Y.G., Chen G.Z., Song Y.L.: The free thigh flap: a new free flap conceptbased on the septocutaneous artery. Br J Plast Surg., 1984; 37: 149–159.

2. Cannady S.B., Mady L.J., Brody R.M. et al.: Anterolateral thigh osteomyocutaneous flap in head and neck: Lessons learned. Microsurgery., 2022; 42(2):117–124. doi: 10.1002/micr.30779.

3. Xu F., Deng D., Li B. et al.: Adipofascial anterolateral thigh free flap in hypopharyngeal and oropharyngeal reconstruction. Microsurgery., 2022; 42(6):586–592. doi: 10.1002/micr.30863.

4. Terrell M., Roberts W., Price C.W. et al.: Anatomy of the pedicled anterolateral thigh flap for phalloplasty in transitioning-males. Clin Anat., 2018; 31(2):160–168. doi: 10.1002/ca.23017.

5. Liu Z., Liu S., Yang L. et al.: Reconstruction of large-area wounds in limbs usingtwo flow-through anterolateral thigh perforator flaps. Injury., 2023; 54(10): 110979 doi: 10.1016/j.injury.2023.110979.