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Anterolateral Thigh Flap

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Free Flaps in Head and Neck Reconstruction

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Abstract

The anterolateral thigh (ALT) compartment has four anatomical limits: the rectus femoral muscle medially, the iliotibial tract laterally, the anterior superior iliac spine (ASIS) inferiorly, and the lateral femoral condyle inferiorly. A superficial fascia, with subcutaneous tissue, covers the entire muscular structure. The deepest fascia in the lateral part is formed by the tensor muscle of the fascia lata connected with the fascia lata to compose the iliotibial band, which provides stability in the knee joint.

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References

  1. Yu P. Characteristics of the anterolateral thigh flap in a western population and its application in head and neck reconstruction. Head Neck. 2004;26:759–69.

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Further Reading

  • Wei FC, Jain V, Celik N, Chen HC, Chuang DC, Lin CH. Have we found an ideal soft-tissue flap? An experience with 672 anterolateral thigh flaps. Plast Reconstr Surg. 2002;109:2219–26.

    Article  Google Scholar 

  • Bianchi B, Ferri A, Ferrari S, Copelli C, Boni P, Ferri T, et al. The free anterolateral thigh musculocutaneous flap for head and neck reconstruction: one surgeon’s experience in 92 cases. Microsurgery. 2012;32:87–95.

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  • Celik N, Wei FC, Lin CH, et al. Technique and strategy in anterolateral thigh perforator flap surgery, based on an analysis of 15 complete and partial failures in 439 cases. Plast Reconstr Surg. 2002;109:2211–116; discussion 7–8

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  • Cherubino M, Berli J, Turri-Zanoni M, et al. Sandwich fascial anterolateral thigh flap in head and neck reconstruction: evolution or revolution? Plast Reconstr Surg Glob Open. 2017;5:e1197.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Otorhinolaryngology-Head and Neck Surgery, University Hospital of Verona Borgo Trento, Verona, Italy

    G. Molteni

  2. Department of Surgery, Dentistry, Paediatrics and Gynaecology, University of Verona, Verona, Italy

    G. Molteni

  3. Maxillofacial Surgery and Dentistry, University Hospital of Verona Borgo Roma, Verona, Italy

    L. Lanaro, A. Fior & G. Giampaoli

  4. Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Modena, Modena, Italy

    M. Ghirelli

  5. Department of Otolaryngology-Head and Neck Surgery, IRCCS “Regina Elena” National Cancer Institute, Rome, Italy

    R. Pellini

Authors
  1. G. Molteni
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  2. L. Lanaro
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  3. M. Ghirelli
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  4. A. Fior
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  5. G. Giampaoli
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  6. R. Pellini
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Editor information

Editors and Affiliations

  1. Department of Otolaryngology-Head and Neck Surgery, IRCCS “Regina Elena” National Cancer Institute, Rome, Italy

    Raul Pellini

  2. Department of Otorhinolaryngology-Head and Neck Surgery, University Hospital of Verona Borgo Trento, Verona, Italy

    Gabriele Molteni

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Molteni, G., Lanaro, L., Ghirelli, M., Fior, A., Giampaoli, G., Pellini, R. (2020). Anterolateral Thigh Flap. In: Pellini, R., Molteni, G. (eds) Free Flaps in Head and Neck Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-030-29582-0_8

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  • DOI: https://doi.org/10.1007/978-3-030-29582-0_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-29581-3

  • Online ISBN: 978-3-030-29582-0

  • eBook Packages: MedicineMedicine (R0)

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