Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

ANTEROLATERAL THIGH FLAP FOR HEAD AND NECK RECONSTRUCTION : ANATOMIC STUDY

두경부재건을 위한 전외측 대퇴유리피판: 해부학적 연구

  • Park, Joo-Yong (Oral Cancer Clinic, Research Institute and Hospital, National Cancer Center) ;
  • Park, Hyun-Do (Department of Oral Biology, College of Dentistry, Yonsei University) ;
  • Youn, Kwan-Hyun (Department of Oral Biology, College of Dentistry, Yonsei University) ;
  • Kwak, Hyun-Ho (Department of Oral Biology, College of Dentistry, Yonsei University) ;
  • Hu, Kyung-Seok (Department of Oral Biology, College of Dentistry, Yonsei University) ;
  • Kang, Hyun-Joo (Department of Oral Biology, College of Dentistry, Yonsei University) ;
  • Kim, Hee-Jin (Department of Oral Biology, College of Dentistry, Yonsei University) ;
  • Choi, Sung-Weon (Oral Cancer Clinic, Research Institute and Hospital, National Cancer Center)
  • 박주용 (국립암센터 구강종양클리닉) ;
  • 박현도 (연세대학교 치과대학 구강생물학교실) ;
  • 윤관현 (연세대학교 치과대학 구강생물학교실) ;
  • 곽현호 (연세대학교 치과대학 구강생물학교실) ;
  • 허경석 (연세대학교 치과대학 구강생물학교실) ;
  • 강현주 (연세대학교 치과대학 구강생물학교실) ;
  • 김회진 (연세대학교 치과대학 구강생물학교실) ;
  • 최성원 (국립암센터 구강종양클리닉)
  • Published : 2005.07.30
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Abstract

The anterolateral thigh flap was originally described in 1984 as a septocutaneous flap based on the descending branch of the lateral circumflex artery. This flap has some significant advantages for reconstruction of the head and neck. It can be raised as a subcutaneous flap, a fasciocutaneous flap, or a myocutaneous flap and can resurface large defects in the head and neck. In addition, it has a large and long vascular pedicle, and because of the distance of the donor site from the head and neck, it can easily be harvested with a 2-team approach. However, the number and locations of cutaneous perforators vary individually, and thus, it is not widely used because flap elevation is often complicated and time-consuming owing to unexpected anatomical variations. The purposes of this study are to classify the vascular anatomy and to assess the suitability of anterolateral thigh flap for head and neck reconstruction in Korean. We performed an anatomic study on cadavers and analyzed the anatomic pattern of the lateral circumflex femoral arterial system and the perforators nourishing the anterolateral thigh flap. This study suggest the characteristics of vascular anatomic patterns of anterolateral thigh flap of Korean and utility of this flap for head and neck reconstruction.

Keywords

References

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