• Department of Plastic Surgery,Peking Union Medical College Hospital,Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing,100730,P. R. China ;
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Objective To discuss different applications ofanterolateral thigh flap in repairing large skinsoft tissue defects. Methods From January 1997 to July 2004, 27 pitients with large-complex tissue defects were treated using anterolateral thigh flap. The tissue defect was located at face in 9 cases,at cervix in 4 cases, at lower limbs in 6 cases, at vulvae in 4 cases,at hip in 1 case, at groin in 1 case and at breast tissue in 2 cases. The defect area was from 9 cm×8 cm to 20 cm×15 cm and the flap was harvested from 10 cm×8 cm to 33 cm×15 cm. Results Flaps survived in 26 cases after operation, and patients were satisfied with local function and appearance; flap necrosis occurred only in1 case,and the defect was covered with free skin graft after dress exchanges. Twenty-three cases were followed up from 3 months to 2 years. The appearance and the sense of recipient site were similar to the adjacent tissue. No obvious malformation of the donor site was observed. No local recurrence was found in the 6 cases of malignancy during the follow-up from 6 months to 15 months. Conclusion Anterolateral thigh skin flap can provide enough tissue to repair large skinsoft tissue defect,and can be used in different ways. So anterolateral femoral skin flap is an ideal flap in repairing large skinsoft tissue defect.

Citation: SUN Baodong,QIAO Qun,YAN Yingjun.. CLINICAL APPLICATIONS OF ANTEROLATERAL THIGH FLAP. Chinese Journal of Reparative and Reconstructive Surgery, 2006, 20(5): 550-552. doi: Copy