[Free anterolateral thigh flap for reconstruction of head and neck defects: preliminary results and a comparison with the radial forearm flap].
BACKGROUND
The authors present their personal preliminary experience with the free anterolateral thigh flap in the reconstruction of head and neck defects and compare these first cases with the radial forearm flaps.


METHODS
Seventeen patients undergoing free flap reconstruction between December 1998 and September 2001 have been selected for this retrospective study and evaluated. In fourteeen patients reconstruction was performed with a radial forearm flap. In three patients an anterolateral thigh flap was used. Six dissections on cadavers have also been performed in order to study the anatomical variations of the perforators of the lateral circumflex femoral system.


RESULTS
All flaps survived, without any major vascular impairment.


CONCLUSIONS
Despite a laborious dissection of the pedicle the anterolateral thigh is a versatile flap, with a minimal morbidity of the donor area. Even if the radial forearm is overall accepted as the gold standard for head and neck reconstruction, the anterolateral thigh flap is suggested as a good and safe surgical option, especially when a large flap is requested or in female patients concerned with the cosmetic result in the forearm donor area.
Ribuffo
D
D
Cattedra di Chirurgia Plastica, Università degli Studi di Roma La Sapienza, Policlinico Umberto I, Rome, Italy.
Tenna
S
S
Chiummariello
S
S
Cigna
E
E
Fioramonti
P
P
Minni
A
A
Scuderi
N
N
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D013524:Surgical Flaps
Ricostruzione microchirurgica dell'estremo cefalico con il lembo anterolaterale di coscia. Risultati preliminari e valutazione comparativa con il lembo antibrachiale.