title: [The anterolateral thigh flap: its versatility in oncological soft tissue reconstruction of the head and neck region].
abstract: The anterolateral thigh flap (ATL) has become a standard procedure in reconstructive microsurgery. In this study the results with the ALT for reconstruction in the head and neck area after tumor resection in 33 patients were retrospectively analyzed. Patients included 28 men and 5 women aged 47-70 years who suffered from intraoral and extraoral tumors. Satisfactory soft tissue coverage could be achieved in all patients and no flaps were lost. The ALT is a versatile free flap enabling reliable soft tissue reconstruction of complex defects in the head and neck region. Flap dissection and preparation of the recipient area can usually be performed simultaneously. Additional advantages include the long and strong caliber vascular pedicle, the low donor site morbidity and the different possibilities of tissue composition, making the ALT a workhorse flap in modern reconstructive microsurgery.
authors.affiliation: Abteilung für Plastische und Wiederherstellungschirurgie, Krankenhaus der Barmherzigen Brüder Salzburg, Lehrkrankenhaus der PMU Salzburg, Österreich. florian.ensat@bbsalz.at
authors.forename: F
authors.initials: F
authors.lastname: Ensat
authors.forename: H
authors.initials: H
authors.lastname: Schubert
authors.forename: M
authors.initials: M
authors.lastname: Hladik
authors.forename: G
authors.initials: G
authors.lastname: Eder
authors.forename: G
authors.initials: G
authors.lastname: Oberascher
authors.forename: J
authors.initials: J
authors.lastname: Beck
authors.forename: H M
authors.initials: HM
authors.lastname: Kholosy
authors.forename: G
authors.initials: G
authors.lastname: Wechselberger
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D008949:Adenoma, Pleomorphic / Q000601:surgery*; D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D001158:Arteries / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005260:Female; D058752:Free Tissue Flaps / Q000098:blood supply*; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000601:surgery; D009959:Oropharyngeal Neoplasms / Q000601:surgery; D010039:Otorhinolaryngologic Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D010255:Paranasal Sinus Neoplasms / Q000601:surgery; D011183:Postoperative Complications / Q000601:surgery; D018714:Radiotherapy, Adjuvant; D012086:Reoperation; D012189:Retrospective Studies; D020858:Tissue and Organ Harvesting / Q000379:methods; D014680:Veins / Q000601:surgery