title: Anterolateral thigh adipofascial flap in mucosal reconstruction.
abstract: OBJECTIVE
  This study describes a reliable technique for mucosal reconstruction of large defects using components of a common free flap technique.
  
  
  OBJECTIVE
  To review the harvest technique and the varied scenarios in which the anterolateral thigh adipofascial flap (ALTAF) can be used for mucosal restoration in oral cavity and nasal reconstruction.
  
  
  METHODS
  A retrospective review of the medical records of 51 consecutive patients was conducted. The patients had undergone ALTAF head and neck reconstruction between January 2009 and June 2013. Each case was reviewed, and flap survival and goal-oriented results were evaluated.
  
  
  RESULTS
  Thirty patients met the inclusion criteria and were included in the analysis. The mean patient age was 60.6 years. Reconstruction sites included the tongue, palate, gingiva, floor of the mouth, and nasal mucosa. All mucosal reconstructions maintained function and form of replaced and preserved tissues. One patient (3%) experienced flap failure that was reconstructed with a contralateral adipofascial flap with excellent outcome. Three patients (10%) required minor flap revisions. There were no other complications.
  
  
  CONCLUSIONS
  The ALTAF is a versatile flap easily harvested for use in several types of mucosal reconstructions.
authors.affiliation: Head and Neck Institute, Department of Otolaryngology-Head and Neck Surgery, Cleveland Clinic, Cleveland, Ohio.
authors.forename: Peter C
authors.initials: PC
authors.lastname: Revenaugh
authors.affiliation: Head and Neck Institute, Department of Otolaryngology-Head and Neck Surgery, Cleveland Clinic, Cleveland, Ohio.
authors.forename: Timothy M
authors.initials: TM
authors.lastname: Haffey
authors.affiliation: Head and Neck Institute, Department of Otolaryngology-Head and Neck Surgery, Cleveland Clinic, Cleveland, Ohio.
authors.forename: Rahul
authors.initials: R
authors.lastname: Seth
authors.affiliation: Head and Neck Institute, Department of Otolaryngology-Head and Neck Surgery, Cleveland Clinic, Cleveland, Ohio.
authors.forename: Michael A
authors.initials: MA
authors.lastname: Fritz
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006085:Graft Survival / Q000502:physiology; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods; D008875:Middle Aged; D009061:Mouth Mucosa / Q000601:surgery*; D009062:Mouth Neoplasms / Q000601:surgery*; D009297:Nasal Mucosa / Q000601:surgery*; D009669:Nose Neoplasms / Q000601:surgery*; D061525:Perforator Flap / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D012086:Reoperation; D012189:Retrospective Studies; D013524:Surgical Flaps / Q000601:surgery*; D020858:Tissue and Organ Harvesting / Q000379:methods*