title: Combined Use of Anterolateral Thigh and Gluteal Fold Flaps for Complex Groin Reconstruction.
abstract: We present a case of an epithelioid sarcoma of the right groin in which wide resection resulted in a complex groin defect involving the full thickness of the abdominal wall and the perineum. We reconstructed the defect using a combination of pedicled anterolateral thigh (ALT) flap and gluteal fold flap. The functional and aesthetic results were satisfactory. The ALT flap with a robust iliotibial tract is the flap of choice for abdominal wall reconstruction; however, the area covered by the skin island of the flap is restricted because the skin island is tethered to the iliotibial tract. In such cases, a gluteal fold flap is ideal for an ALT flap. Therefore, using a combination of a pedicled ALT flap and a gluteal fold flap could be a reliable option for the reconstruction of a complex groin defect.
authors.affiliation: Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital, Chuo-ku, Tokyo, Japan; Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital East, Kashiwa, Chiba, Japan.
authors.forename: Masahide
authors.initials: M
authors.lastname: Fujiki
authors.affiliation: Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital, Chuo-ku, Tokyo, Japan; Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital East, Kashiwa, Chiba, Japan.
authors.forename: Shimpei
authors.initials: S
authors.lastname: Miyamoto
authors.affiliation: Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital, Chuo-ku, Tokyo, Japan; Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital East, Kashiwa, Chiba, Japan.
authors.forename: Masaki
authors.initials: M
authors.lastname: Arikawa
authors.affiliation: Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital, Chuo-ku, Tokyo, Japan; Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital East, Kashiwa, Chiba, Japan.
authors.forename: Minoru
authors.initials: M
authors.lastname: Sakuraba