title: The anterolateral thigh fold-over flap for total and subtotal glossectomy reconstruction.
abstract: BACKGROUND
  We present a fold-over technique for total and subtotal glossectomy reconstruction utilizing the ALT flap with the goal of increasing soft tissue bulk.
  
  
  METHODS
  Retrospective review of total and subtotal glossectomy patients undergoing ALT fold-over flap reconstruction from January 2007 to December 2012.
  
  
  RESULTS
  Eight patients fit inclusion criteria. Average length of follow-up was 35 months. There were no flap failures. At last follow-up, no patients were tracheostomy dependent. Six out of 8 patients (75%) did not require a g-tube and were able to maintain their weight. Speech intelligibility was good in 6/8 patients (75%).
  
  
  CONCLUSIONS
  The ALT fold-over flap technique provides sufficient bulk to allow decannulation and airway protection as well as PO intake in most patients. Given the minimal donor site morbidity, it is our technique of choice for total and subtotal glossectomy defects. © 2016 Wiley Periodicals, Inc. Microsurgery 36:297-302, 2016.
authors.affiliation: Division of Otolaryngology-Head & Neck Surgery, Department of Surgery, Geisel School of Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH.
authors.forename: Joseph A
authors.initials: JA
authors.lastname: Paydarfar
authors.affiliation: Division of Plastic Surgery, Department of Surgery, Geisel School of Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH.
authors.forename: Gary L
authors.initials: GL
authors.lastname: Freed
authors.affiliation: Division of Otolaryngology-Head & Neck Surgery, Department of Surgery, Geisel School of Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH.
authors.forename: Benoit J
authors.initials: BJ
authors.lastname: Gosselin
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D058752:Free Tissue Flaps / Q000637:transplantation*; D005927:Glossectomy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D013848:Thigh