Clinical application of relaying anteromedial thigh perforator flap in resurfacing of donor defect after anterolateral thigh flap transfer_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

SONG Dajiang ,  LI Zan , ZHOU Xiao , PENG Xiaowei , ZHOU Bo , LÜ Chunliu , YANG Lichang , PENG Wen

Department of Oncology Plastic Surgery, Hunan Province Cancer Hospital, Changsha Hunan, 410008, P.R.China;

Corresponding author：

LI Zan, Email: zzanli@163.com

Keywords：

Anteromedial thigh perforator flap; relaying flap; free flap transplantation; anterolateral thigh perforator flap

DOI：

10.7507/1002-1892.201609085

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the clinical application of relaying anteromedial thigh (AMT) perforator flap in resurfacing of the donor defect after anterolateral thigh (ALT) flap transfer. Methods Between February 2012 and December 2015, 23 cases of oral carcinoma underwent radical resection; after resection of lesions, the tongue or mouth floor defects were reconstructed by ALT perforator flaps, and the donor sites were repaired with relaying AMT perforator flap at the same stage. There were 21 males and 2 females,with a mean age of 52.6 years (range, 29-74 years). Sixteen patients had tongue squamous cell carcinoma and 7 patients had buccal cancer. According to TNM tumor stage, 3 cases were classified as T₄N₀M₀, 5 cases as T₄N₁M₀, 7 cases as T₃N₁M₀, 5 cases as T₃N₂M₀, and 3 cases as T₃N₀M₀. The disease duration ranged from 6 to 18 months (mean, 8.8 months). Results The AMT perforators existed consistently in all patients. All flaps survived, and primary healing of wounds was obtained at recipient sites and donor sites. No vascular crisis, wound dehiscence, or obvious swelling occurred. All patients were followed up 6-20 months (mean, 9.4 months). There was only linear scar at the donor sites, and the function of thighs was normal. The color and contour of the flaps were satisfactory. Conclusion The relaying AMT perforator flap is an ideal choice to reconstruct the donor site of ALT flap.

Citation： SONGDajiang, LIZan, ZHOUXiao, PENGXiaowei, ZHOUBo, LÜChunliu, YANGLichang, PENGWen. Clinical application of relaying anteromedial thigh perforator flap in resurfacing of donor defect after anterolateral thigh flap transfer. Chinese Journal of Reparative and Reconstructive Surgery, 2017, 31(1): 52-56. doi: 10.7507/1002-1892.201609085 Copy

1.	Koshima I, Fukuda H, Yamamoto H, et al. Free anterolateral thigh flaps for reconstruction of head and neck defects. Plast Reconstr Surg, 1993, 92(3): 421-430.
2.	Wei FC, Jain V, Celik N, et al. Have we found an ideal soft-tissue flap? An experience with 672 anterolateral thigh flaps. Plast Reconstr Surg, 2002, 109(7): 2219-2230.
3.	Zhang Q, Qiao Q, Yang X, et al. Clinical application of the anterolateral thigh flap for soft tissue reconstruction. J Reconstr Microsurg, 2010, 26(2): 87-94.
4.	Yamada N, Kakibuchi M, Kitayoshi H, et al. A new way of elevating the anterolateral thigh flap. Plast Reconstr Surg, 2001, 108(6): 1677-1682.
5.	Zhao Y, Qiao Q, Liu Z, et al. Alternative method to improve the repair of the donor site of the anterolateral thigh flap. Ann Plast Surg, 2002, 49(6): 593-598.
6.	Hupkens P, Van Loon B, Lauret GJ, et al. Anteromedial thigh flaps: an anatomical study to localize and classify anteromedial thigh perforators. Microsurgery, 2010, 30(1): 43-49.
7.	Yu P, Selber J. Perforator patterns of the anteromedial thigh flap. Plast Reconstr Surg, 2011, 128(3): 151e-157e.
8.	周晓, 胡炳强, 罗以. 浅谈肿瘤整形外科形成的必要性. 中国肿瘤, 2001, 10(12): 694-695.
9.	Wong CH, Wei FC. Anterolateral thigh flap. Head Neck, 2010, 32(4): 529-540.
10.	Kimata Y, Uchiyama K, Ebihara S, et al. Anterolateral thigh flap donor-site complications and morbidity. Plast Reconstr Surg, 2000, 106(3): 584-589.
11.	Hanasono MM, Skoracki RJ, Yu P. A prospective study of donor-site morbidity after anterolateral thigh fasciocutaneous and myocutaneous free flap harvest in 220 patients. Plast Reconstr Surg, 2010, 125(1): 209-214.
12.	Agostini T, Lazzeri D, Spinelli G. Anterolateral thigh flap: systematic literature review of specific donor-site complications and their management. J Craniomaxillofac Surg, 2013, 41(1): 15-21.
13.	Tong D, Liu Y, Wu LW, et al. Free groin flap for aesthetic and functional donor-site closure of the anterolateral thigh flap. J Plast Reconstr Aesthet Surg, 2016, 69(8): 1116-1120.
14.	Shimizu T, Fisher DR, Carmichael SW, et al. An anatomic comparison of septocutaneous free flaps from the thigh region. Ann Plast Surg, 1997, 38(6): 604-610.
15.	Taylor GI, Pan WR. Angiosomes of the leg: anatomic study and clinical implications. Plast Reconstr Surg, 1998, 102(3): 599-618.
16.	Koshima I, Hosoda M, Inagawa K, et al. Free medial thigh perforator-based flaps: new definition of the pedicle vessels and versatile application. Ann Plast Surg, 1996, 37(5): 507-515.
17.	Chang CC, Wong CH, Wei FC. Free-style free flap. Injury, 2008, 39 Suppl 3: S57-61.

1. Koshima I, Fukuda H, Yamamoto H, et al. Free anterolateral thigh flaps for reconstruction of head and neck defects. Plast Reconstr Surg, 1993, 92(3): 421-430.
2. Wei FC, Jain V, Celik N, et al. Have we found an ideal soft-tissue flap? An experience with 672 anterolateral thigh flaps. Plast Reconstr Surg, 2002, 109(7): 2219-2230.
3. Zhang Q, Qiao Q, Yang X, et al. Clinical application of the anterolateral thigh flap for soft tissue reconstruction. J Reconstr Microsurg, 2010, 26(2): 87-94.
4. Yamada N, Kakibuchi M, Kitayoshi H, et al. A new way of elevating the anterolateral thigh flap. Plast Reconstr Surg, 2001, 108(6): 1677-1682.
5. Zhao Y, Qiao Q, Liu Z, et al. Alternative method to improve the repair of the donor site of the anterolateral thigh flap. Ann Plast Surg, 2002, 49(6): 593-598.
6. Hupkens P, Van Loon B, Lauret GJ, et al. Anteromedial thigh flaps: an anatomical study to localize and classify anteromedial thigh perforators. Microsurgery, 2010, 30(1): 43-49.
7. Yu P, Selber J. Perforator patterns of the anteromedial thigh flap. Plast Reconstr Surg, 2011, 128(3): 151e-157e.
8. 周晓, 胡炳强, 罗以. 浅谈肿瘤整形外科形成的必要性. 中国肿瘤, 2001, 10(12): 694-695.
9. Wong CH, Wei FC. Anterolateral thigh flap. Head Neck, 2010, 32(4): 529-540.
10. Kimata Y, Uchiyama K, Ebihara S, et al. Anterolateral thigh flap donor-site complications and morbidity. Plast Reconstr Surg, 2000, 106(3): 584-589.
11. Hanasono MM, Skoracki RJ, Yu P. A prospective study of donor-site morbidity after anterolateral thigh fasciocutaneous and myocutaneous free flap harvest in 220 patients. Plast Reconstr Surg, 2010, 125(1): 209-214.
12. Agostini T, Lazzeri D, Spinelli G. Anterolateral thigh flap: systematic literature review of specific donor-site complications and their management. J Craniomaxillofac Surg, 2013, 41(1): 15-21.
13. Tong D, Liu Y, Wu LW, et al. Free groin flap for aesthetic and functional donor-site closure of the anterolateral thigh flap. J Plast Reconstr Aesthet Surg, 2016, 69(8): 1116-1120.
14. Shimizu T, Fisher DR, Carmichael SW, et al. An anatomic comparison of septocutaneous free flaps from the thigh region. Ann Plast Surg, 1997, 38(6): 604-610.
15. Taylor GI, Pan WR. Angiosomes of the leg: anatomic study and clinical implications. Plast Reconstr Surg, 1998, 102(3): 599-618.
16. Koshima I, Hosoda M, Inagawa K, et al. Free medial thigh perforator-based flaps: new definition of the pedicle vessels and versatile application. Ann Plast Surg, 1996, 37(5): 507-515.
17. Chang CC, Wong CH, Wei FC. Free-style free flap. Injury, 2008, 39 Suppl 3: S57-61.

Chinese Journal of Reparative and Reconstructive Surgery

Clinical application of relaying anteromedial thigh perforator flap in resurfacing of donor defect after anterolateral thigh flap transfer

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content