the clinical application of anterolateral thigh flap大腿前外侧皮瓣的临床应用.pdfVIP

Hindawi Publishing Corporation Plastic Surgery International Volume 2011, Article ID 127353, 5 pages doi:10.1155/2011/127353 Review Article The Clinical Application of Anterolateral Thigh Flap Yao-Chou Lee, Haw-Yen Chiu, and Shyh-Jou Shieh Division of Plastic and Reconstructive Surgery, Department of Surgery, National Cheng Kung University Medical College and Hospital, Tainan 70428, Taiwan Correspondence should be addressed to Haw-Yen Chiu, hychiu@.tw and Shyh-Jou Shieh, sjshieh@.tw Received 11 July 2011; Accepted 25 August 2011 Academic Editor: Adriaan O. Grobbelaar Copyright © 2011 Yao-Chou Lee et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The anterolateral thigh flap can provide a large skin paddle nourished by a long and large-caliber pedicle and can be harvested by two-team work. Most importantly, the donor-site morbidity is minimal. However, the anatomic variations decreased its popularity. By adapting free-style flap concepts, such as preoperative mapping of the perforators and being familiar with retrograde perforator dissection, this disadvantage had been overcome gradually. Furthermore, several modifications widen its clinical applications: the fascia lata can be included for sling or tendon reconstruction, the bulkiness could be created by including vastus lateralis muscle or deepithelization of skin flap, the pliability could be increased by suprafascial dissection or primary thinning, the pedicle length could be lengthening by proximally eccentric placement of the perforator, and so forth. Combined with these technical and conceptual advancements, the anterolateral thigh flap has become the