Indications and Outcomes of Single-Pedicle vs 2-Pedicle Thigh Free Flaps in Head and Neck Reconstruction

JAMA Facial Plastic Surgery
Becky B T KingFrederic W-B Deleyiannis

Abstract

Flap choice and design are crucial to the success of free flap reconstruction of the head and neck. These are dependent on donor and recipient site characteristics. To demonstrate indications and outcomes of a single-pedicle anterolateral thigh flap (standard ALT flap) vs a thigh free flap with 2 pedicles in head and neck reconstruction. A retrospective case series of consecutive patients treated in a tertiary academic care center between October 2011 and June 2017 by a single reconstructive microsurgeon was carried out. Eighty-one patients underwent reconstruction of a cutaneous and/or mucosal defect of the head and neck. Patients with a composite mandibular defect who received both a fibular flap and a thigh flap were excluded. Those with less than 6 months of follow-up were excluded. Patient characteristics and clinical variables, including age, sex, primary diagnosis/indication for reconstruction, type of flap, dimensions of flap, and number of perforators in the flap, were collected. Optimal cutoff values to quantitate the differences in length and width between the standard ALT and 2-pedicle thigh flaps were determined using receiver operating characteristic (ROC) curve analysis and the Youden Index. The types of flap wer...Continue Reading

References

Apr 1, 1984·British Journal of Plastic Surgery·Y G SongY L Song
Jun 5, 2002·Plastic and Reconstructive Surgery·Fu-chan WeiChih-hung Lin
Jul 16, 2008·Plastic and Reconstructive Surgery·Afshin MosahebiBabak J Mehrara
Nov 30, 2012·Plastic and Reconstructive Surgery·Chrisovalantis LakhianiMichel Saint-Cyr
Oct 8, 2014·Plastic and Reconstructive Surgery. Global Open·Frederic W-B DeleyiannisJohn I Song
Jul 15, 2015·International Journal of Oral and Maxillofacial Surgery·Z XuZ J Shang
Sep 13, 2017·Plastic and Reconstructive Surgery. Global Open·Toshiaki NumajiriShigeru Hirano

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