Use of the anterolateral thigh flap as an alternative to the rectus flap in obese and overweight patients

Annals of Plastic Surgery
Kristin DavidgeBabak J Mehrara

Abstract

Oncologic reconstruction in obese patients can be challenging. Donor tissues, such as the rectus flap, can be excessively bulky and result in significant cosmetic and functional deformities. Although the use of the anterolateral thigh (ALT) flap as an alternative to the radial forearm flap has been extensively described, few studies have evaluated the use of the ALT flap as an alternative to the rectus flap. The purpose of this study was to evaluate our experience with the ALT flap in overweight or obese patients. A retrospective review was conducted of all ALT flaps performed over a 2-year period at Memorial Sloan-Kettering Cancer Center. All patients with a body mass index (BMI) >25 kg/m2 were identified and evaluated. Twenty-seven patients underwent ALT flap reconstruction during the study period. Of these, 11 patients were overweight (BMI, 25.1-30 kg/m2) or obese (BMI, >30 kg/m2). Reconstructions were performed for a variety of oncologic defects, including head and neck (n = 7), extremity (n = 2), chest wall (n = 1), and abdominal wall (n = 1). Complications were, in general, mild and infrequent. One patient experienced a minor infection, 1 patient had partial flap loss, and 2 patients had partial skin graft loss at the don...Continue Reading

References

Dec 1, 1989·Plastic and Reconstructive Surgery·S S Kroll, D T Netscher
Feb 28, 2002·Annals of Plastic Surgery·Nebojsa RajacicRameshwar Lal Bang
Aug 15, 2003·Clinics in Plastic Surgery·Hung-chi Chen, Yueh-bih Tang

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Citations

Jul 3, 2007·Skull Base : Official Journal of North American Skull Base Society ... [et Al.]·Andrea L PusicJatin P Shah
Jan 9, 2010·Plastic and Reconstructive Surgery·Rozina S AliMing-Huei Cheng
Jan 5, 2011·Plastic and Reconstructive Surgery·Georgia-Alexandra Ch SpyropoulouSeng-Feng Jeng
May 20, 2008·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Andrea LoretiGiuseppe Poladas
Feb 27, 2015·Plastic and Reconstructive Surgery·Kenneth L FanKaren K Evans

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