Superthin Flap Harvesting Procedure: Technical Note

The anterolateral thigh (ALT) flap has been extensively discussed in the literature as it allows for a wide variety and depth of tissues for complex wound coverage. Thanks to many cadaveric and angiographic studies of the subdermal plexus, it is to date ascertained that tailoring ALT thickness can b...

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Main Authors: Sara Calabrese, Marco Innocenti
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2022-11-01
Series:Archives of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1758634
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author Sara Calabrese
Marco Innocenti
author_facet Sara Calabrese
Marco Innocenti
author_sort Sara Calabrese
collection DOAJ
description The anterolateral thigh (ALT) flap has been extensively discussed in the literature as it allows for a wide variety and depth of tissues for complex wound coverage. Thanks to many cadaveric and angiographic studies of the subdermal plexus, it is to date ascertained that tailoring ALT thickness can be safely performed without compromising flap outcomes or causing additional morbidity. Recently, the authors applied and described a simpler, safer, and less time-consuming superthin ALT perforator (ALTP) free flap harvesting technique. The aim of this article is to show the versatility of the adipofascial flap harvested around the chosen perforators, which allowed us to safely expand the usage of ALTP superthin flaps.
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spelling doaj.art-75815b993e8f418a967476ca5db3b6442022-12-22T04:41:07ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712022-11-01490678578610.1055/s-0042-1758634Superthin Flap Harvesting Procedure: Technical NoteSara Calabrese0Marco Innocenti1Department of Plastic and Reconstructive Microsurgery, Careggi Universital Hospital, Florence, ItalyDepartment of Orthoplastic Surgery, Rizzoli Institute, Bologna, ItalyThe anterolateral thigh (ALT) flap has been extensively discussed in the literature as it allows for a wide variety and depth of tissues for complex wound coverage. Thanks to many cadaveric and angiographic studies of the subdermal plexus, it is to date ascertained that tailoring ALT thickness can be safely performed without compromising flap outcomes or causing additional morbidity. Recently, the authors applied and described a simpler, safer, and less time-consuming superthin ALT perforator (ALTP) free flap harvesting technique. The aim of this article is to show the versatility of the adipofascial flap harvested around the chosen perforators, which allowed us to safely expand the usage of ALTP superthin flaps.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1758634reconstructive surgical proceduresfree tissue flapsthighmorbiditymicrosurgeryperforator flapneckheaddermisfascia
spellingShingle Sara Calabrese
Marco Innocenti
Superthin Flap Harvesting Procedure: Technical Note
Archives of Plastic Surgery
reconstructive surgical procedures
free tissue flaps
thigh
morbidity
microsurgery
perforator flap
neck
head
dermis
fascia
title Superthin Flap Harvesting Procedure: Technical Note
title_full Superthin Flap Harvesting Procedure: Technical Note
title_fullStr Superthin Flap Harvesting Procedure: Technical Note
title_full_unstemmed Superthin Flap Harvesting Procedure: Technical Note
title_short Superthin Flap Harvesting Procedure: Technical Note
title_sort superthin flap harvesting procedure technical note
topic reconstructive surgical procedures
free tissue flaps
thigh
morbidity
microsurgery
perforator flap
neck
head
dermis
fascia
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1758634
work_keys_str_mv AT saracalabrese superthinflapharvestingproceduretechnicalnote
AT marcoinnocenti superthinflapharvestingproceduretechnicalnote