Versatility of the lateral circumflex femoral artery sparing perforator‐based anterolateral thigh flaps in loco‐regional thigh reconstruction after skin cancer, melanoma, and sarcoma resection
Autor: | Paolo Persichetti, Marco Morelli Coppola, Stefania Tenna, Beniamino Brunetti, Rosa Salzillo |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Skin Neoplasms business.industry Skin cancer melanoma Sarcoma Plastic Surgery Procedures Anterolateral thigh medicine.disease Lateral circumflex femoral artery Resection Surgery Femoral Artery Thigh medicine.artery medicine Humans Operative time Thigh reconstruction Skin cancer business Melanoma Perforator Flap |
Zdroj: | Microsurgery. 42:428-432 |
ISSN: | 1098-2752 0738-1085 |
Popis: | Background The anterolateral thigh (ALT) flap represents a workhorse in reconstructive microsurgery but its use in a free style fashion as perforator-based flap has yet to be popularized. We describe our experience with lateral circumflex femoral artery (LCFA) sparing perforator-based ALT flaps for thigh reconstruction after oncological resection in a case series of 24 consecutive patients. Methods Twenty-four patients underwent thigh reconstruction with 25 perforator-based ALT flaps between 2014 and 2020. Defect etiology was related to skin cancer, melanoma, and sarcoma resection in 3, 7, and 14 cases respectively. Mean defect size was 15 × 8 cm. Six months postoperatively, patients were asked to rate on a 5-point Likert scale the aesthetic and functional outcomes of the reconstructive procedure. Results Eight flaps were advanced in a V-Y fashion (33.3%), whether 16 flaps (66.7%) were rotated in a propeller fashion. The average flap size was 19 × 8 cm, while mean operative time was 197.2 min. Donor sites were always closed by primary intention. Minor complications were registered in 5 cases and managed conservatively. Overall patients' satisfaction was high, with mean aesthetic and functional ratings of 4.46 and 4.21 respectively. Conclusions LCFA sparing perforator-based ALT flaps proved to be a versatile and reproducible solution to address thigh reconstruction after oncological resection according to the different topographical sub-units involved. |
Databáze: | OpenAIRE |
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