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Head and neck reconstruction using lateral thigh free flap: Flap design
Author(s) -
Ha Bomjoon,
Baek ChungHwan
Publication year - 1999
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/(sici)1098-2752(1999)19:3<157::aid-micr7>3.0.co;2-e
Subject(s) - medicine , head and neck , thigh , free flap , anatomy , surgery , head (geology) , microsurgery , geology , geomorphology
Eleven lateral thigh free flaps were used in head and neck reconstruction, transferred on the basis of the second perforator as well as the third perforator of the profunda femoris artery. The lateral thigh free flap was useful and reliable in head and neck reconstruction and was versatile in flap design. Due to the wide cutaneous territory of the lateral thigh flap, the skin island could be designed freely in the lateral thigh region. Careful patient selection is mandatory for good results. The pinch test and an understanding of the variety of subcutaneous thicknesses in the lateral thigh region are helpful in designing a skin island of adequate thickness. Other considerations in flap design are discussed. © 1999 Wiley‐Liss, Inc. MICROSURGERY 19:157–165 1999