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2 results

  • Adipofascial anterolateral thigh free flap in head and neck reconstruction: a case series

  • Joshua M Sorrentino, Ayham Al Afif, William J Magner, S Lynn Sigurdson, Jason M Davies, Robert A Fenstermaker, Moleca Ghannam, Ryan P McSpadden
  • Journal:
    The Journal of Laryngology & Otology / Volume 139 / Issue 3 / March 2025
    Published online by Cambridge University Press:
    21 October 2024, pp. 237-241
    Print publication:
    March 2025
  • Background

    The adipofascial anterolateral thigh (AF-ALT) free flap represents a versatile technique in head and neck reconstructions, with its applications increasingly broadening. The objective was to detail the novel utilization of the AF-ALT flap in orbital and skull base reconstruction, along with salvage laryngectomy onlay in our case series.

    Method

    We conducted a retrospective analysis at Roswell Park Comprehensive Cancer Center, spanning from July 2019 to June 2023, focusing on patient demographics and reconstructive parameters data.

    Results

    The AF-ALT flap was successfully employed in eight patients (average age 59, body mass index [BMI] 32.0) to repair various defects. Noteworthy outcomes were observed in skull base reconstructions, with no flap failures or major complications over an average 12-month follow-up. Donor sites typically healed well with minimal interventions.

    Conclusion

    Our series is the first to report the AF-ALT flap's efficacy in anterior skull base and orbital reconstructions, demonstrating an additional innovation in complex head and neck surgeries.