전외측대퇴유리피판 (Anterolateral Thigh Free Flap)을 이용한 구강안면부 결손의 재건 (ORO-FACIAL RECONSTRUCTION WITH ANTEROLATERAL THIGH(ALT) FREE FLAP)

서지정보

· 발행기관 : 대한악안면성형재건외과학회
· 수록지 정보 : Maxillofacial Plastic Reconstructive Surgery / 31권 / 6호 / 526 ~ 530페이지
· 저자명 : 김철환, 방대연, 황승연

초록

Recently, the anterolateral thigh(ALT) flap , based on the septocutaneous vessels or musculocutaneous
perforators from the descending branch of the lateral circumflex femoral artery has gained popularity in
head and neck soft-tissue reconstruction.
It has some advantages in free-flap surgery with respect to the radial forearm free flap, such as low donor
site morbidity, availability of different tissues with large amounts of skin, adaptability as a sensate or flowthrough
flap (with the possibility of harvesting a long pedicle with a suitable vessel diameter). Moreover,
the thickness of the flap is adjustable until the subdermal fat level, allowing it to be used as a thin or
ultrathin flap.
This clinical cases are ALT free flap reconstructions without functional impairment of the donor limbs
(transitory and permanent) based on anastomosis with superficial temporal arteries and veins in patient of
huge resection defect on face, lip and tongue.

영어초록

Recently, the anterolateral thigh(ALT) flap , based on the septocutaneous vessels or musculocutaneous
perforators from the descending branch of the lateral circumflex femoral artery has gained popularity in
head and neck soft-tissue reconstruction.
It has some advantages in free-flap surgery with respect to the radial forearm free flap, such as low donor
site morbidity, availability of different tissues with large amounts of skin, adaptability as a sensate or flowthrough
flap (with the possibility of harvesting a long pedicle with a suitable vessel diameter). Moreover,
the thickness of the flap is adjustable until the subdermal fat level, allowing it to be used as a thin or
ultrathin flap.
This clinical cases are ALT free flap reconstructions without functional impairment of the donor limbs
(transitory and permanent) based on anastomosis with superficial temporal arteries and veins in patient of
huge resection defect on face, lip and tongue.

참고자료

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