scholarly journals Retalho Livre Anterolateral da Coxa para Tratamento de Quelóide Esternal

2019 ◽  
Vol 32 (12) ◽  
pp. 784
Author(s):  
Tiago Guedes ◽  
Gustavo Coelho ◽  
João Guimarães ◽  
Horácio Costa
Keyword(s):  
Postoperative Period ◽  
Anterolateral Thigh Flap ◽  
Large Defect ◽  
Complete Excision ◽  
Keloid Scar ◽  
Tension Free ◽  
Sebaceous Cyst ◽  
Keloid Scars ◽  
Anterolateral Thigh ◽  
Microvascular Tissue Transfer

Hypertrophic and keloid scars represent hyperproliferative disorders that can have a significant impact on patients’ lives. The authors present the case of a 53 years-old male with a sternal keloid after excision of a sebaceous cyst and multiple sessions of steroid infiltration, with worsening of the lesion. The patient underwent complete excision of the scar and reconstruction with an anterolateral thigh flap - ALT. The postoperative period was uneventful, with no signs of relapse. Keloid scar treatment in sternal area implies a reconstruction with no tension, in order to avoid relapse. Treatment of this type of scars is complex and a challenge to the plastic surgeon. In this case, a microvascular tissue transfer was used to reconstruct the large defect that ultimately resulted after scar excision, in a tension-free manner.

scholarly journals Reconstruction of massive knee defects with extensor mechanism deficiency through concurrent anterolateral thigh flap and autogenous hamstring tendon: A report of two cases

2020 ◽  
Vol 28 (2) ◽  
pp. 230949902093599
Author(s):  
Wen-Chih Liu ◽  
Chih-Hau Chang ◽  
Cheng-Chang Lu ◽  
Yin-Chih Fu ◽  
Chun-Kuan Lu
Keyword(s):  
Open Fracture ◽  
Hamstring Tendon ◽  
Soft Tissue Defect ◽  
Extensor Mechanism ◽  
Anterolateral Thigh Flap ◽  
Partial Loss ◽  
Large Defect ◽  
Anterolateral Thigh ◽  
One Stage Reconstruction

Reconstruction of an infected knee joint with a large defect and extensor mechanism deficiency is challenging. In this study, we aim to describe a one-stage reconstruction surgery and provide its surgical outcome. Two patients had patellar open fracture and subsequent septic arthritis; in addition, a large soft tissue defect, loss of patella, and shortening of the patellar tendon were observed. The semitendinosus–gracilis tendon formed a loop to stabilize the patella. A free or supercharged reverse pedicle myocutaneous anterolateral thigh flap with fascial extension is designed to fill the defect and eradicate the infection. Mean clinical follow-up was 18 months. Although some limitation in the knee range of motion was observed, the dynamometer showed only partial loss in peak concentric power and eccentric power. We developed an innovative surgical procedure to alleviate infection and reconstruct a complex knee defect with extensor mechanism deficiency; this procedure resulted in favorable clinical outcomes.

scholarly journals Free Tissue Transfer Penile Reconstruction

2019 ◽  
Vol 33 (01) ◽  
pp. 024-029 ◽  
Author(s):  
Jason Cohn ◽  
Weitao Wang ◽  
Mofiyinfolu Sokoya ◽  
Yadranko Ducic ◽  
Bradley Kropp
Keyword(s):  
Free Tissue Transfer ◽  
Anterolateral Thigh Flap ◽  
Complete Excision ◽  
Advantages And Disadvantages ◽  
Tissue Transfer ◽  
Anterolateral Thigh ◽  
Gender Affirmation ◽  
Scapular Flap ◽  
Radial Forearm ◽  
And Gender

AbstractPhalloplasty can be a challenging plastic surgery procedure associated with complications and unsatisfactory results. Phalloplasty has become an important procedure in the setting of trauma, partial or complete excision of the penis, and gender affirmation. Advances in microsurgery has expanded penile reconstruction through free tissue transfer techniques which include the radial forearm free flap, fibular osteocutaneous flap, anterolateral thigh flap, latissimus dorsi flap, scapular flap, and abdominal flaps. Each procedure has advantages and disadvantages; most of the procedures achieve adequate cosmetic results with high patient satisfaction. Most of the surgical complications are related to the reconstruction of the urethra or creating rigidity for intercourse. The main goals of reconstruction are to create a cosmetically appealing phallus with satisfactory sexual function.

Early Wound Cover of Gunshot Injury to the Leg with Free Composite Anterolateral Thigh Flap: a Case Report

2021 ◽  
Author(s):  
Raman Sharma ◽  
Jerry R John ◽  
Ramesh Kumar Sharma ◽  
Raghavendra Kaladagi
Keyword(s):  
Case Report ◽  
Gunshot Injury ◽  
Anterolateral Thigh Flap ◽  
Anterolateral Thigh ◽  
Early Wound

Reconstruction of Extensive Soft Tissue Defects of Lower Extremity With the Extended Anterolateral Thigh Flap

2021 ◽  
pp. 153473462098223
Author(s):  
Jong-Ho Kim ◽  
Hyokyung Yoo ◽  
Seokchan Eun
Keyword(s):  
Soft Tissue ◽  
Lower Extremity ◽  
Distal Portion ◽  
Outcome Data ◽  
Anterolateral Thigh Flap ◽  
Soft Tissue Defects ◽  
Flap Viability ◽  
Anterolateral Thigh ◽  
Large Skin ◽  
Tissue Defects

The anterolateral thigh flap is a classic flap used for various reconstruction defects. However, the flap viability of extended large skin paddles (ie, 240 cm2) was doubted by many surgeons. This study reports successful experience of reconstructing extensive soft tissue defects of lower extremity using extended large skin paddles. Twelve consecutive patients who had undergone reconstruction of defects using an extended anterolateral thigh flap were identified. Patient characteristics (age, sex, defect location, injured structures, and type of flap) and outcome data were analyzed retrospectively. One artery and 2 accompanying veins were anastomosed to vascularize each flap. Follow-up periods ranged from 10 to 91 months postoperatively. The average size of the flaps was 268.75 cm2 (range = 220-391 cm2). All flaps were perforator flaps with one perforator except that 2 perforators were used in 3 patients. Two patients suffered partial flap necrosis of the distal portion with delayed healing. In conclusion, the extended anterolateral thigh flap is a considerable option for massive defects requiring composite tissue coverage. This flap is advantageous for reconstructing various complex defects in the lower extremities, providing a pliable and vascularized tissue to cover exposed extensive defects including tendons, nerves, and bones.

Total nasal reconstruction with pre‐laminated, super‐thin anterolateral thigh flap: A case report

Microsurgery ◽  
2021 ◽  
Author(s):  
Zulfukar Ulas Bali ◽  
Berrak Karatan ◽  
Aziz Parspancı ◽  
Yavuz Tuluy ◽  
Yavuz Kececi ◽  
...  
Keyword(s):  
Case Report ◽  
Anterolateral Thigh Flap ◽  
Nasal Reconstruction ◽  
Anterolateral Thigh

To thin or not to thin: the use of the anterolateral thigh flap in the reconstruction of intraoral defects

2003 ◽  
Vol 56 (4) ◽  
pp. 409-413 ◽  
Author(s):  
G.L Ross ◽  
R Dunn ◽  
J Kirkpatrick ◽  
C.E Koshy ◽  
L.W Alkureishi ◽  
...  
Keyword(s):  
Anterolateral Thigh Flap ◽  
Anterolateral Thigh

The Ultra-Thin, Fascia-Only Anterolateral Thigh Flap

2014 ◽  
Vol 30 (09) ◽  
pp. 599-606 ◽  
Author(s):  
Mohin Bhadkamkar ◽  
Erik Wolfswinkel ◽  
Daniel Hatef ◽  
Steven Albright ◽  
Anthony Echo ◽  
...  
Keyword(s):  
Anterolateral Thigh Flap ◽  
Anterolateral Thigh

Combined Anterolateral Thigh Flap and Vascularized Fibula Osteoseptocutaneous Flap in Reconstruction of Extensive Composite Mandibular Defects

2002 ◽  
Vol 109 (1) ◽  
pp. 45-52 ◽  
Author(s):  
Fu-Chan Wei ◽  
Naci Celik ◽  
Hung-Chi Chen ◽  
Ming-Huei Cheng ◽  
Wei-Chao Huang
Keyword(s):  
Anterolateral Thigh Flap ◽  
Anterolateral Thigh ◽  
Vascularized Fibula
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