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J Reconstr Microsurg 2003; 19(2): 063-068
DOI: 10.1055/s-2003-37807
Copyright © 2003 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1 (212) 584-4662

Anterolateral Thigh Flap for Breast Reconstruction: Review of the Literature and Case Reports

Jonathan L. Kaplan, Robert J. Allen, Aldo Guerra, Scott K. Sullivan
  • Section of Plastic Surgery, Louisiana State University Health Sciences Center, New Orleans, Louisiana
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Publikationsdatum:
10. März 2003 (online)

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ABSTRACT

More women than ever before are undergoing mastectomies secondary to increased awareness and screening. This has also caused a corresponding increase in the number of breast reconstructions requested each year. The demand for improved results has fueled recent advances in new techniques. Aside from implant reconstruction, the methods now being employed are related to autogenous donations and reconstruction. Currently, the most commonly used techniques for autogenous breast reconstruction are the DIEP (deep inferior epigastric perforator) and TRAM (transverse rectus abdominis myocutaneous) flaps from the lower abdomen.

The anterolateral thigh flap is a type of perforator flap usually described for use in head and neck reconstruction. The authors have discovered this flap's utility as an alternative in autogenous breast reconstruction when the abdomen is not available as a donor site. A review of the literature reveals a dearth of experience in using the anterolateral thigh flap for breast reconstruction. The article reviews the literature with regard to current uses of the anterolateral thigh flap, and then reports three case studies which highlight the thigh flap as an excellent alternative for breast reconstruction in selected patients.

KEYWORD

Autogenous breast reconstruction - thigh flap - perforator flap

REFERENCES

  • 1 Handel N, Jenson J A, Black Q. et al . The fate of breast implants: a critical analysis of complications and outcomes.  Plast Reconstr Surg . 1995;  96 1521
    CrossrefPubMedGoogle Scholar
  • 2 Kroll S S, Evans G RD, Reece G P. et al . Comparison of resource costs between implant-based and TRAM flap breast reconstruction.  Plast Reconstr Surg . 1996;  97 364
    CrossrefPubMedGoogle Scholar
  • 3 Kroll S S. Why autologous tissue?.  Clin Plast Surg . 1998;  25 2
    PubMedGoogle Scholar
  • 4 Suominen S, Asko-Seljavaara S, von Smitten K. et al . Sequelae in the abdominal wall after pedicled or free TRAM flap surgery.  Ann Plast Surg . 1996;  36 629-636
    CrossrefPubMedGoogle Scholar
  • 5 Koshima I, Soeda S. Inferior epigastric artery skin flap without rectus abdominis muscle.  Br J Plast Surg . 1989;  42 645-48
    CrossrefPubMedGoogle Scholar
  • 6 Allen R J. The superior gluteal artery perforator flap.  Clin Plast Surg . 1998;  25 2
    PubMedGoogle Scholar
  • 7 Allen R J, Treece P. Deep inferior epigastric perforator flap for breast reconstruction.  Ann Plast Surg . 1994;  32 32
    Google Scholar
  • 8 Koshima I, Soeda S, Fukuda H. et al . The anterolateral thigh flap; variations in its vascular pedicle.  Br J Plast Surg . 1989;  42 260-262
    CrossrefPubMedGoogle Scholar
  • 9 Kimata Y, Uchiyama K, Ebihara S. et al . Anatomic variations and technical problems of the anterolateral thigh flap: a report of 74 cases.  Plast Reconstr Surg . 1998;  102 1517-1523
    CrossrefPubMedGoogle Scholar
  • 10 Baek S. Two new cutaneous free flaps: the medial and lateral thigh flaps.  Plast Reconstr Surg . 1983;  71 354-363
    CrossrefPubMedGoogle Scholar
  • 11 Song Y G, Chen G, Song Y L. The free thigh flap: a new free flap concept based on the septocutaneous artery.  Br J Plast Surg . 1984;  37 149-159
    Google Scholar
  • 12 Ogawa T, Nakayama B, Hasegawa Y. et al . Treatment of malignant melanoma of the lower eyelid using anterolateral thigh flap.  Auris Nasus Larynx . 2000;  27 79-82
    CrossrefPubMedGoogle Scholar
  • 13 Demirkan F, Chen H C, Wei F C. et al . The versatile anterolateral thigh flap: a musculocutaneous flap in disguise in head and neck reconstruction.  Br J Plast Surg . 2000;  53 30-36
    CrossrefPubMedGoogle Scholar
  • 14 Kim H G, Ha B, Baek C H. et al . The short head of the biceps femoris as a monitor for the free lateral thigh flap in pharyngoesophageal reconstruction.  Br J Plast Surg . 2001;  54 62-66
    CrossrefPubMedGoogle Scholar
  • 15 Kimata Y, Uchiyama K, Sekido M. et al . Anterolateral thigh flap for abdominal wall reconstruction.  Plast Reconstr Surg . 1999;  103 1191-1197
    CrossrefPubMedGoogle Scholar
  • 16 Koshima I, Hosoda S, Inagawa K. et al . Free combined anterolateral thigh flap and vascularized fibula for wide, through-and-through oromandibular defects.  J Reconstr Microsurg . 1998;  14 529-534
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 17 Luo S, Raffoul W, Luo J. et al . Anterolateral thigh flap: a review of 168 cases.  Microsurgery . 1999;  19 232-238
    Google Scholar
  • 18 Celik N, Wei F-C, Suominen S, Cheng M-H. Anterolateral thigh flap for postmastectomy breast reconstruction.  Sem in Plast Surg . 2002;  16 45-52
    PubMedGoogle Scholar
  • 19 Wei F C, Suominen S, Cheng M H. et al . Anterolateral thigh flap for postmastectomy breast reconstruction.  Plast Reconstr Surg . 2002;  110 82-88
    CrossrefPubMedGoogle Scholar