Adipofascial anterolateral thigh free flap in head and neck reconstruction: a case series
Research article published in The Journal of laryngology and otology (2025)
Abstract
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.
Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.
Resumen
The adipofascial anterolateral thigh (AF-ALT) free flap represents a versatile technique in head and neck reconstructions, with its applications increasingly broadening.
Por qué esto importa para la hirudoterapia
Esta serie de casos retrospectiva de un único centro oncológico describe el uso del colgajo libre adipofascial anterolateral de muslo (AF-ALT) en la reconstrucción de cabeza y cuello en ocho pacientes (edad promedio 59 años, IMC 32,0), incluyendo aplicaciones en reconstrucciones orbitarias, de la base anterior del cráneo y laringectomías de rescate. No se observaron fracasos del colgajo ni complicaciones mayores durante un seguimiento promedio de 12 meses, y las zonas donantes cicatrizaron bien con intervenciones mínimas. El resumen no menciona sanguijuelas, terapia con sanguijuelas, manejo de la congestión venosa ni ninguna intervención relacionada con sanguijuelas. No existe una conexión defendible con la hirudoterapia o el ámbito de la ASH basándose únicamente en el texto del resumen.
Citación
Adipofascial anterolateral thigh free flap in head and neck reconstruction: a case series
Sorrentino JM et al. · The Journal of laryngology and otology, 2025
Contexto clínico relacionado
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Añadido a la biblioteca ASH: May 27, 2026 · Última actualización del sitio: 18 de junio de 2026