Abstract

QUILDRIAN, Sergio D.; ADAN, Roque S.; VEGA, M. Gabriela  and  SACO, Pedro A.. Utilidad del colgajo anterolateral de muslo en cirugía reconstructiva de cabeza y cuello. Rev. argent. cir. [online]. 2013, vol.104, n.1, pp.1-5. ISSN 2250-639X.

Background: Because of its complex anatomy and the morphology of our population the anterolateral thigh flap has not been widely spread in Occident. Nevertheless, in selected situations, it represents a useful alternative for reconstruction in surgery of head and neck because it may provide enough amounts of skin, muscle and eventually fascia with little donor site morbidity Objective: To evalúate the results in the utilization of anterolateral thigh free flap in head and neck pathology Materials and Method: Retrospective and descriptive study of patients treated between 2004 and 2011. Population and tumor data, type of resection, flap size, quantity and type of perforators, flap and donor site complications, morbidity and mortality was evaluated. Results: Twenty patients was treated, 15 (75%) males, average age was 55,5 (range: 22-77). Twelve patients had oral cavity tumors and 8 skin tumors. All the reconstructions were primary, with 3 rescuers surgeries. There were 15 fas-ciocutaneous flaps and 5 fasciomyocutaneous. Venous by-pass: 1 case. Average flap's perforators: 2, the majority myocutaneous (23/31). Average skin paddle surface: 118 cm² (range: 24-319 cm²). Flap complications: 1 case (5%). Primary cióse of donor site: 17 patients, 2 with skin graft and 1 secondary cióse. Mortality rate 5%. Conclusions: Anterolateral thigh flap represents a useful alternative for reconstructive surgery in head and neck tumors, due its versatility and possibility of resolve defectsof variables sizes, little donor site defect and acceptable mor­bidity and mortality.

Keywords : Neck; Flap; Reconstructive surgery.