Journal of Surgery

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Aesthetic Outcome After Reconstruction of Complex Soft Tissue Defects with Free Antero-Lateral Thigh Flap Using Simple Equipment

Received: 07 February 2015    Accepted: 13 February 2015    Published: 09 May 2015
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Abstract

Aim: We aimed to assess the aesthetic outcome of surgical reconstruction by free ALT flap using binocular single-refraction magnifying glasses and a modified post- operative surveillance protocol.Methods: 16 patients were operated for free antero-lateral thigh flap to reconstruct complex soft tissue defects with a close clinical follow up protocol for post operative care depending on the attending personnel in the Plastic surgery unit, Suez Canal University hospital, Ismailia, Egypt. Aesthetic outcome was assessed using a questionnaire based on Posch et al. 2005, including the following itemscolour, contour, presence of hair, overall appearance and donor site scar.Results:The patients’ assessed aesthetic outcome was acceptable in majority of the cases; median score was 4 for all assessed items. Complete flap loss occurred in one case, other complications as arterial thrombosis and hematomas and infection were detected and managed accordingly with flap salvage in the 3 complicated cases.Conclusion:The result suggests that the proposed protocol is sufficient as an alternative. The aesthetic outcome assessed by the patient and the failure rate was in line with other studies.

DOI 10.11648/j.js.s.2015030201.18
Published in Journal of Surgery (Volume 3, Issue 2-1, March 2015)

This article belongs to the Special Issue Postoperative Pain Syndrome

Page(s) 36-41
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Free Flap Surgery, Free Antero-Lateral Thigh Flap, Binocular Single Refraction Magnifying Glasses, Aesthetic Outcome

References
[1] Ashraf H. Abbas, Waleed A. Ghobashy ,Amr M. Moghazy Binocular single-refraction magnifying glasses for free flap surgery: a reliable method for developing countries. Eur J PlastSurg (2012) 35:521–525.
[2] Christopher J. Salgado, Harvey Chim, ShaylaSchoenoff, P.A.-C. and Samir Mardini,Postoperative care and monitoring of the reconstructed head and neck patient. Seminars in Plastic surgery (2010) / Vol. 24, Number. 3:281-287.
[3] Song YG, Chen GZ, Song YL. The free thigh flap: A new free flap concept based on the septocutaneous artery. Br J PlastSurg. 1984;37:149–159.
[4] Demirkan F, Chen HC, Wei FC et al. (2000). The versatile anterolateral thigh flap: a musculocutaneousflap in disguise in head and neck reconstruction. British Journal of Plastic Surgery, 53: 30–36.
[5] Kimata Y, Uchiyama K, Ebihara S et al. (1997). Versatility of the free anterolateral thigh flap for reconstruction of head and neck defects. Archives of Otolaryngology, Head and Neck Surgery, 123:1325–1331.
[6] Koshima I, Fukuda H, Yamamoto H, Moriguchi T, Soeda S, Ohta S (1993a). Free anterolateral thigh flaps for reconstruction of head and neck defects. Plastic and Reconstructive Surgery, 92: 421–430,\ Koshima I, Yamamoto H, Hosoda M, Moriguchi T, Orita Y, Nagayama H (1993b). Free combined composite flaps using the lateral circumflex femoral system for repair of massive defects of the head and neck regions: an introduction to the chimeric flap principle. Plastic and Reconstructive Surgery, 92: 411–420.
[7] Luo S, Raffoul W, Luo J, Gao J, Chen L, Egloff DV (1999). Anterolateral thigh flap; a review of 168 cases. Microsurgery, 19: 232–238.
[8] Fu-Chan Wei, Vivekjain, NaciCelik, Hung-chi chen, David chewi-chin chuang and chih-hunglin.(2002), Have we found an ideal soft-tissue flap? An experience with 672 Anterolateral thigh flaps, PlastReconstr Surg. June 2002;2219-2226.
[9] Abd El-hamid Abdel-khalek; Abdul-Mohsen Allam; Amgad Hendy; Sayed Abdel-Razek; HashemAyad; SobhyHweidy; HelmyShalaby and MoustafaHegazy, Clinical Evaluation of Free Anterolateral Thigh Flap in the Reconstruction of Major Soft Tissue Defects in the Leg and Foot. Egypt. J. Plast. Reconstr. Surg., Vol. 27, No. 2, July: 173-180, 2003.
[10] Wei, F. C., Demirkan, F., Chen, H. C., et al. Double free flapsin reconstruction of extensive composite mandibular defectsin head and neck cancer. Plast. Reconstr. Surg. 103: 39, 1999.
[11] Gabr, E., Kobayashi, M. R., Salibian, A. H., et al. Mandibularreconstruction: Are two flaps better than one? Ann. Plast.Surg. 52: 31, 2004.
[12] Jeng, S. F., Kuo, Y. R., Wei, F. C., et al. Reconstruction of extensive composite mandibular defects with large lip involvementby using double free flaps and fascia lata grafts for oral sphincters. Plast. Reconstr. Surg. 115: 1830, 2005.
[13] Mureau MA, Posch NA, Meeuwis CA, Hofer SO. Anterolateral thigh flap reconstruction of large external facial skin defects: a follow-up study on functional and aesthetic recipient- and donor-site outcome. Plastic and reconstructive surgery 2005; 115: 1077-1086.
[14] Posch NA, Mureau MA, Flood SJ, Hofer SO. The combined free partial vastuslateralis with anterolateral thigh perforator flap reconstruction of extensive composite defects. British journal of plastic surgery 2005; 58: 1095-1103.
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Author Information
  • Plastic Surgery Unit, Surgery Dept., Suez Canal University, Ismailia, Egypt

  • Plastic Surgery Unit, Surgery Dept., Suez Canal University, Ismailia, Egypt and The Burn Centre Dept. of Hand and Plastic Surgery and, Dept. of Clinical and Experimental Medicine, Link?ping University, Link?ping, Sweden

  • Burn Centre Department of Hand and Plastic Surgery, Link?ping University, Link?ping, Sweden

  • Plastic Surgery Unit, Surgery Dept., Suez Canal University, Ismailia, Egypt

  • Plastic Surgery Unit, Surgery Dept., Suez Canal University, Ismailia, Egypt

  • General Surgery department, Suez Canal University, Ismailia, Egypt

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  • APA Style

    Ashraf H. Abbas, Moustafa Elmasry, Ingrid Steinvall, Osama A. Adly, Mohamed A. Elbadawy, et al. (2015). Aesthetic Outcome After Reconstruction of Complex Soft Tissue Defects with Free Antero-Lateral Thigh Flap Using Simple Equipment. Journal of Surgery, 3(2-1), 36-41. https://doi.org/10.11648/j.js.s.2015030201.18

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    ACS Style

    Ashraf H. Abbas; Moustafa Elmasry; Ingrid Steinvall; Osama A. Adly; Mohamed A. Elbadawy, et al. Aesthetic Outcome After Reconstruction of Complex Soft Tissue Defects with Free Antero-Lateral Thigh Flap Using Simple Equipment. J. Surg. 2015, 3(2-1), 36-41. doi: 10.11648/j.js.s.2015030201.18

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    AMA Style

    Ashraf H. Abbas, Moustafa Elmasry, Ingrid Steinvall, Osama A. Adly, Mohamed A. Elbadawy, et al. Aesthetic Outcome After Reconstruction of Complex Soft Tissue Defects with Free Antero-Lateral Thigh Flap Using Simple Equipment. J Surg. 2015;3(2-1):36-41. doi: 10.11648/j.js.s.2015030201.18

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  • @article{10.11648/j.js.s.2015030201.18,
      author = {Ashraf H. Abbas and Moustafa Elmasry and Ingrid Steinvall and Osama A. Adly and Mohamed A. Elbadawy and Taha Ali Moati and Folke Sjöberg},
      title = {Aesthetic Outcome After Reconstruction of Complex Soft Tissue Defects with Free Antero-Lateral Thigh Flap Using Simple Equipment},
      journal = {Journal of Surgery},
      volume = {3},
      number = {2-1},
      pages = {36-41},
      doi = {10.11648/j.js.s.2015030201.18},
      url = {https://doi.org/10.11648/j.js.s.2015030201.18},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.js.s.2015030201.18},
      abstract = {Aim: We aimed to assess the aesthetic outcome of surgical reconstruction by free ALT flap using binocular single-refraction magnifying glasses and a modified post- operative surveillance protocol.Methods: 16 patients were operated for free antero-lateral thigh flap to reconstruct complex soft tissue defects with a close clinical follow up protocol for post operative care depending on the attending personnel in the Plastic surgery unit, Suez Canal University hospital, Ismailia, Egypt. Aesthetic outcome was assessed using a questionnaire based on Posch et al. 2005, including the following itemscolour, contour, presence of hair, overall appearance and donor site scar.Results:The patients’ assessed aesthetic outcome was acceptable in majority of the cases; median score was 4 for all assessed items. Complete flap loss occurred in one case, other complications as arterial thrombosis and hematomas and infection were detected and managed accordingly with flap salvage in the 3 complicated cases.Conclusion:The result suggests that the proposed protocol is sufficient as an alternative. The aesthetic outcome assessed by the patient and the failure rate was in line with other studies.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Aesthetic Outcome After Reconstruction of Complex Soft Tissue Defects with Free Antero-Lateral Thigh Flap Using Simple Equipment
    AU  - Ashraf H. Abbas
    AU  - Moustafa Elmasry
    AU  - Ingrid Steinvall
    AU  - Osama A. Adly
    AU  - Mohamed A. Elbadawy
    AU  - Taha Ali Moati
    AU  - Folke Sjöberg
    Y1  - 2015/05/09
    PY  - 2015
    N1  - https://doi.org/10.11648/j.js.s.2015030201.18
    DO  - 10.11648/j.js.s.2015030201.18
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 36
    EP  - 41
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.s.2015030201.18
    AB  - Aim: We aimed to assess the aesthetic outcome of surgical reconstruction by free ALT flap using binocular single-refraction magnifying glasses and a modified post- operative surveillance protocol.Methods: 16 patients were operated for free antero-lateral thigh flap to reconstruct complex soft tissue defects with a close clinical follow up protocol for post operative care depending on the attending personnel in the Plastic surgery unit, Suez Canal University hospital, Ismailia, Egypt. Aesthetic outcome was assessed using a questionnaire based on Posch et al. 2005, including the following itemscolour, contour, presence of hair, overall appearance and donor site scar.Results:The patients’ assessed aesthetic outcome was acceptable in majority of the cases; median score was 4 for all assessed items. Complete flap loss occurred in one case, other complications as arterial thrombosis and hematomas and infection were detected and managed accordingly with flap salvage in the 3 complicated cases.Conclusion:The result suggests that the proposed protocol is sufficient as an alternative. The aesthetic outcome assessed by the patient and the failure rate was in line with other studies.
    VL  - 3
    IS  - 2-1
    ER  - 

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