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CC BY-NC-ND 4.0 · Arch Plast Surg 2022; 49(06): 785-786
DOI: 10.1055/s-0042-1758634
Communication

Superthin Flap Harvesting Procedure: Technical Note

Sara Calabrese 
1   Department of Plastic and Reconstructive Microsurgery, Careggi Universital Hospital, Florence, Italy
,
Marco Innocenti 
2   Department of Orthoplastic Surgery, Rizzoli Institute, Bologna, Italy
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Abstract

The anterolateral thigh (ALT) flap has been extensively discussed in the literature as it allows for a wide variety and depth of tissues for complex wound coverage. Thanks to many cadaveric and angiographic studies of the subdermal plexus, it is to date ascertained that tailoring ALT thickness can be safely performed without compromising flap outcomes or causing additional morbidity. Recently, the authors applied and described a simpler, safer, and less time-consuming superthin ALT perforator (ALTP) free flap harvesting technique. The aim of this article is to show the versatility of the adipofascial flap harvested around the chosen perforators, which allowed us to safely expand the usage of ALTP superthin flaps.

Keywords

reconstructive surgical procedures - free tissue flaps - thigh - morbidity - microsurgery - perforator flap - neck - head - dermis - fascia

Author contribution

Conceptualization: S Calabrese. M. Innocenti Data curation: S Calabrese Project administration: M Innocenti. Visualization: M Innocenti. Writing – original draft: S Calabrese. Writing – review & editing: S Calabrese , M Innocenti.


Patient Consent

Informed consent was obtained from all individual participants included in the study.




Publication History

Received: 08 March 2022

Accepted: 18 April 2022

Article published online:
13 December 2022

© 2022. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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