✦ LIBER ✦

Bilateral anterolateral thigh flaps for large-volume breast reconstruction

✍ Scribed by Jason J. Rosenberg; Rajiv Chandawarkar; Merrick I. Ross; Pierre M. Chevray

Publisher: John Wiley and Sons
Year: 2004
Tongue: English
Weight: 180 KB
Volume: 24
Category: Article
ISSN: 0738-1085
DOI: 10.1002/micr.20020

No coin nor oath required. For personal study only.

✦ Synopsis

Autologous tissue reconstruction of a large breast in patients who are not candidates for a TRAM flap is a difficult problem. We present a case report of the use of bilateral free anterolateral thigh (ALT) flaps for immediate reconstruction of a unilateral large breast in a patient who had a previous abdominoplasty. Use of ALT flaps allows two or three surgical teams to work simultaneously, does not require intraoperative patient repositioning, has minimal donor-site morbidity, and can provide ample malleable soft tissue for breast reconstruction. These are advantages compared to the use of gluteal donor sites. The disadvantages include more conspicuous donor-site scarring on the anterior thighs.

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