Abstract
The ALT flap can be considered as an alternative when other conservative autologous breast reconstruction techniques are inappropriate. The main advantage with this flap is that it is a well-known flap for most microsurgeons and it has relatively predictable anatomy with a long pedicle and suitable vessel diameter. The procedure can be performed without repositioning the patient during surgery allowing a two-team approach. The donor site morbidity is limited, although it has to be discussed with each patient. The reconstruction technique is primarily limited to patients with small to moderate breast sizes.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Song YG, Chen GZ, Song YL (1984) The free thigh flap: a new free flap concept based on the septocutaneous artery. Br J Plast Surg 37(2):149–159
Wei F, Souminen S, Cheng M, Celik N, Lai Y (2002) Anterolateral thigh flap for postmastectomy breast reconstruction. Plast Reconstr Surg 110(1):82–88
Kimata Y, Uchiyama K, Sekido M, Sakuraba M, Iida H, Nakatsuka T, Harii K (1999) Anterolateral thigh flap for abdominal wall reconstruction. Plast Reconstr Surg 103(4):1191–1197
Koshima I (2000) Free anterolateral thigh flap for reconstruction of head and neck defects following cancer ablation. Plast Reconstr Surg 105(7):2358–2360
Zhang Q, Qiao Q, Yang X, Wang H, Robb GL, Zhou G (2010) Clinical application of the anterolateral thigh flap for soft tissue reconstruction. J Reconstr Microsurg 26(2):87–94
Serletti JM, Moran SL (2000) Microvascular reconstruction of the breast. Semin Surg Oncol 19(3):264–271
Kaplan JL, Allen RJ, Guerra A, Sullivan SK (2003) Anterolateral thigh flap for breast reconstruction: review of the literature and case reports. J Reconstr Microsurg 19(2):63–68
Rosenberg JJ, Chandawarkar R, Ross MI, Chevray PM (2004) Bilateral anterolateral thigh flaps for large-volume breast reconstruction. Microsurgery 24(4):281–284
Krochmal DJ, Rebecca AM, Casey WJ, Smith AA (2011) Anterolateral thigh flap salvage following failed deep inferior epigastric artery perforator breast reconstruction. Can J Plast Surg 19(1):27–30
Bernier C, Ali R, Rebecca A, Cheng MH (2009) Bilateral breast reconstruction using bilateral anterolateral thigh flaps. Ann Plast Surg 62(2):124–127
Tindholdt TT, Tønseth KA (2007) Breast reconstruction with thigh flap. Tidsskr Nor Laegeforen 127(15):1948–1949
Collins J, Ayeni O, Thoma A (2012) A systematic review of anterolateral thigh flap donor site morbidity. Can J Plast Surg 20(1):17–23
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Tønseth, K.A., Tindholdt, T.T. (2016). Breast Reconstruction with Anterolateral Thigh Flap. In: Shiffman, M. (eds) Breast Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-18726-6_92
Download citation
DOI: https://doi.org/10.1007/978-3-319-18726-6_92
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-18725-9
Online ISBN: 978-3-319-18726-6
eBook Packages: MedicineMedicine (R0)