Abstract
Resection of oral cancers often results in impairing both oral functions and facial esthetics due to large defects. It is important to reconstruct not only resurfacing skin but also achieve a satisfactory functional and cosmetic outcome. We introduce the anterolateral thigh (ALT) flaps as a reconstructive option for head and neck defects after oncologic surgery. The ALT flap could provide thin tissue to fill large oral defects with suitable pliability. Donor site morbidity is minimal and direct closure of thigh defects could be primarily achieved. A preoperative assessment of perforators has to be performed with several devices because of their variable vascular anatomy. It is helpful to perform color Doppler ultrasonography and 3D CT to preoperatively assess the perforating vessels for the ALT flap. Color Doppler ultrasonography could identify the different velocities and directions of blood flow in vessels and map the blood vessels. 3D CT could be applied in order to understand the variety of anatomy. The elevated ALT could be an adequate candidate as a reconstructive option for oral defects to improve patients' quality of life.
