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Monitoring a free anterolateral thigh flap for pharyngeal reconstruction
Surgical Practice, 07/27/09

Chiu TW et al. – When feasible, a second skin island based on a separate set of perforator vessels provides an easy, safe and simple method of monitoring a buried free–flap.

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Tor-Wo Chiu, 07/27/09

The anterolateral thigh flap is extremely versatile and has become a workhorse flap in Head and Neck reconstruction in many centres. Often there many be several perforators in the area of the flap and clinical experience has shown that there is very good intraflap anastomosis and sacrificing one perforator does not lead to problems. The use of 'spare' perforator monitoring flaps has been mentioned before but not explicitly described. This is a technique paper detailing our preferred method of monitoring buried anterolateral thigh flaps.

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