Abstract

The anterolateral thigh myocutaneous ap is one of the most commonly used aps for reconstructive procedures in maxillofacial surgery. First described by Song et al. in 1984 this soft tissue ap can be easily obtained providing good amount of muscle for lling dead space and fascia lata. This viable ap can be prepared into a separate fat ap, multi-island fascia with iliac bone or other composite pedicle aps to serve to requirements of various head and neck defects. The varying subcutaneous fat thickness and skin can repair defects seeking different ap thickness. Reconstruction of composite oral and maxillofacial defects is challenging. It pivots around evaluating the defect in all dimensions and lling it with a versatile ap. The paper discusses the basic characteristics of anterolateral thigh ap along with its multi-faceted application in reconstructing types of composite maxillofacial defects.

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