Clinical Implications of Anterolateral Thigh Flap Shrinkage

摘要: Objective: To evaluate anterolateral thigh flap shrinkage after elevation and to develop a predictive model for design. Method: A prospective study was conducted in university teaching hospital. The skin islands from flaps were outlined on transparent sheet before the reconstruction procedure. Dimensions of stretched also recorded. These three outlines scanned surface areas computed compared by tracing use AutoCAD. Age, sex, dimension, thickness investigated association with shrinkage. Results: Forty-five harvested head neck soft tissue tumor resection studied. Flap size ranged 4 14 cm width 8 22 length; area 30.6 151.0 cm2. On average, shrunk 25.0% (6.2%–52.6%), highly significant change (P < .01). correlated reduction size. average stretched-flap 10.1% (0.4%–29.4%) less than preflap area, difference between independent all variables. We developed using stepwise multiple linear regression method coefficient determination 0.495. Conclusions: Anterolateral shrink harvesting, are contributing findings indicate that must take into account ensure sufficient coverage.