Buried anterolateral thigh flap for pharyngoesophageal reconstruction: Our method for monitoring

Georgia Alexandra Ch Spyropoulou, Yur Ren Kuo, Chih Yen Chien, Johnson Chia Shen Yang, Seng Feng Jeng*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

18 Scopus citations


Background. A noninvasive method for monitoring in cases of pharyngoesophageal defects reconstruction with the anterolateral thigh flap is presented. Methods. Seventeen patients underwent reconstruction from 2005 to 2007. In 16 patients, the distal stump of the descending branch of lateral circumflex femoral artery (LCFA) was left on the skin surface covered with a transparent film dressing and monitoring was performed by direct observation of the pulsation. In the 17th patient, the pedicle emerged from the transverse branch of the LCFA and dissection of the distal stump for monitoring was impossible; therefore, he was excluded from the study. Results. Cessation of the pulsation of the stump was noticed immediately postoperatively in 1 patient because of occlusion of the arterial anastomosis and in a second case 15 hours postoperatively due to a neck hematoma that caused collapse of the vein of the pedicle. Both flaps were salvaged. Conclusion. The proposed method of monitoring is simple, reliable, costless, and easily interpreted by the nursing staff.

Original languageEnglish
Pages (from-to)882-887
Number of pages6
JournalHead and Neck
Issue number7
StatePublished - 07 2009


  • Anterolateral thigh flap
  • Buried flaps
  • Microsurgical reconstruction
  • Monitoring
  • Pharyngoesophageal defects


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