Evidence map›Paper›PMID 28203499›Full record

ArticlePlastic and reconstructive surgery. Global open2017

Sandwich Fascial Anterolateral Thigh Flap in Head and Neck Reconstruction: Evolution or Revolution?

Mario Cherubino, Jens Berli, Mario Turri-Zanoni, Paolo Battaglia, Francesca Maggiulli, Martina Corno, Federico Tamborini, Edoardo Montrasio, Paolo Castelnuovo, Luigi Valdatta

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
3.7field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 26 citations in OpenAlex.

  1. Review
  2. Article
  3. Social Perception of Reconstruction following Orbital Exenteration.Plastic and reconstructive surgery. Global open · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Mario CherubinoDivision of Plastic and Reconstructive Surgery (M.C., F.M., M.C., F.T., E.M., L.V.) and Head and Neck Surgery & Forensic Dissection Research Center (M.C., M.T.-Z., P.B., P.C., L.V.), Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy; Division of Plastic & Reconstructive Surgery, Transgender Health Program, Oregon Health & Science University, Portland, Oregon (J.B.); and Division of Otorhinolaryngology - Head & Neck Surgery, Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy (M.T.-Z., P.B., P.C.).
Jens BerliDivision of Plastic and Reconstructive Surgery (M.C., F.M., M.C., F.T., E.M., L.V.) and Head and Neck Surgery & Forensic Dissection Research Center (M.C., M.T.-Z., P.B., P.C., L.V.), Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy; Division of Plastic & Reconstructive Surgery, Transgender Health Program, Oregon Health & Science University, Portland, Oregon (J.B.); and Division of Otorhinolaryngology - Head & Neck Surgery, Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy (M.T.-Z., P.B., P.C.).
Mario Turri-ZanoniDivision of Plastic and Reconstructive Surgery (M.C., F.M., M.C., F.T., E.M., L.V.) and Head and Neck Surgery & Forensic Dissection Research Center (M.C., M.T.-Z., P.B., P.C., L.V.), Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy; Division of Plastic & Reconstructive Surgery, Transgender Health Program, Oregon Health & Science University, Portland, Oregon (J.B.); and Division of Otorhinolaryngology - Head & Neck Surgery, Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy (M.T.-Z., P.B., P.C.).
Paolo BattagliaDivision of Plastic and Reconstructive Surgery (M.C., F.M., M.C., F.T., E.M., L.V.) and Head and Neck Surgery & Forensic Dissection Research Center (M.C., M.T.-Z., P.B., P.C., L.V.), Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy; Division of Plastic & Reconstructive Surgery, Transgender Health Program, Oregon Health & Science University, Portland, Oregon (J.B.); and Division of Otorhinolaryngology - Head & Neck Surgery, Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy (M.T.-Z., P.B., P.C.).
Francesca MaggiulliDivision of Plastic and Reconstructive Surgery (M.C., F.M., M.C., F.T., E.M., L.V.) and Head and Neck Surgery & Forensic Dissection Research Center (M.C., M.T.-Z., P.B., P.C., L.V.), Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy; Division of Plastic & Reconstructive Surgery, Transgender Health Program, Oregon Health & Science University, Portland, Oregon (J.B.); and Division of Otorhinolaryngology - Head & Neck Surgery, Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy (M.T.-Z., P.B., P.C.).
Martina CornoDivision of Plastic and Reconstructive Surgery (M.C., F.M., M.C., F.T., E.M., L.V.) and Head and Neck Surgery & Forensic Dissection Research Center (M.C., M.T.-Z., P.B., P.C., L.V.), Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy; Division of Plastic & Reconstructive Surgery, Transgender Health Program, Oregon Health & Science University, Portland, Oregon (J.B.); and Division of Otorhinolaryngology - Head & Neck Surgery, Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy (M.T.-Z., P.B., P.C.).
Federico TamboriniDivision of Plastic and Reconstructive Surgery (M.C., F.M., M.C., F.T., E.M., L.V.) and Head and Neck Surgery & Forensic Dissection Research Center (M.C., M.T.-Z., P.B., P.C., L.V.), Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy; Division of Plastic & Reconstructive Surgery, Transgender Health Program, Oregon Health & Science University, Portland, Oregon (J.B.); and Division of Otorhinolaryngology - Head & Neck Surgery, Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy (M.T.-Z., P.B., P.C.).
Edoardo MontrasioDivision of Plastic and Reconstructive Surgery (M.C., F.M., M.C., F.T., E.M., L.V.) and Head and Neck Surgery & Forensic Dissection Research Center (M.C., M.T.-Z., P.B., P.C., L.V.), Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy; Division of Plastic & Reconstructive Surgery, Transgender Health Program, Oregon Health & Science University, Portland, Oregon (J.B.); and Division of Otorhinolaryngology - Head & Neck Surgery, Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy (M.T.-Z., P.B., P.C.).
Paolo CastelnuovoDivision of Plastic and Reconstructive Surgery (M.C., F.M., M.C., F.T., E.M., L.V.) and Head and Neck Surgery & Forensic Dissection Research Center (M.C., M.T.-Z., P.B., P.C., L.V.), Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy; Division of Plastic & Reconstructive Surgery, Transgender Health Program, Oregon Health & Science University, Portland, Oregon (J.B.); and Division of Otorhinolaryngology - Head & Neck Surgery, Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy (M.T.-Z., P.B., P.C.).
Luigi ValdattaDivision of Plastic and Reconstructive Surgery (M.C., F.M., M.C., F.T., E.M., L.V.) and Head and Neck Surgery & Forensic Dissection Research Center (M.C., M.T.-Z., P.B., P.C., L.V.), Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy; Division of Plastic & Reconstructive Surgery, Transgender Health Program, Oregon Health & Science University, Portland, Oregon (J.B.); and Division of Otorhinolaryngology - Head & Neck Surgery, Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy (M.T.-Z., P.B., P.C.).
University of Insubria · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe anterolateral thigh perforator flap (ALT) represents the workhorse for most reconstructive efforts in the head and neck regions. The main advantages of this flap are its versatility, the length of the pedicle, and the low morbidity of the donor site. The major drawback is the bulkiness of this flap with the frequent need for secondary revisions. To overcome this, we have developed a novel way to harvest and inset the ALT, called the sandwich fascial ALT flap (SALT).

methodsAll patients undergoing head and neck reconstruction using the SALT flap from January 2013 to March 2016 were included in this retrospective analysis. The SALT flap was harvested as a composite flap including the superficial fascia, the subscarpal fat, and the deep fascia. At the recipient site, the flap was inset with the deep fascia facing out. A split thickness skin graft (± dermal substitute) was used to cover the deep fascia and the pedicle.

resultsEleven patients were included: 8 cases of orbital exenteration, 1 case of forehead reconstruction, and 2 cases of palatal reconstruction after radical maxillectomy. Flap survival was 100%. One patient required an early take back for venous thrombosis. The reconstruction was effective in all cases, allowing a prosthetic rehabilitation when required. Donor-site morbidity was minimal.

conclusionsThe reconstruction of head and neck defects with a bulky fasciocutaneous ALT flap might not be the best option in every case. The SALT flap could represent a valid alternative for selected cases, with encouraging functional and cosmetic outcomes.

Identifiers

PMID28203499
PMCPMC5293297
OpenAlexW2572873495

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