TFL Perforator Flap Complementing and Completing the ALT–AMT Flap Axis

Abstract

Background Anterolateral thigh (ALT) flap is the most common soft tissue flap used for microvascular reconstruction of head and neck. Its harvest is associated with some unpredictability due to variability in perforator characteristics, injury or unfavorable configuration for complex defects. Anteromedial thigh (AMT) flap is an option, but the low incidence and thickness restrict its utility. Tensor fascia lata (TFL) perforator (TFLP) flap is an excellent option to complement ALT. Its perforator is consistent, robust, in vicinity, and lends itself with the ALT perforator.

Keywords

• tensor fascia lata perforator flap
• TFL perforator flap
• ALT flap
• chimeric ALT harvest
• chimeric flaps