Retrospective review assesses complications related to superthin ALT flap harvesting for hemitongue reconstruction, suggesting safety and efficacy.
INTRODUCTION: Superthin ALT flaps offer functional and aesthetic advantages in hemitongue reconstruction. Preserving a deep fascia cuff enables a safer, more intuitive, and practical approach. METHODS: Thirty-seven cases were retrospectively reviewed. Flap thickness and cuff diameter were analyzed for association with complications. RESULTS: Mean flap thickness was 0.69 cm and cuff diameter 3.09 cm. Neither showed significant correlation with thrombosis or flap failure. CONCLUSION: This standardized technique offers a reliable, intuitive method for safe and effective hemitongue reconstruction using superthin ALT flaps.
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Lee et al. (2026) studied this question.
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