THE CORRELATION OF ANTHROPOMETRIC CHARACTERISTICS WITH ANTERIOR LATERAL THIGH FLAP’S DESIGN IN PLASTIC SURGERY

Phan Văn Tân1,, Trần Thiết Sơn1, Phạm Thị Việt Dung1
1 Hanoi Medical University

Main Article Content

Abstract

The purpose of this study is to describe thigh ‘s anthropometric characteristics and their effect on the ability to primarily close the donor site of anterior lateral thigh flap. The study included 38 patient, from 01/2017 to 07/2021 at Xanh Pon general hospital. The result exhibited a stricted relationship between BMI and the thick of flap following the fomular: “the thick of cutaneous layer = -0.6591 + 0. 1021*BMI (r=0.7679)” at male group and “the thick of cutaneous layer = - 0.5126 + 0.1129*BMI (r=0.8717)” at female group. 22 patients were primarily closed the donor site (group A), when 16 patients were closed the donor site by skin graft or local flap (group B). In group A, the mean width flap and flap width to thigh circumference ratio were 7.91 cm and 0.17, comparing to 11.2cm and 0.24 in group B. The cut-off value of flap width to thigh circumference ratio to directly close the donor site was less than 0.1886. We could estimate the ability of primary closure the donor site base on logistic regression formular. In conclusion, there are a strict relationship between BMI index and the thick of anterior lateral thigh flap. The ability to directly close the donor site can be estimated base on flap width to thigh circumference ratio and the thick of cutaneous layer.

Article Details

References

1. Song YG, Chen GZ, Song YL. The free thigh flap: a new free flap concept based on the septocutaneous artery. Br J Plast Surg. 1984;37(2):149-159. doi:10.1016/0007-1226(84)90002-x
2. Boca R, Kuo Y-R, Hsieh C-H, Huang E-Y, Jeng S-F. A reliable parameter for primary closure of the free anterolateral thigh flap donor site. Plast Reconstr Surg. 2010;126(5):1558-1562. doi:10.1097/PRS.0b013e3181ef8cb7
3. Hung K-S, Chen S-H, Chen W-C, Tseng W-L, Lee Y-C. Surgical Algorithmic Approach to Facilitate Primary Closure of the Anterolateral Thigh Flap Donor Site in Head and Neck Reconstruction. Ann Plast Surg. December 2018. doi:10.1097/SAP.0000000000001729
4. Dương Mạnh Chiến, Trần Thiết Sơn. Nhận xét đặc điểm vạt đùi trước ngoài tự do dạng chùm trong tạo hình khuyết phần mềm bàn tay. In: Tạp chí Y học Việt Nam (449), tháng 12 - số chuyên đề; 2016:154-161.
5. Trần Thiết Sơn, Phạm Thị Việt Dung. Tính linh hoạt của vạt đùi trước ngoài trong phẫu thuật tạo hình. In: Tạp chí Y học thực hành; 2011:8-11.
6. Trần Thiết Sơn, Sekido Mitsuru. Atlas Phương Pháp Giãn Da Trong Phẫu Thuật Tạo Hình và Thẩm Mỹ. Nhà xuất bản Y học; 2019.
7. Song K, Nam S, Choi S, Kim J, Lee J, Bae Y. Objective preoperative estimation of the ability of primary closure on anterolateral thigh free flap donor site: circumference and area ratios of deep tissue to thigh. Microsurgery. 2013;33(4):270-274. doi:10.1002/micr.22080
8. Visconti G, Salgarello M. Anteromedial thigh perforator-assisted closure of the anterolateral thigh free flap donor site. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2013;66(7):e189-e192. doi:10.1016/j.bjps.2013.02.021