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Review
. 2017 Jan;44(1):129-141.
doi: 10.1016/j.cps.2016.08.004. Epub 2016 Oct 2.

Pre-expanded Anterolateral Thigh Perforator Flap for Phalloplasty

Salvatore D'Arpa  1 , Britt Colebunders  2 , Filip Stillaert  2 , Stan Monstrey  2
Affiliations
Review

Pre-expanded Anterolateral Thigh Perforator Flap for Phalloplasty

Salvatore D'Arpa et al. Clin Plast Surg. 2017 Jan.

Abstract

The anterolateral thigh (ALT) perforator flap for phalloplasty is gaining popularity because it avoids the well-known scars of the radial forearm flap. However, scars are not eliminated, just moved to a different location, the thigh, that can for some patients be of great sexual value. Preexpansion of the ALT flap allows primary donor site closure, thus avoiding not only the unsightly appearance of a skin grafted ALT donor site, but also the skin graft donor site scar. Preoperative perforator location by means of computed tomography angiography allows safe expander placement through 2 small remote incisions.

Keywords: ALT flap; LCFA flap; Perforator flap; Phalloplasty; Pre-expanded flap; Skin expansion.

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