Vastus lateralis myofascial free flap in tongue reconstruction

R Pellini, A. De Virgilio, G Mercante, Barbara Pichi, Valentina Manciocco, Paolo Marchesi, F. Ferreli, G Spriano

Research output: Contribution to journalArticlepeer-review


In the last decade, the antero-lateral thigh free flap (ALT) has become the most popular free flap for tongue reconstruction because of less donor site morbidity and better cosmetic outcomes. However, fascio-cutaneous ALT may be insufficient to reconstruct major tongue defects, while its muscular-cutaneous variant (using the vastus lateralis muscle) may be too bulky. The present study describes our preliminary experience of tongue reconstruction with vastus lateralis myofascial flap, which could potentially offer unique advantages in head and neck reconstruction including adequate bulk when needed, optimal functional results and obliteration of dead space thus preventing fistulas and infections with minimal morbidity.

Original languageEnglish
Pages (from-to)321-325
Number of pages5
JournalActa Otorhinolaryngologica Italica
Issue number4
Publication statusPublished - Aug 2016


  • Journal Article


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