Practical and Reliable Approach to Harvesting Superthin ALT Free Flap for Tongue Reconstruction.

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.