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Ten males and one female, aged 61.3 \u00b1 14.3 years, were included in this study. Eight patients presented with tumor recurrences after previous surgery, irradiation, and\/or chemotherapy. The average extension of defects was 169.5 (range, 30\u2013600) qcm. Free flaps employed for reconstruction included antero\u2010lateral thigh flaps (8), suprafascial radial forearm flap (1), lateral arm flap (1), latissimus dorsi muscle flap (1), and myocutaneous vertical rectus abdominis flap (1). Other procedures included nerve grafts to the facial nerve (2), ectropion correction (2), and fascia lata slings for static procedure in facial palsy (2). There was no pedicle revision and no flap failure. Donor\u2010site morbidity was negligible. Hospitalization averaged 9.2 \u00b1 1.7 days. The anterolateral thigh perforator flap offers excellent coverage of tumor\u2010related defects of the scalp, which require a thin flap for adequate contouring. The customized harvested myocutaneous anterolateral thigh flap is regarded as an elegant option for covering defects which consist of both deep and superficial areas. Fascia lata and nerve grafts are available at the same donor site. This easily allows additional procedures for cosmetic and functional improvement that are of high benefit for patients. \u00a9 2002 Wiley\u2010Liss, Inc.MICROSURGERY 22:258\u2013264 2002<\/jats:p>","DOI":"10.1002\/micr.10047","type":"journal-article","created":{"date-parts":[[2002,10,10]],"date-time":"2002-10-10T13:30:45Z","timestamp":1034256645000},"page":"258-264","source":"Crossref","is-referenced-by-count":64,"title":["Aesthetic and functional advantages of the anterolateral thigh flap in reconstruction of tumor\u2010related scalp defects"],"prefix":"10.1002","volume":"22","author":[{"given":"Barbara 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