{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T18:25:47Z","timestamp":1760984747127,"version":"build-2065373602"},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,4,29]],"date-time":"2013-04-29T00:00:00Z","timestamp":1367193600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2013,8]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To provide a description of a minimally invasive, video\u2010assisted technique (VAT) to identify the cutaneous perforators of the anterolateral thigh (ALT). The objective of the study was to compare this technique with standard open exploration of the thigh and to describe the learning curve for the procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Case series with chart review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Academic tertiary institution.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>Twenty\u2010six cases operated between December 2009 and June 2012. In all of these cases, an open thigh exploration, considered the gold standard, was performed immediately after the VAT. Data retrieved included surgical findings, demographics, and outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 17\u00a0men and 9 women with a mean age of 60 years. The average flap size was 91\u00a0cm<jats:sup>2<\/jats:sup> (range, 39\u2010264\u00a0cm<jats:sup>2<\/jats:sup>), and a chimeric double skin paddle flap was harvested in 6 cases. Forty\u2010nine of 53 total perforators were successfully identified endoscopically. Findings on endoscopic and open exploration were highly correlated (<jats:italic>r<\/jats:italic> = 0.92, <jats:italic>P<\/jats:italic> =. 000). The overall sensitivity for the technique was 92.4% (confidence interval, 80.9\u201097.5) but reached 100% for perforators located at the midpoint of the anterior\u2010superior iliac spine\u2013patella line. All flaps survived, and there were no technique\u2010related complications. The learning curve plateaued after 15 cases, with a mean endoscopic operative time of 18.2\u00a0minutes for the last 10 procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This VAT is a safe and reliable method to identify cutaneous perforators of the lateral thigh. The procedure is straightforward and has a moderate learning curve. This approach has a role in minimizing donor site morbidity and assisting in flap design.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599813487490","type":"journal-article","created":{"date-parts":[[2013,4,30]],"date-time":"2013-04-30T00:55:20Z","timestamp":1367283320000},"page":"219-225","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Video\u2010Assisted Harvesting of Anterolateral Thigh Free Flap: Technique Validation and Initial Results"],"prefix":"10.1002","volume":"149","author":[{"given":"Mauricio Alejandro","family":"Moreno","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery University of Arkansas for Medical Sciences Little Rock Arkansas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,4,29]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0007-1226(84)90002-X"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2009.07.026"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.21204"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0b013e328347f845"},{"key":"e_1_2_9_6_1","first-page":"e21","article-title":"Versatility of the anterolateral thigh free flap: the four seasons flap","volume":"12","author":"Di Candia M","year":"2012","journal-title":"Eplasty"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2010.05483.x"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.20943"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2011.05.020"},{"key":"e_1_2_9_10_1","first-page":"e30","article-title":"Near\u2010infrared laser\u2010assisted indocyanine green imaging for optimizing the design of the anterolateral thigh flap","volume":"12","author":"Sacks JM","year":"2012","journal-title":"Eplasty"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e318195658f"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0029-1234023"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e318245eaec"},{"key":"e_1_2_9_14_1","first-page":"566","article-title":"Clinical utility of colour flow Doppler ultrasonography in planning anterolateral thigh flap harvest","volume":"39","author":"Patel RS","year":"2010","journal-title":"J Otolaryngol Head Neck Surg"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e318208d23e"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/1358836X9900400308"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.20050"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2006-932504"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/archfacial.2011.16"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2006.10.029"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2012.05.003"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599813487490","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1177\/0194599813487490","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599813487490","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T11:30:00Z","timestamp":1760959800000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0194599813487490"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,4,29]]},"references-count":20,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2013,8]]}},"alternative-id":["10.1177\/0194599813487490"],"URL":"https:\/\/doi.org\/10.1177\/0194599813487490","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"type":"print","value":"0194-5998"},{"type":"electronic","value":"1097-6817"}],"subject":[],"published":{"date-parts":[[2013,4,29]]},"assertion":[{"value":"2012-09-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-04-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-04-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}