Head and neck soft tissue reconstruction with anterolateral thigh flaps with various components: Development of an algorithm for flap selection in different clinical scenarios.

ALT offers unique advantages in head and neck reconstruction, including adequate bulk when needed, different coating surfaces, and optimal functional results with minimal morbidity. On the base of our case series, which showed that the ALT flap is highly versatile and a successful reconstructive option, we propose a decision making-flow chart in order to choose the best specific flap variant adequate for every specific clinical scenario.