Abstract
Composite tissue defects after resection of head and neck malignancies can cause functional and aesthetic problems. Nowadays, the anterolateral thigh (ALT) flap has become one of the most preferred options for one stage reconstruction of defects in the head and neck region. In this case report, we present a case in which the flap was used and salvaged for the reconstruction of head and neck defects. To the best of our knowledge, this is the first reported case out of the few cases done in the Western province of Saudi Arabia.