Pedicled Perforator Flaps

Demirtas Y., Ozturk N., Kelahmetoglu O., Demir A.

ANNALS OF PLASTIC SURGERY, cilt.63, sa.2, ss.179-183, 2009 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 63 Sayı: 2
  • Basım Tarihi: 2009
  • Doi Numarası: 10.1097/sap.0b013e31818937ee
  • Dergi Adı: ANNALS OF PLASTIC SURGERY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.179-183
  • Anahtar Kelimeler: pedicled perforator flap, skin defect, reconstruction, free style flap, ANTEROLATERAL THIGH FLAP, RECONSTRUCTION, DEFECTS
  • Ondokuz Mayıs Üniversitesi Adresli: Evet

Özet

Described in this study is a surgical concept that supports the "consider and use a pedicled perforator flap whenever possible and indicated" approach to reconstruct a particular skin defect. The operation is entirely free-style; the only principle is to obtain a pedicled perforator flap to reconstruct the defect. The perforators are marked with a hand-held Doppler probe and multiple flaps are designed. The appropriate flap is elevated after identifying the perforator(s). Dissection of the perforator(s) or complete incision of the flap margins are not mandatory if the flap is mobilized adequately to cover the defect. Defects measuring 3 x 3 cm lip to 20 x 20 cm at diverse locations were successfully reconstructed in 20 of 21 patients with 26 flaps. Pedicled perforator flaps offer Lis reliable all(] satisfactory results of reconstruction at different anatomic territories of the body. It sounds more practical and creative to use a free-style manner during pedicled perforator flap surgery, instead of being obliged to predefined templates for this type of procedure.