Complications and Solutions in Propeller Flap Surgery

被引:18
作者
Cajozzo, Marta [1 ]
Jiga, Lucian P. [2 ]
Jandali, Zaher [2 ]
Muradov, Mismil [3 ]
Pignatti, Marco [4 ]
Cordova, Adriana [1 ]
D'Arpa, Salvatore [1 ]
机构
[1] Univ Palermo, Div Plast & Reconstruct Surg, Dept Surg Oncol & Oral Sci DICHIRONS, Via Isonzo 8, I-90144 Palermo, Italy
[2] Carl von Ossietzky Univ Oldenburg, Evangel Krankenhaus Oldenburg, Dept Plast Aesthet Reconstruct & Hand Surg, Oldenburg, Germany
[3] Syzganov Natl Sci Ctr Surg, Dept Plast Surg, Alma Ata, Kazakhstan
[4] Bologna Univ, DIMES, Policlin St Orsola, Dept Plast Surg, Bologna, Italy
关键词
propeller flap; perforator flap; reconstructive surgery; risk factors; complications; LOWER-LIMB RECONSTRUCTION; LOWER-EXTREMITY DEFECTS; ARTERY AXIAL PROPELLER; PERFORATOR FLAPS; RISK-FACTORS; LEG; MANAGEMENT; SALVAGE; ABDOMEN; DISTAL;
D O I
10.1055/s-0040-1714087
中图分类号
R61 [外科手术学];
学科分类号
摘要
Propeller perforator flaps (PPFs) have long been proven as valid reconstructive tools for a wide range of soft tissue defects in different body regions. During the last decade, despite their numerous advantages, many authors have thoroughly analyzed outcomes of these flaps, sometimes discouraging their use mainly because of a high failure rate. Accurate patient selection, adequate preoperative planning, and an appropriate dissection technique seem to potentially improve outcomes. Our study provides a review of the relevant literature related to PPF complications and of our experience, describing reasons for failure, measures for preventing them, and approaches for a prompt evaluation and management of complications.
引用
收藏
页码:210 / 220
页数:11
相关论文
共 48 条
[1]   THE RESPONSE OF THE MICROVASCULAR SYSTEM TO RADIATION - A REVIEW [J].
BAKER, DG ;
KROCHAK, RJ .
CANCER INVESTIGATION, 1989, 7 (03) :287-294
[2]   FREE VERSUS PERFORATOR-PEDICLED PROPELLER FLAPS IN LOWER EXTREMITY RECONSTRUCTION: WHAT IS THE SAFEST COVERAGE? A META-ANALYSIS [J].
Bekara, Farid ;
Herlin, Christian ;
Somda, Serge ;
De Runz, Antoine ;
Grolleau, Jean Louis ;
Chaput, Benoit .
MICROSURGERY, 2018, 38 (01) :109-119
[3]   A Systematic Review and Meta-Analysis of Perforator-Pedicled Propeller Flaps in Lower Extremity Defects: Identification of Risk Factors for Complications [J].
Bekara, Farid ;
Herlin, Christian ;
Mojallal, Ali ;
Sinna, Raphael ;
Ayestaray, Benoit ;
Letois, Flavie ;
Chavoin, Jean Pierre ;
Garrido, Ignacio ;
Grolleau, Jean Louis ;
Chaput, Benoit .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2016, 137 (01) :314-331
[4]   Comparing the Effects of Pedicle Torsion on Axial or Perforator Flaps; Improving the Perforator Flap Resistance to Pedicle Torsion with Delay Phenomenon [J].
Bektas, Gamze ;
Ozkan, Ozlenen ;
Cinpolat, Ani ;
Bassorgun, Ibrahim Cumhur ;
Ciftcioglu, Mehmet Akif ;
Ozkan, Omer .
JOURNAL OF RECONSTRUCTIVE MICROSURGERY, 2014, 30 (08) :531-538
[5]   Retrospective Analysis in Lower Limb Reconstruction: Propeller Perforator Flaps versus Free Flaps [J].
Cajozzo, Marta ;
Toia, Francesca ;
Innocenti, Alessandro ;
Tripoli, Massimiliano ;
Zabbia, Giovanni ;
D'Arpa, Salvatore ;
Cordova, Adriana .
JOURNAL OF RECONSTRUCTIVE MICROSURGERY, 2017, 33 :S34-S39
[6]   Delayed procedure in propeller perforator flap: Defining the venous perforasome [J].
Chaput, B. ;
Grolleau, J. L. ;
Garrido, I. ;
Mojallal, A. ;
Bertheuil, N. ;
Carloni, R. ;
Herlin, C. ;
Sinna, R. .
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, 2017, 70 (02) :286-289
[7]   Propeller Flaps in the Head and Neck [J].
Cordova, Adriana ;
D'Arpa, Salvatore ;
Rosatti, Fernando ;
Nichelini, Marta ;
D'Antonio, Giovanni Maria ;
Giordano, Salvatore ;
Toia, Francesca .
SEMINARS IN PLASTIC SURGERY, 2020, 34 (03) :165-170
[8]   A New Mucosal Propeller Flap (Deep Lingual Artery Axial Propeller): The Renaissance of Lingual Flaps [J].
Cordova, Adriana ;
Toia, Francesca ;
D'Arpa, Salvatore ;
Giunta, Gabriele ;
Moschella, Francesco .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2015, 135 (03) :584E-594E
[9]   A Propeller Flap for Single-Stage Nose Reconstruction in Selected Patients: Supratrochlear Artery Axial Propeller Flap [J].
Cordova, Adriana ;
D'Arpa, Salvatore ;
Massimiliano, Tripoli ;
Toia, Francesca ;
Moschella, Francesco .
FACIAL PLASTIC SURGERY, 2014, 30 (03) :332-341
[10]   Free style facial artery perforator flap for one stage reconstruction of the nasal ala [J].
D'Arpa, S. ;
Cordova, A. ;
Pirrello, R. ;
Moschella, F. .
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, 2009, 62 (01) :36-42