Versatility of lateral cutaneous branches of intercostal vessels and nerves: Anatomical study and clinical application

被引：22

作者：

Iida, Takuya ^{[1
]}

Narushima, Mitsunaga ^{[1
]}

Yoshimatsu, Hidehiko ^{[1
]}

Mihara, Makoto ^{[1
]}

Kikuchi, Kazuki ^{[1
]}

Hara, Hisako ^{[1
]}

Yamamoto, Takumi ^{[1
]}

Araki, Jun ^{[1
]}

Koshima, Isao ^{[1
]}

机构：

[1] Univ Tokyo, Dept Plast & Reconstruct Surg, Bunkyo Ku, Tokyo 1138655, Japan

来源：

JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY | 2013年 / 66卷 / 11期

关键词：

Intercostal artery perforator; Lateral cutaneous branch; Superficial circumflex iliac perforator flap; Intercostal nerve; ILIAC PERFORATOR FLAP;

D O I：

10.1016/j.bjps.2013.06.056

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The use of the intercostal artery perforator (ICAP) flap has recently become popular in reconstructions of the breast, upper arm and trunk. Lateral cutaneous branches (LCBs) are a group of the ICAPs that penetrate the fascia near the middle axillary line. However, reports on its precise anatomy and clinical applications are quite limited. We performed an anatomical study of LCBs using cadavers. Based on the findings, we developed novel clinical application methods as follows: (1) sensate superficial circumflex iliac perforator (SCIP) flap, (2) supercharged SCIP flap, (3) ICAP-based propeller flap (IBPF) and (4) free ICAP flap based on LCB. LCBs have the following advantages: (1) Long pedicles can be obtained in the supine position without risk of pneumothorax. (2) The neurovascular bundle is consistently available, allowing elevation of sensate flaps. (3) Donor-site morbidity is low. Therefore, we believe that LCBs offer a versatile option in reconstructive surgery. (c) 2013 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

引用

页码：1564 / 1568

页数：5

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