Combined sliding flap using a single perforator enables simple closure of the donor site: A case report

被引:4
作者
Katsuragi, Yoko [1 ]
Katagiri, Hirohisa [2 ]
Nagamatsu, Shogo [1 ]
Kayano, Shuji [1 ]
Koizumi, Takuya [1 ]
Matsui, Takahiro [1 ]
Takagi, Tatsuya [2 ]
Murata, Hideki [2 ]
Ogata, Dai [2 ]
Takahashi, Mitsuru [2 ]
Nakagawa, Masahiro [1 ]
机构
[1] Shizuoka Canc Ctr Hosp, Div Plast & Reconstruct Surg, Shizuoka 4118777, Japan
[2] Shizuoka Canc Ctr Hosp, Div Orthopaed Oncol, Shizuoka 4118777, Japan
关键词
Perforator flap; Sliding flap; Anterolateral thigh; Dermatofibrosarcoma protuberans; Donor-site morbidity; ANTEROLATERAL THIGH FLAP; RECONSTRUCTION; DEFECTS; REPAIR;
D O I
10.1016/j.bjps.2009.11.017
中图分类号
R61 [外科手术学];
学科分类号
摘要
We report the case of a 39-year-old man with a dermatofibrosarcoma protuberans (DFSP) on the right shoulder. A wide surgical excision of the tumour was performed, creating a 12-cm-wide defect. An anterolateral thigh flap created from two semicircular skin paddles was harvested and the two skin paddles were slid towards each other to cover the circular defect. The sliding technique is a useful design that preserves the suprafascial plexus and enables a single perforator to supply two split-skin paddles. Using this design, the donor site can be closed primarily without requiring a skin graft. This technique can be applied to other free flaps to reconstruct wide defects after the resection of cancers. (C) 2009 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:E543 / E546
页数:4
相关论文
共 11 条
[1]   Effects of thinning the anterolateral thigh flap on the blood supply to the skin [J].
Alkureishi, LWT ;
Shaw-Dunn, J ;
Ross, GL .
BRITISH JOURNAL OF PLASTIC SURGERY, 2003, 56 (04) :401-408
[2]   DERMATOFIBROSARCOMA PROTUBERANS OF THE CHEST AND THE SHOULDER - WIDE AND DEEP EXCISIONS WITH IMMEDIATE RECONSTRUCTION [J].
BRABANT, B ;
REVOL, M ;
VERGOTE, T ;
SERVANT, JM ;
BANZET, P .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1993, 92 (03) :459-462
[3]   Combination of Two Long-Pedicled Myocutaneous Flaps for Closure of a Complex Contralateral Dorsal Defect [J].
Datta, Giacomo ;
Boriani, Filippo ;
Degano, Kiran ;
Carlucci, Salvatore ;
Ferrando, Pietro Maria ;
Verna, Giovanni .
ANNALS OF THORACIC SURGERY, 2009, 87 (06) :1930-1933
[4]   FREE FLAP DONOR SITE REFINEMENT USING TISSUE EXPANSION [J].
HALLOCK, GG .
ANNALS OF PLASTIC SURGERY, 1988, 20 (06) :566-572
[5]   Free anterolateral thigh adipofascial perforator flap [J].
Hsieh, CH ;
Yang, CC ;
Kuo, YR ;
Tsai, HH ;
Jeng, SF .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2003, 112 (04) :976-982
[6]   FREE COMBINED COMPOSITE FLAPS USING THE LATERAL CIRCUMFLEX FEMORAL SYSTEM FOR REPAIR OF MASSIVE DEFECTS OF THE HEAD AND NECK REGIONS - AN INTRODUCTION TO THE CHIMERIC FLAP PRINCIPLE [J].
KOSHIMA, I ;
YAMAMOTO, H ;
HOSODA, M ;
MORIGUCHI, T ;
ORITA, Y ;
NAGAYAMA, H .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1993, 92 (03) :411-420
[7]   Sliding shape-designed latissimus dorsi flap [J].
Sawaizumi, M ;
Maruyama, Y .
ANNALS OF PLASTIC SURGERY, 1997, 38 (01) :41-45
[8]  
Tsai FC, 2004, PLAST RECONSTR SURG, V113, P185, DOI 10.1097/01.PRS.0000096707.22461.8A
[9]  
Tsai FC, 2004, PLAST RECONSTR SURG, V113, P94
[10]  
ZHANG Q, 2008, J PLAST RECONSTR AES