Can skin islands of free muscle flaps be used as pedicled perforator flaps years after free flap transfer?

被引：0

作者：

Cigdem Unal

Cenk Sen

Huseyin Gercek

机构：

[1] Plastic, Reconstructive and Aesthetic Surgery Department, Faculty of Medicine, Kocaeli University, 41400 Umuttepe, Izmit

[2] Plastic, Reconstructive and Aesthetic Surgery Clinic, Istanbul Memorial Okmeydani Hospital, 34385 OkmeydanI, Istanbul, Piyalepaşa BulvarI

来源：

European Journal of Plastic Surgery | 2012年 / 35卷 / 11期

关键词：

Free muscle flap; Perforator flap; Skin island;

D O I：

10.1007/s00238-011-0649-z

中图分类号：

学科分类号：

摘要：

Free muscle flaps are sometimes raised with skin islands which are vascularized with a perforator of the pedicle. In this case, the skin island used for monitorization of a free latissimus dorsi (LD) flap was raised as a pedicled perforator flap to cover a defect secondary to contracture release 1 year after free tissue transfer. We present a case of a 3-year-old child who presented with a left foot defect that was reconstructed with a musculocutaneous LD flap. One year after initial surgery, a contracture of the great toe was released and reconstructed with a perforator flap harvested from the original musculocutaneous flap. © 2011 Springer-Verlag.

引用

页码：841 / 843

页数：2

共 8 条

[1]

MacHens H.G., Pallua N., Pasel J., Mailaender P., Liebau J., Berger A., Persistence of blood flow up to 10 years after free musculocutaneous tissue transfer, Plast Reconstr Surg, 101, pp. 719-726, (1998)

[2]

Fisher J., Wood M.B., Late necrosis of a latissimus dorsi free flap: Case report, Plast Reconstr Surg, 74, pp. 274-281, (1984)

[3]

Sadove R.C., Kanter M.J., Absent neovascularisation in a lower extremity free flap: Case report, J Reconstr Microsurg, 9, pp. 5-9, (1993)

[4]

Angrigiani C., Grili D., Siebert J., Latissimus dorsi musculocutaneous flap without muscle, Plast Reconstr Surg, 96, pp. 1608-1614, (1995)

[5]

Cavadas P.C., Teran-Saavedra P.P., Combined latissimus dorsi-thoracodorsal artery perforator free flap: The razor flap, J Reconstr Microsurg, 18, pp. 29-31, (2002)

[6]

Van Landuyt K., Hamdi M., Blondeel P., Monstrey S., The compound thoracodorsal perforator flap in the treatment of combined soft tissue defects of sole and dorsum of the foot, Br J Plast Surg, 58, pp. 371-378, (2005)

[7]

Rainer C., Meirer R., Gardetto A., Schwabegger A.H., Ninkovic M.M., Perforator-pedicled skin Island flap for coverage of microvascular anastomoses in myocutaneous flaps in the lower extremity, Plast Reconstr Surg, 112, pp. 1362-1367, (2003)

[8]

Topalan M., Guven E., Demirtas Y., Backup perforator flap derived from a previously transferred musculocutaneous free flap, Microsurgery, 30, pp. 457-461, (2010)

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