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Various Perforating Artery Pedicled Flaps

Other Title
천공동맥을 혈관경로 한 여러 가지 피판
이, 영우; 이, 병민; 박, 명철; 김, 관식
Journal of the Korean Society of Plastic and Reconstructive Surgeons, 26(5):791-797, 1999
Journal Title
Journal of the Korean Society of Plastic and Reconstructive Surgeons; 대한성형외과학회지
The recent development of microsurgical tissue transfer has enabled any defect in any

area to be reconstructed with free flaps. However, the need for a more functional and

thinner flap has been raised due to bulkiness of the flap and donor-site morbidity. For

better function81 and aesthetic results, various perforator flaps excluding muscles or

adjacent subcutaneous tissue have been recently reported. We report 44 cases of

perforating artery pedicled flaps from April 1995 to August 1998, including 21 cases of

anterolateral thigh flap, 12 cases of gluteal artery perforator flap, 4 cases of posterior

interosseous flap, and 7 cases of paraumbilical perforator flap for various soft tissue

defects. Even though marginal necrosis of flap occurred in 9 cases, complete healing

without significant problem was possible.

The advantages of perforator flaps are as follows: 1. It is possible to obtain a

relatively thin fasciocutaneous flap, but still with sufficient volume 2. Donor site

morbidity was reduced without damage of main artery: 3. In spite of diverse vascular

pattern of the perforator, the location of perforating arteries can be Detected with

relative ease and mapped preoperatively with an ultrasound Doppler. The need of

meticulous and tedious dissection could be a sole disadvantage of these flaps. This

report describes the clinical experience with a perforator-based flap, anticipating

applications of many other types of perforator flap in the future.
Perforating arteryFlap
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Journal Papers > School of Medicine / Graduate School of Medicine > Plastic & Reconstructive Surgery
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