Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Microdissected Prefabricated Flap: An Evolution in Flap Prefabrication

  • Tas, Suleyman (Department of Plastic, Reconstructive and Aesthetic Surgery, Medical Park Hospital)
  • Received : 2016.02.20
  • Accepted : 2016.04.12
  • Published : 2016.11.18
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Abstract

When traditional flap techniques are not feasible, we apply flap prefabrication, which is more complicated and sophisticated but supplies large and thin flaps. There are some disadvantages to the technique that require improvement, such as venous congestion after flap transfer, which requires months for neoangiogenesis and necessitates a vascular carrier. Here, the author presents a new technique, called as 'microdissected prefabricated flap,' to successfully produce a safe, large, and thin flap. This technique is based on the microdissection of the perforators to the greatest extent possible, spreading them out into the subdermal level and using them as a carrier. The details and the application of this technique are presented and reported.

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References

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