DOI QR코드

DOI QR Code

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

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.

Keywords

References

  1. Pribaz JJ, Guo L. Flap prefabrication and prelamination in head and neck reconstruction. Semin Plast Surg 2003;17:351-62. https://doi.org/10.1055/s-2004-817707
  2. Li Q, Zan T, Li H, et al. Flap prefabrication and stem cell-assisted tissue expansion: how we acquire a monoblock flap for full face resurfacing. J Craniofac Surg 2014;25:21-5. https://doi.org/10.1097/01.scs.0000436743.75289.6b
  3. Pribaz JJ, Fine N, Orgill DP. Flap prefabrication in the head and neck: a 10-year experience. Plast Reconstr Surg 1999;103:808-20. https://doi.org/10.1097/00006534-199903000-00006
  4. Khouri RK, Ozbek MR, Hruza GJ, et al. Facial reconstruction with prefabricated induced expanded (PIE) supraclavicular skin flaps. Plast Reconstr Surg 1995;95:1007-15. https://doi.org/10.1097/00006534-199505000-00008
  5. Teot L, Cherenfant E, Otman S, et al. Prefabricated vascularised supraclavicular flaps for face resurfacing after postburns scarring. Lancet 2000;355:1695-6. https://doi.org/10.1016/S0140-6736(00)02245-5
  6. Kimura N, Hasumi T, Satoh K. Prefabricated thin flap using the transversalis fascia as a carrier. Plast Reconstr Surg 2001;108:1972-80. https://doi.org/10.1097/00006534-200112000-00020
  7. Li Q, Zan T, Gu B, et al. Face resurfacing using a cervicothoracic skin flap prefabricated by lateral thigh fascial flap and tissue expander. Microsurgery 2009;29:515-23. https://doi.org/10.1002/micr.20640
  8. Erol OO, Spira M. Reconstructing the breast mound employing a secondary island omental skin flap. Plast Reconstr Surg 1990;86:510-8. https://doi.org/10.1097/00006534-199009000-00022
  9. Morrison WA, Penington AJ, Kumta SK, et al. Clinical applications and technical limitations of prefabricated flaps. Plast Reconstr Surg 1997;99:378-85. https://doi.org/10.1097/00006534-199702000-00011
  10. Yao ST. Vascular implantation into skin flap: experimental study and clinical application: a preliminary report. Plast Reconstr Surg 1981;68:404-10. https://doi.org/10.1097/00006534-198109000-00031
  11. Margulis A, Agam K, Icekson M, et al. The expanded supraclavicular flap, prefabricated with thoracoacromial vessels, for reconstruction of postburn anterior cervical contractures. Plast Reconstr Surg 2007;119:2072-7. https://doi.org/10.1097/01.prs.0000260600.65200.61
  12. Rozen WM, Murray AC, Ashton MW, et al. The cutaneous course of deep inferior epigastric perforators: implications for flap thinning. J Plast Reconstr Aesthet Surg 2009;62:986-90. https://doi.org/10.1016/j.bjps.2008.01.007
  13. Prasetyono TO, Bangun K, Buchari FB, et al. Practical considerations for perforator flap thinning procedures revisited. Arch Plast Surg 2014;41:693-701. https://doi.org/10.5999/aps.2014.41.6.693
  14. Kimura N. A microdissected thin tensor fasciae latae perforator flap. Plast Reconstr Surg 2002;109:69-77. https://doi.org/10.1097/00006534-200201000-00012
  15. Kimura N, Satoh K, Hosaka Y. Microdissected thin perforator flaps: 46 cases. Plast Reconstr Surg 2003;112:1875-85. https://doi.org/10.1097/01.PRS.0000091248.41007.2D