Archives of Reconstructive Microsurgery
- 제25권2호
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- Pages.49-55
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- 2016
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- 2383-5257(pISSN)
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- 2288-6184(eISSN)
DOI QR Code
Clinical Efficacy of Gluteal Artery Perforator Flaps for Various Lumbosacral Defects
- Park, Hyun June (Department of Plastic and Reconstructive Surgery, Chosun University College of Medicine) ;
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Son, Kyung Min
(Department of Plastic and Reconstructive Surgery, Chosun University College of Medicine) ;
- Choi, Woo Young (Department of Plastic and Reconstructive Surgery, Chosun University College of Medicine) ;
- Cheon, Ji Seon (Department of Plastic and Reconstructive Surgery, Chosun University College of Medicine)
- 투고 : 2016.10.24
- 심사 : 2016.11.07
- 발행 : 2016.11.30
초록
Purpose: Soft tissue defects in the lumbosacral area can be challenging to treat, and various methods to accomplish this have been proposed, including the use of perforator flaps. Herein, we present our experience with superior gluteal artery perforator (SGAP) and inferior gluteal artery perforator (IGAP) flaps for the reconstruction of lumbosacral defects. Materials and Methods: From March 2013 to July 2016, 28 cases (27 patients) of lumbosacral defects were treated by reconstruction with SGAP or IGAP flaps. The defects were caused by pressure sores (21 cases), burns (3 cases), tumor resection (2 cases), scars (1 case), or foreign body infection (1 case). Reliable perforators around the defect were found using Doppler ultrasound. The perforator flaps were elevated with a pulsatile perforator and rotated to cover the defects. Results: Twenty-three SGAP and 5 IGAP flap reconstructions were performed. The mean flap size was