DOI QR코드

DOI QR Code

Reconstruction of the Foot Using a Superficial Inferior Epigastric Artery Free Flap

  • Han, Jin Ho (Department of Plastic and Reconstructive Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Shin, Hyun Woo (Department of Plastic and Reconstructive Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Yoon, Kun Chul (Department of Plastic and Reconstructive Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Kim, June-Kyu (Department of Plastic and Reconstructive Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine)
  • Received : 2016.12.06
  • Accepted : 2017.05.02
  • Published : 2017.11.18

Abstract

When foot reconstruction is performed in the pretibial area, the ankle, or the dorsum of the foot, the need for a reliable flap remains a challenge. We found that the superficial inferior epigastric artery (SIEA) free flap can be used as an alternative tool for this purpose, as it helps to solve the problems associated with other flaps. We describe 2 cases in which we reconstructed the foot using an SIEA free flap, which was pliable enough to fit the contours of the area. Postoperatively, the flaps were intact and showed excellent aesthetic results. Thus, the SIEA free flap can be an alternative tool for patients with a low body mass index who undergo reconstructive surgery involving the pretibial area, ankle, knee, or dorsum of the foot, all of which require a soft and flexible flap.

Keywords

References

  1. Yu P. Characteristics of the anterolateral thigh flap in a Western population and its application in head and neck reconstruction. Head Neck 2004;26:759-69. https://doi.org/10.1002/hed.20050
  2. Choi DH, Goh T, Cho JY, et al. Thin superficial circumflex iliac artery perforator flap and supermicrosurgery technique for face reconstruction. J Craniofac Surg 2014;25:2130-3.
  3. Koshima I, Nanba Y, Tsutsui T, et al. Superficial circumflex iliac artery perforator flap for reconstruction of limb defects. Plast Reconstr Surg 2004;113:233-40. https://doi.org/10.1097/01.PRS.0000095948.03605.20
  4. Antia NH, Buch VI. Transfer of an abdominal dermo-fat graft by direct anastomosis of blood vessels. Br J Plast Surg 1971;24:15-9. https://doi.org/10.1016/S0007-1226(71)80004-8
  5. Stern HS, Nahai F. The versatile superficial inferior epigastric artery free flap. Br J Plast Surg 1992;45:270-4. https://doi.org/10.1016/0007-1226(92)90050-8
  6. Nasir S, Aydin MA. Reconstruction of soft tissue defect of lower extremity with free SCIA/SIEA flap. Ann Plast Surg 2008;61:622-6. https://doi.org/10.1097/SAP.0b013e31817433f8
  7. Park JE, Rodriguez ED, Bluebond-Langer R, et al. The anterolateral thigh flap is highly effective for reconstruction of complex lower extremity trauma. J Trauma 2007;62:162-5. https://doi.org/10.1097/01.ta.0000250599.84033.1f
  8. Healy C, Ramakrishnan V. Autologous microvascular breast reconstruction. Arch Plast Surg 2013;40:3-10. https://doi.org/10.5999/aps.2013.40.1.3
  9. Reardon CM, O'Ceallaigh S, O'Sullivan ST. An anatomical study of the superficial inferior epigastric vessels in humans. Br J Plast Surg 2004;57:515-9. https://doi.org/10.1016/j.bjps.2004.04.019
  10. Kim BJ, Choi JH, Kim TH, et al. The superficial inferior epigastric artery flap and its relevant vascular anatomy in korean women. Arch Plast Surg 2014;41:702-8. https://doi.org/10.5999/aps.2014.41.6.702
  11. Nasir S, Aydin MA. Upper extremity reconstruction using free SCIA/SIEA flap. Microsurgery 2010;30:37-42.

Cited by

  1. Reconstruction of wide soft tissue defects with extended anterolateral thigh perforator flap turbocharged technique with anteromedial thigh perforator vol.40, pp.4, 2017, https://doi.org/10.1002/micr.30549