Perforator Flaps in Head and Neck Reconstruction
Identifieur interne : 002341 ( Pmc/Checkpoint ); précédent : 002340; suivant : 002342Perforator Flaps in Head and Neck Reconstruction
Auteurs : Jagdeep S. Chana [Royaume-Uni] ; Joy Odili [Royaume-Uni]Source :
- Seminars in Plastic Surgery [ 1535-2188 ] ; 2010.
Abstract
Free tissue transfer has revolutionized the management of complex head and neck defects. Perforator flaps represent the most recent advance in the development of free flap surgery. These flaps are based on perforating vessels and can be harvested without significant damage to associated muscles, thereby reducing the postoperative morbidity associated with muscle-based flaps. Elevation of perforator flaps requires meticulous technique and can be more challenging than raising muscle-based flaps. Use of a Doppler device enables reliable identification of the perforating vessels and aids in the design of free-style free flaps, where the flaps are designed purely according to the perforator located. The major advantage of free-style free flaps is that an unlimited number of flaps can potentially be designed on much shorter pedicles. The anterolateral thigh flap is the most commonly used perforator flap in head and neck reconstruction. Its use is described in detail, as is use of other less common perforator flaps. This article also describes head and neck reconstruction in a region-specific manner and gives a short-list of suitable flaps based on the location of the defect.
Url:
DOI: 10.1055/s-0030-1263066
PubMed: 22550446
PubMed Central: 3324229
Affiliations:
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PMC:3324229Le document en format XML
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<author><name sortKey="Chana, Jagdeep S" sort="Chana, Jagdeep S" uniqKey="Chana J" first="Jagdeep S." last="Chana">Jagdeep S. Chana</name>
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<front><div type="abstract" xml:lang="en"><p>Free tissue transfer has revolutionized the management of complex head and neck defects. Perforator flaps represent the most recent advance in the development of free flap surgery. These flaps are based on perforating vessels and can be harvested without significant damage to associated muscles, thereby reducing the postoperative morbidity associated with muscle-based flaps. Elevation of perforator flaps requires meticulous technique and can be more challenging than raising muscle-based flaps. Use of a Doppler device enables reliable identification of the perforating vessels and aids in the design of free-style free flaps, where the flaps are designed purely according to the perforator located. The major advantage of free-style free flaps is that an unlimited number of flaps can potentially be designed on much shorter pedicles. The anterolateral thigh flap is the most commonly used perforator flap in head and neck reconstruction. Its use is described in detail, as is use of other less common perforator flaps. This article also describes head and neck reconstruction in a region-specific manner and gives a short-list of suitable flaps based on the location of the defect.</p>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Semin Plast Surg</journal-id>
<journal-id journal-id-type="iso-abbrev">Semin Plast Surg</journal-id>
<journal-title-group><journal-title>Seminars in Plastic Surgery</journal-title>
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<issn pub-type="ppub">1535-2188</issn>
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<publisher><publisher-name>Thieme Medical Publishers</publisher-name>
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<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>Perforator Flaps in Head and Neck Reconstruction</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Chana</surname>
<given-names>Jagdeep S.</given-names>
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<degrees>M.D., F.R.C.S.(Plast.)</degrees>
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<contrib contrib-type="author"><name><surname>Odili</surname>
<given-names>Joy</given-names>
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<degrees>M.D., F.R.C.S.(Plast.)</degrees>
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<aff id="a24237-1"><label>1</label>
Department of Plastic and Reconstructive Surgery, Mount Vernon Hospital, Northwood, Middlesex, United Kingdom</aff>
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<author-notes><corresp>Address for correspondence and reprint requests: Jagdeep S. Chana, M.D., F.R.C.S. <institution>Department of Plastic and Reconstructive Surgery</institution>
<addr-line>Mount Vernon Hospital, Northwood, Middlesex HA6 2RN, UK</addr-line>
<email>jchana@doctors.org.uk</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>8</month>
<year>2010</year>
</pub-date>
<volume>24</volume>
<issue>3</issue>
<fpage>237</fpage>
<lpage>254</lpage>
<permissions><copyright-statement>© Thieme Medical Publishers</copyright-statement>
</permissions>
<abstract><p>Free tissue transfer has revolutionized the management of complex head and neck defects. Perforator flaps represent the most recent advance in the development of free flap surgery. These flaps are based on perforating vessels and can be harvested without significant damage to associated muscles, thereby reducing the postoperative morbidity associated with muscle-based flaps. Elevation of perforator flaps requires meticulous technique and can be more challenging than raising muscle-based flaps. Use of a Doppler device enables reliable identification of the perforating vessels and aids in the design of free-style free flaps, where the flaps are designed purely according to the perforator located. The major advantage of free-style free flaps is that an unlimited number of flaps can potentially be designed on much shorter pedicles. The anterolateral thigh flap is the most commonly used perforator flap in head and neck reconstruction. Its use is described in detail, as is use of other less common perforator flaps. This article also describes head and neck reconstruction in a region-specific manner and gives a short-list of suitable flaps based on the location of the defect.</p>
</abstract>
<kwd-group><kwd>Anterolateral thigh flap</kwd>
<kwd>head</kwd>
<kwd>neck</kwd>
<kwd>perforator flaps</kwd>
<kwd>scalp</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>issue-editor</meta-name>
<meta-value>Guest EditorsSamir Mardini, M.D.Christopher J. Salgado, M.D.Hung-Chi Chen, M.D., F.A.C.S.</meta-value>
</custom-meta>
<custom-meta><meta-name>issue-theme</meta-name>
<meta-value>Advances in Head and Neck Reconstruction, Part II</meta-value>
</custom-meta>
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</front>
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