Perforator flaps and supermicrosurgery.
Identifieur interne : 005711 ( Main/Exploration ); précédent : 005710; suivant : 005712Perforator flaps and supermicrosurgery.
Auteurs : Isao Koshima [Japon] ; Takumi Yamamoto (chirurgien) [Japon] ; Mitsunaga Narushima ; Makoto Mihara ; Takuya IidaSource :
- Clinics in plastic surgery [ 1558-0504 ] ; 2010.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Amputation traumatique (), Anastomose chirurgicale, Femelle, Humains, Implants mammaires (effets indésirables), Lambeaux chirurgicaux (), Mastite (), Mastite (étiologie), Microchirurgie (), Mâle, Procédures de chirurgie reconstructive (), Sujet âgé, Traumatismes du doigt (), Tumeurs de la parotide (), Tumeurs du sein ().
- MESH :
- effets indésirables : Implants mammaires.
- étiologie : Mastite.
- Adulte d'âge moyen, Amputation traumatique, Anastomose chirurgicale, Femelle, Humains, Lambeaux chirurgicaux, Mastite, Microchirurgie, Mâle, Procédures de chirurgie reconstructive, Sujet âgé, Traumatismes du doigt, Tumeurs de la parotide, Tumeurs du sein.
English descriptors
- KwdEn :
- Aged, Amputation, Traumatic (surgery), Anastomosis, Surgical, Breast Implants (adverse effects), Breast Neoplasms (surgery), Female, Finger Injuries (surgery), Humans, Male, Mastitis (etiology), Mastitis (surgery), Microsurgery (methods), Middle Aged, Parotid Neoplasms (surgery), Reconstructive Surgical Procedures (methods), Surgical Flaps (blood supply).
- MESH :
- adverse effects : Breast Implants.
- blood supply : Surgical Flaps.
- etiology : Mastitis.
- methods : Microsurgery, Reconstructive Surgical Procedures.
- surgery : Amputation, Traumatic, Breast Neoplasms, Finger Injuries, Mastitis, Parotid Neoplasms.
- Aged, Anastomosis, Surgical, Female, Humans, Male, Middle Aged.
Abstract
The introduction of supermicrosurgery, which allows the anastomosis of smaller caliber vessels and microvascular dissection of vessels ranging from 0.3 to 0.8mm in diameter, has led to the development of new reconstructive techniques. New applications of this technique are for crushed fingertip replantations with venule grafts, toe tip transfers for fingertip loss, partial auricular transfers for total tracheal and eyelid defects, and lymphaticovenular anastomoses under local anesthesia for lymphedema. Regarding free flaps, free perforator-to-perforator flaps, including deep inferior epigastric perforator or paraumbilical perforator flaps, gluteal artery perforator flaps, thoracodorsal artery perforator flaps, anterolateral thigh perforator flaps, superficial circumflex iliac artery perforator flaps, tensor fasciae lata perforator flaps, and medial plantar perforator flaps, with a short pedicle, have been used for extremity and facial defects. The success rate is almost the same as that of usual free flap transfers with large and long pedicles. The advantages of these flaps are the simple operation and the short time needed for flap elevation, plus the fact that the flaps can be obtained from anywhere in concealed areas. The disadvantages are the need for supermicrosurgical technique and the anatomic variation of these perforators.
DOI: 10.1016/j.cps.2010.06.009
PubMed: 20816523
Affiliations:
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Le document en format XML
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sortKey="Narushima, Mitsunaga" sort="Narushima, Mitsunaga" uniqKey="Narushima M" first="Mitsunaga" last="Narushima">Mitsunaga Narushima</name></author><author><name sortKey="Mihara, Makoto" sort="Mihara, Makoto" uniqKey="Mihara M" first="Makoto" last="Mihara">Makoto Mihara</name></author><author><name sortKey="Iida, Takuya" sort="Iida, Takuya" uniqKey="Iida T" first="Takuya" last="Iida">Takuya Iida</name></author></analytic><series><title level="j">Clinics in plastic surgery</title><idno type="eISSN">1558-0504</idno><imprint><date when="2010" type="published">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Amputation, Traumatic (surgery)</term><term>Anastomosis, Surgical</term><term>Breast Implants (adverse effects)</term><term>Breast Neoplasms (surgery)</term><term>Female</term><term>Finger Injuries (surgery)</term><term>Humans</term><term>Male</term><term>Mastitis (etiology)</term><term>Mastitis (surgery)</term><term>Microsurgery (methods)</term><term>Middle Aged</term><term>Parotid Neoplasms (surgery)</term><term>Reconstructive Surgical Procedures (methods)</term><term>Surgical Flaps (blood supply)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Amputation traumatique ()</term><term>Anastomose chirurgicale</term><term>Femelle</term><term>Humains</term><term>Implants mammaires (effets indésirables)</term><term>Lambeaux chirurgicaux ()</term><term>Mastite ()</term><term>Mastite (étiologie)</term><term>Microchirurgie ()</term><term>Mâle</term><term>Procédures de chirurgie reconstructive ()</term><term>Sujet âgé</term><term>Traumatismes du doigt ()</term><term>Tumeurs de la parotide ()</term><term>Tumeurs du sein ()</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Breast Implants</term></keywords><keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Surgical Flaps</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Implants mammaires</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Mastitis</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Microsurgery</term><term>Reconstructive Surgical Procedures</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Amputation, Traumatic</term><term>Breast Neoplasms</term><term>Finger Injuries</term><term>Mastitis</term><term>Parotid Neoplasms</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Mastite</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Anastomosis, Surgical</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Amputation traumatique</term><term>Anastomose chirurgicale</term><term>Femelle</term><term>Humains</term><term>Lambeaux chirurgicaux</term><term>Mastite</term><term>Microchirurgie</term><term>Mâle</term><term>Procédures de chirurgie reconstructive</term><term>Sujet âgé</term><term>Traumatismes du doigt</term><term>Tumeurs de la parotide</term><term>Tumeurs du sein</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The introduction of supermicrosurgery, which allows the anastomosis of smaller caliber vessels and microvascular dissection of vessels ranging from 0.3 to 0.8mm in diameter, has led to the development of new reconstructive techniques. New applications of this technique are for crushed fingertip replantations with venule grafts, toe tip transfers for fingertip loss, partial auricular transfers for total tracheal and eyelid defects, and lymphaticovenular anastomoses under local anesthesia for lymphedema. Regarding free flaps, free perforator-to-perforator flaps, including deep inferior epigastric perforator or paraumbilical perforator flaps, gluteal artery perforator flaps, thoracodorsal artery perforator flaps, anterolateral thigh perforator flaps, superficial circumflex iliac artery perforator flaps, tensor fasciae lata perforator flaps, and medial plantar perforator flaps, with a short pedicle, have been used for extremity and facial defects. The success rate is almost the same as that of usual free flap transfers with large and long pedicles. The advantages of these flaps are the simple operation and the short time needed for flap elevation, plus the fact that the flaps can be obtained from anywhere in concealed areas. The disadvantages are the need for supermicrosurgical technique and the anatomic variation of these perforators.</div></front></TEI><affiliations><list><country><li>Japon</li></country><region><li>Région de Kantō</li></region><settlement><li>Tokyo</li></settlement><orgName><li>Université de Tokyo</li></orgName></list><tree><noCountry><name sortKey="Iida, Takuya" sort="Iida, Takuya" uniqKey="Iida T" first="Takuya" last="Iida">Takuya Iida</name><name sortKey="Mihara, Makoto" sort="Mihara, Makoto" uniqKey="Mihara M" first="Makoto" last="Mihara">Makoto Mihara</name><name sortKey="Narushima, Mitsunaga" sort="Narushima, Mitsunaga" uniqKey="Narushima M" first="Mitsunaga" last="Narushima">Mitsunaga Narushima</name></noCountry><country name="Japon"><region name="Région de Kantō"><name sortKey="Koshima, Isao" sort="Koshima, Isao" uniqKey="Koshima I" first="Isao" last="Koshima">Isao Koshima</name></region><name sortKey="Yamamoto, Takumi" sort="Yamamoto, Takumi" uniqKey="Yamamoto T" first="Takumi" last="Yamamoto">Takumi Yamamoto (chirurgien)</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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