지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 693 - 701 (9page)
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초록· 키워드
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Background A thin perforator flap is one of the best methods for covering defects. This study aimed to revisit and further test the rapidly advancing field of flap thinning techniques. Methods We performed two cadaveric studies to test the known flap thinning methods, and then applied these methods to a clinical series. In the first study, five cadavers were used to observe the anatomical relation of the perforator with the subdermal plexuses and the subcutaneous fat layer by injecting a colored latex solution. The second study was done on four cadavers independently from the first study. Last, a clinical series was performed on 15 patients. Results The areolar fat lobules of 10 anterolateral thigh perforator (ALT), seven deep inferior epigastric artery perforator (DIEAP), and six thoracodorsal artery perforator (TAP) flaps were dissected to reduce the flap thickness guided by the colored vascular pattern. On average, the ALT, DIEAP, and TAP flaps were reduced to $32.76%{\pm}9.76%$, $37.01%{\pm}9.21%$, and $35.42%{\pm}9.41%$, respectively. In the second study, the areolar fat lobules were directly dissected in six ALT, six TAP, and four MSAP flaps, and an average reduction in flap thickness of $53.41%{\pm}5.64%$, $52.30%{\pm}2.88%$, and $47.87%{\pm}6.41%$, respectively, was found. In the clinical series, 13 out of the 15 cases yielded satisfactory outcomes with an average thickness reduction of $37.91%{\pm}7.15%$. Conclusions These multiple studies showed that the deep fat layer could be safely removed to obtain a thin yet viable perforator flap. This evidence suggests that the macroscopic flap thinning technique can achieve thin flaps. Surgeons should consider this technique before embracing the latest technique of supermicrosurgery.
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참고문헌 (23)
참고문헌 신청
Chen HC / 2004 / Reconstruction of the hand and upper limb with free flaps based on musculocutaneous perforators / Microsurgery 24:270~280
Koshima I / 2002 / Perforator flaps in lower extremity reconstruction / Handchir Mikrochir Plast Chir 34:251~256
Hamdi M / 2004 / A clinical experience with perforator flaps in the coverage of extensive defects of the upper extremity / Plast Reconstr Surg 113:1175~1183
Gedebou TM / 2002 / Clinical experience of 1,284free anterolateral thigh flaps / Handchir Mikrochir Plast Chir 34:239~244
Wolff KD / 2006 / The anterolateral thigh as a universal donor site for soft tissue reconstruction in maxillofacial surgery / J Craniomaxillofac Surg 34:323~331
Koshima I / 2002 / Perforator flaps in lower extremity reconstruction / Handchir Mikrochir Plast Chir 34:251~256
Hamdi M / 2004 / A clinical experience with perforator flaps in the coverage of extensive defects of the upper extremity / Plast Reconstr Surg 113:1175~1183
Gedebou TM / 2002 / Clinical experience of 1,284free anterolateral thigh flaps / Handchir Mikrochir Plast Chir 34:239~244
Wolff KD / 2006 / The anterolateral thigh as a universal donor site for soft tissue reconstruction in maxillofacial surgery / J Craniomaxillofac Surg 34:323~331
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