Medial Thigh Perforator Flap

2018 ◽  
pp. 267-288
Author(s):  
He-Ping Zheng ◽  
Yong-Qing Xu ◽  
Jian Lin ◽  
De-Qing Hu
Keyword(s):  
Perforator Flap ◽  
Medial Thigh

Perineoscrotal reconstruction following fournier's gangrene using the upper medial thigh perforator flap

2019 ◽  
Vol 0 (0) ◽  
pp. 0
Author(s):  
Mert Sizmaz ◽  
Fatih Irmak ◽  
SelamiSerhat Sirvan ◽  
SevgiKurt Yazar ◽  
Arzu Akcal ◽  
...  
Keyword(s):  
Perforator Flap ◽  
Fournier’S Gangrene ◽  
Fournier's Gangrene ◽  
Medial Thigh

Perforator flap breast reconstruction in thin patients.

2011 ◽  
Vol 29 (27_suppl) ◽  
pp. 242-242
Author(s):  
C. M. Chen ◽  
C. Ahn ◽  
J. Levine
Keyword(s):  
Breast Reconstruction ◽  
Subcutaneous Tissue ◽  
Donor Site ◽  
Perforator Flap ◽  
Preoperative Imaging ◽  
Perforator Flaps ◽  
Autologous Tissue ◽  
New Techniques ◽  
Medial Thigh ◽  
Abdominal Flaps

242 Background: Perforator flap breast reconstruction has strong appeal for many women seeking breast reconstruction, but the procedure requires adequate donor site tissue to produce realistic breasts. Thin women requesting perforator flaps are often advised that they lack sufficient donor site tissue for autologous tissue breast reconstruction, and that implants are their only option. We have expanded the reconstructive options for thin women who seek an alternative to implants with innovative new techniques. Methods: A retrospective review was done of 223 patients who underwent 293 consecutive perforator flap breast reconstructions from April 2007-May 2011. Preoperative imaging allowed visualization of the microvascular anatomy and subcutaneous tissue. Donor sites evaluated included the abdomen, medial thigh, buttocks, and back. Complications included flap loss, hematoma, seroma, takeback, and fat necrosis. No patients were turned away for perforator flap breast reconstruction due to insufficient donor site tissue. Results: Out of 293 perforator flap breast reconstructions, 45 perforator flap breast reconstructions (15.4%) were reported in 26 thin women with a BMI < 23 (mean BMI 20.7, range BMI 18.2-22.7). Out of 45 perforator flap breast reconstructions in thin women, donor sites included 35 hemi-abdominal flaps (77.8%), 4 medial thigh flaps (8.9%), 7 buttock flaps (15.6%), and 2 back flaps (4.4%). Of the 35 hemi-abdominal flaps, 8 hemi-abdominal flaps were combined to create 4 stacked DIEP flaps (22.9%) while the remaining 27 hemi-abdominal flaps were regular DIEP flaps (77.1%). There was one seroma (2.2%) and one takeback for postoperative pain (2.2%); there were no flap losses. Conclusions: Even in thin women, perforator flap breast reconstruction is a safe, reliable, and consistent technique for recreating new breasts. While implant-based breast reconstruction may be acceptable to many women, there is a growing subgroup of patients who prefer autologous tissue breast reconstruction. By challenging common conceptions about the amount of donor site tissue required, we have been able to expand reconstructive options in thin women by using perforator flaps to construct natural, aesthetic breasts.

Lower Medial Thigh Perforator Flap

2015 ◽  
Vol 136 ◽  
pp. 49
Author(s):  
Mario F. Scaglioni ◽  
Pao-Jen Kuo ◽  
Pao-Yuan Lin ◽  
Yen-Chou Chen ◽  
Yur-Ren Kuo
Keyword(s):  
Perforator Flap ◽  
Medial Thigh

Free medial thigh perforator flap for reconstruction of the dynamic and static complex burn scar contracture

Burns ◽  
2010 ◽  
Vol 36 (4) ◽  
pp. 565-571 ◽  
Author(s):  
Chung-Ho Feng ◽  
Jui-Yung Yang ◽  
Shiow-Shuh Chuang ◽  
Chun-Yuan Huang ◽  
Yen-Chang Hsiao ◽  
...  
Keyword(s):  
Perforator Flap ◽  
Burn Scar ◽  
Scar Contracture ◽  
Medial Thigh

The new innovation of the lower medial thigh perforator flap for head and neck reconstruction

Microsurgery ◽  
2015 ◽  
Vol 36 (4) ◽  
pp. 284-290 ◽  
Author(s):  
Mario F. Scaglioni ◽  
Pao-Jen Kuo ◽  
Yen-Chou Chen ◽  
Pao-Yuan Lin ◽  
Yur-Ren Kuo
Keyword(s):  
Head And Neck ◽  
Perforator Flap ◽  
Head And Neck Reconstruction ◽  
Neck Reconstruction ◽  
Medial Thigh

A Newly Described, Highly Prevalent Arterial Pedicle Perfuses Both Gracilis and Profunda Artery Perforator Flap Tissues: An Angiographic Study of the Medial Thigh

2019 ◽  
Vol 36 (03) ◽  
pp. 177-181
Author(s):  
Jacob B. Hammond ◽  
Jonathan A. Flug ◽  
Brittany M. Foley ◽  
Lyndsey A. Bryant ◽  
William J. Casey ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Soft Tissues ◽  
Anatomic Variation ◽  
Perforator Flap ◽  
Gracilis Muscle ◽  
Imaging Evaluation ◽  
Medial Thigh ◽  
Chimeric Flap ◽  
The Right ◽  
Artery Perforator

Abstract Background Novel secondary flap options are paramount for patients who are not candidates for common reconstructive methods. The purpose of this study is to identify the prevalence of single arterial pedicle supplying both the gracilis muscle and medial thigh tissue carried in a profunda artery perforator (PAP) flap. Such a pedicle could allow the creation of a chimeric gracilis and PAP flap with a single-arterial anastomosis. Methods We conducted a retrospective review of 157 lower extremity computed tomography (CT) angiograms to assess the vasculature of the thigh soft tissues. Imaging evaluation was supervised by a board-certified musculoskeletal radiologist. Results Prevalence of a single-arterial pedicle to a gracilis and PAP flap in each patient was 59% (31% within the right leg and 28% in the left leg). Furthermore, 16% of patients had a common arterial pedicle in both lower extremities. Conclusion Existence of a single-arterial pedicle to both the gracilis muscle and PAP flap tissues is frequently present in most patients in at least one lower extremity. This chimeric flap configuration could serve as a reconstructive avenue for patients, particularly those who have exhausted other more common flap options. Screening angiography is warranted in patients looking for this anatomic variation to establish its presence.

scholarly journals Free-style Approach to the Pedicled Lower Medial Thigh Perforator Flap

2021 ◽  
Vol 9 (10) ◽  
pp. e3848
Author(s):  
Keith Koh ◽  
Yuan Kong ◽  
Mei Ling Loh ◽  
Yijun Wu ◽  
Chong Han Pek
Keyword(s):  
Perforator Flap ◽  
Medial Thigh
Sign in / Sign up

Export Citation Format

Share Document