scholarly journals Vascular Anatomy and Clinical Application of the Free Proximal Ulnar Artery Perforator Flaps

2014 ◽  
Vol 2 (7) ◽  
pp. e179 ◽  
Author(s):  
Yitao Wei ◽  
Xiaotian Shi ◽  
Yaling Yu ◽  
Guiwu Zhong ◽  
Maolin Tang ◽  
...  
Keyword(s):  
Clinical Application ◽  
Vascular Anatomy ◽  
Ulnar Artery ◽  
Perforator Flaps ◽  
Artery Perforator

scholarly journals Clinical application of pedicled thoracoacromial artery perforator flaps for tracheal reconstruction

2020 ◽  
Author(s):  
Di Deng ◽  
Feng Xu ◽  
Jifeng Liu ◽  
Bo Li ◽  
Linke Li ◽  
...  
Keyword(s):  
Clinical Application ◽  
Perforator Flap ◽  
Good Choice ◽  
Island Flap ◽  
Esophageal Reconstruction ◽  
Perforator Flaps ◽  
Tracheal Reconstruction ◽  
Thoracoacromial Artery ◽  
The Mean ◽  
Artery Perforator

Abstract Background: Large or complex trachea defects often require some tissue to reconstruct,various flaps have been reported for reconstructing this defect.However, pedicled thoracoacromial artery perforator flap have not been reported in tracheal reconstruction.Therefore,this study is to assess the efficacy and clinical application of pedicled thoracoacromial artery perforator flaps for tracheal reconstruction.Methods: Eight patients who underwent tracheal reconstructions with pedicled TAAP flaps between December 2017 and October 2019 were retrospectively reviewed.Results: All of the pedicled TAAP flaps in our study survived. The flap size ranged from 2 cm x 5 cm to 4 cm x 10 cm, and the size of each island of one double-island flap was 2 cm x 2.5 cm. The mean thickness was 0.6 cm, and the pedicle length varied between 6 cm and 9 cm (mean 7.9 cm). The mean time of flap harvest was 17 min. The mean age of the patients was 62.4 years and five elderly patients had comorbidities,such as diabetes,hypertension and asthma. One patient received a double-island flap for tracheal and esophageal reconstruction, and the other patient received simple tracheal reconstruction. One patient died due to cancer metastasis.Six patients obtained functional recovery of breathing, except one patients who did not experience closure of the tracheostomy opening due to uncompleted I131 treatment.Conclusion: Pedicled TAAP flaps provide a short harvesting time, thin thickness and stable blood supply, and they do not require microsurgical skills. This flap is a good choice for the reconstruction of tracheal defects,especially in the aged or patients with comorbidities who are not able to tolerate prolonged surgery.

scholarly journals Interperforator Flow Pattern and Clinical Application of Distal Extended Peroneal Artery Perforator Flaps

2018 ◽  
Vol 80 (5) ◽  
pp. 546-552
Author(s):  
Chengliang Deng ◽  
Bihua Wu ◽  
Zairong Wei ◽  
Hai Li ◽  
Tianhua Zhang ◽  
...  
Keyword(s):  
Flow Pattern ◽  
Clinical Application ◽  
Peroneal Artery ◽  
Perforator Flaps ◽  
Artery Perforator

A Comparative Study of Finger Pulp Reconstruction Using Free Distal Ulnar Artery Perforator Flaps and Reverse Dorsal Homodigital Island Flaps

2019 ◽  
Vol 83 (6) ◽  
pp. 650-654
Author(s):  
Qiming Tu ◽  
Shaodong Liu ◽  
Tingxiang Chen ◽  
Shi Li ◽  
Hede Yan ◽  
...  
Keyword(s):  
Comparative Study ◽  
Ulnar Artery ◽  
Perforator Flaps ◽  
Artery Perforator

Vascular Anatomy and Clinical Application of Anterolateral Leg Perforator Flaps

2013 ◽  
Vol 131 (4) ◽  
pp. 534e-543e ◽  
Author(s):  
Xiaodong Yang ◽  
Genfu Zhang ◽  
Yangwu Liu ◽  
Jin Yang ◽  
Maochao Ding ◽  
...  
Keyword(s):  
Clinical Application ◽  
Vascular Anatomy ◽  
Perforator Flaps

Anatomical Study and Clinical Application of Ulnar Artery Proximal Perforator Flaps

2020 ◽  
Author(s):  
Mario Cherubino ◽  
Alberto Bolletta ◽  
Tommaso Baroni ◽  
Giuseppe Di Taranto ◽  
Luigi Losco ◽  
...  
Keyword(s):  
Donor Site ◽  
Case Series ◽  
Vascular Anatomy ◽  
Perforator Flap ◽  
Anatomical Study ◽  
Ulnar Artery ◽  
Donor Site Morbidity ◽  
Vascular Supply ◽  
Perforator Flaps ◽  
Level Of Evidence

Abstract Background The purpose of this study is to document the vascular anatomy of the free ulnar artery proximal perforator flap and to highlight the possibility of harvesting it based on the perforators originating from the posterior ulnar recurrent artery (PURA), to spare both the main axis of vascular supply to the hand. In addition, we present a case series of five patients treated for soft tissue defects of the hand with free ulnar artery proximal perforator flaps. Methods Ten specimens of anterior forearm were dissected in this study to register number and characteristics of ulnar perforators. The dissection was focused on the perforators originating from the larger branch of the ulnar artery, the PURA, at the proximal third of anteromedial forearm. The anatomical dissections were evaluated in relationship with clinical dissections performed during flap harvesting in five patients. Results In three of the specimens dissected, the proximal perforator originated from the PURA, and in the other seven specimens, it originated directly from the ulnar artery. Five cases of reconstruction of the hand were performed with success using the free ulnar artery proximal perforator flap, and in two cases, the perforator from the PURA was found and it was possible to raise the flap based on this branch of the ulnar artery. Conclusion The free ulnar artery proximal perforator flap can be harvested in two different manners for the same skin island of the forearm. When possible, harvesting it form the PURA allows lengthening of the pedicle. In our experience, this flap presents many advantages such as thinness and hairlessness; it allows preservation of the ulnar neurovascular bundle with an acceptable donor site morbidity. Level of evidence: IV.

scholarly journals Clinical application of pedicled thoracoacromial artery perforator flaps for tracheal reconstruction

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Di Deng ◽  
Feng Xu ◽  
Jifeng Liu ◽  
Bo Li ◽  
Linke Li ◽  
...  
Keyword(s):  
Clinical Application ◽  
Cancer Metastasis ◽  
Perforator Flap ◽  
Island Flap ◽  
Esophageal Reconstruction ◽  
Perforator Flaps ◽  
Tracheal Reconstruction ◽  
Thoracoacromial Artery ◽  
The Mean ◽  
Artery Perforator

Abstract Background Large or complex trachea defects often require some tissue to reconstruct, various flaps have been reported for reconstructing this defect. However, pedicled thoracoacromial artery perforator flap have not been reported in tracheal reconstruction. Therefore, this study is to assess the efficacy and clinical application of pedicled thoracoacromial artery perforator flaps for tracheal reconstruction. Methods Eight patients who underwent tracheal reconstructions with pedicled TAAP flaps between December 2017 and October 2019 were retrospectively reviewed. Results All of the pedicled TAAP flaps in our study survived. The flap size ranged from 2 cm × 5 cm to 4 cm × 10 cm, and the size of each island of one double-island flap was 2 cm × 2.5 cm. The mean thickness was 0.6 cm, and the pedicle length varied between 6 and 9 cm (mean 7.9 cm). The mean time of flap harvest was 17 min. The mean age of the patients was 62.4 years and five elderly patients had comorbidities, such as diabetes, hypertension and asthma. One patient received a double-island flap for tracheal and esophageal reconstruction, and the other patient received simple tracheal reconstruction. One patient died due to cancer metastasis. Six patients obtained functional recovery of breathing, except one patients who did not experience closure of the tracheostomy opening due to uncompleted I131 treatment. Conclusion Pedicled TAAP flaps provide a short harvesting time, thin thickness and stable blood supply, and they do not require microsurgical skills. This flap is a good choice for the reconstruction of tracheal defects, especially in the aged or patients with comorbidities who are not able to tolerate prolonged surgery.

Vascular Anatomy of the Ulnar Artery Perforator Flap

2013 ◽  
Vol 131 (1) ◽  
pp. 115e-116e ◽  
Author(s):  
Jon A. Mathy ◽  
Zachary Moaveni ◽  
Swee T. Tan
Keyword(s):  
Vascular Anatomy ◽  
Perforator Flap ◽  
Ulnar Artery ◽  
Artery Perforator
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