scholarly journals Free superficial circumflex iliac artery perforator flap with a single-pedicle bilobed design for pediatric multifinger defect reconstruction

2020 ◽  
Author(s):  
Zhangcan Li ◽  
Dawei Zheng ◽  
Jian Zheng ◽  
Weiya Qi ◽  
Qiang Qi ◽  
...  
Keyword(s):  
Motor Function ◽  
Iliac Artery ◽  
Pediatric Patients ◽  
Perforator Flap ◽  
Optimal Choice ◽  
Soft Tissue Reconstruction ◽  
Defect Reconstruction ◽  
Aesthetic Appearance ◽  
Artery Perforator

Abstract Objectives This paper describes imaging and anatomical features, in order to assess the feasibility of superficial circumflex iliac artery perforator (SCIP) flap with a single-pedicle bilobed design for multifinger skin and soft tissue reconstruction in pediatric patients. Methods A total of 7 pediatric patients who were being treated with free single-pedicle bilobed SCIP flap reconstruction for multifinger defects were included in this study. The details of the clinical features were collected, and the following were successively analyzed: the preoperative CTA and CDS examinations for flap design, the intraoperative anatomy for perforator vessel, defect reconstruction and the postoperative aesthetic, motor function and sensation recovery results. Results CTA and CDS performed preoperatively could accurately and rapidly identify the position, location and course of the SCIP flap. All flaps survived well, all wounds healed by the first follow-up and no complications occurred at the follow-up visit. The fingers had good aesthetic appearance, there was recovery of motor function and protective sensation, and the donor area was primarily sutured with good scar concealment in the underwear region. Conclusion CTA and CDS performed preoperatively are accurate and intuitive methods for assessing the location and course of SCIP. The SCIP flap is highly suitable for pediatric patients due to its small caliber, specific functional and aesthetic benefits. It can be designed in a lobulated fashion in order to repair two or more wounds during one surgery. We suggest that the free single-pedicle bilobed SCIP flap should be considered an optimal choice for multifinger defect reconstruction in pediatric patients in the clinic.

Free superficial circumflex iliac artery perforator flap with a single-pedicle bilobed design for pediatric multi-digit defect reconstruction

2020 ◽  
Author(s):  
Zhangcan Li ◽  
Dawei Zheng ◽  
Jian Zheng ◽  
Weiya Qi ◽  
Qiang Qi ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Pediatric Patients ◽  
Color Doppler ◽  
Perforator Flap ◽  
Interphalangeal Joint ◽  
Soft Tissue Reconstruction ◽  
Tactile Sense ◽  
Defect Reconstruction ◽  
Artery Perforator

Abstract Objectives: This paper describes imaging and anatomical features, in order to assess the feasibility of superficial circumflex iliac artery perforator (SCIP) flap with a single-pedicle bilobed design for multi-digit skin and soft tissue reconstruction in pediatric patients.Methods: A total of 7 pediatric patients who were being treated with free single-pedicle bilobed SCIP flap reconstruction for multi-digit defects were included in this study. The details of the clinical features were collected, and the following were successively analyzed: the preoperative Computed Tomographic Angiography (CTA) and Color Doppler Sonography (CDS) examinations for flap design, the intraoperative anatomy for perforator vessel, defect reconstruction and interphalangeal range of motion (ROM) and tactile sense, pain sense and two-point discrimination recovery results.Results: CTA and CDS performed preoperatively could accurately and rapidly identify the position, location and course of the SCIP flap. All wounds healed by the first follow-up and no complications occurred at the follow-up visit. All flaps survived, the patients achieved proximal interphalangeal joint (PIP) ranges of motions (ROM) from 80 to 100 degree and distal interphalangeal joint (DIP) ROM from 65 to 80 degree. The tactile sense and pain sense recovered, and average of the two-point discrimination scores was 9.3mm (range 7-12mm). The donor area was primarily sutured with good scar concealment in the underwear region.Conclusion: CTA and CDS performed preoperatively are accurate and intuitive methods for assessing the location and course of SCIP. The SCIP flap is highly suitable for pediatric patients due to its small caliber, specific functional and aesthetic benefits. It can be designed in a lobulated fashion in order to repair two or more wounds during one surgery. We suggest that the free single-pedicle bilobed SCIP flap should be considered an optimal choice for multi-digit defect reconstruction in pediatric patients in the clinic.

scholarly journals Case Report: Superficial Circumflex Iliac Artery Perforator Flap for Tongue Reconstruction Following the Hemiglossectomy

2021 ◽  
Vol 8 ◽  
Author(s):  
Yihong Fang ◽  
Qiming Ouyang ◽  
Zhi Zheng ◽  
Jin Wang
Keyword(s):  
Iliac Artery ◽  
Donor Site ◽  
Perforator Flap ◽  
Recipient Site ◽  
Surgery Patient ◽  
Union Hospital ◽  
Tongue Reconstruction ◽  
Medical University ◽  
Artery Perforator

Objective: Therapeutic evaluation of applying superficial circumflex iliac artery perforator (SCIP) flap in tongue reconstruction after hemiglossectomy.Methods: We retrospectively collected a total number of 14 patients who received SCIP flap reconstruction for tongue defects at the Fujian Medical University affiliated Union Hospital, between November 2016 and November 2020. We evaluated the clinical features of the flap, analyzed the postoperative functions and esthetic effects after 6 months of the tongue reconstruction.Results: All the SCIP flaps survived successfully after the operation, the recipient site tongue bodies were well reconstructed 6 months after the surgery. Patient speech and swallowing functions were well recovered during the follow-up. The scars in the donor site were concealed with limited numbness.Conclusions: With the advantages of the hidden donor site and aesthetic benefits, the SCIP flap is a reliable option for the reconstruction of the tongue defect after hemiglossectomy.

Application of the Superficial Circumflex Iliac Artery Perforator Flap

2006 ◽  
Vol 22 (04) ◽  
Author(s):  
Yuzaburo Namba ◽  
Y. Kimata ◽  
I. Koshima
Keyword(s):  
Iliac Artery ◽  
Perforator Flap ◽  
Artery Perforator

Deep Circumflex Iliac Artery Perforator Flap

2018 ◽  
pp. 111-117
Author(s):  
He-Ping Zheng ◽  
Yong-Qing Xu ◽  
Jian Lin ◽  
De-Qing Hu
Keyword(s):  
Iliac Artery ◽  
Perforator Flap ◽  
Deep Circumflex Iliac Artery ◽  
Artery Perforator

An ulnar parametacarpal perforator flap for volar digital soft tissue reconstruction

2020 ◽  
Vol 45 (8) ◽  
pp. 842-848
Author(s):  
Satoshi Usami ◽  
Kohei Inami ◽  
Yuichi Hirase ◽  
Hiroki Mori
Keyword(s):  
Donor Site ◽  
Perforator Flap ◽  
Soft Tissue Reconstruction ◽  
Level Of Evidence ◽  
Tissue Reconstruction ◽  
The Mean ◽  
Lost To Follow Up ◽  
Pulp Repair ◽  
Sensory Reinnervation

We present outcomes of using a perforator-based ulnar parametacarpal flap in 25 patients for digital pulp defects. These included 17 free transfers to the thumb, index, middle and ring fingers and eight reverse pedicled transfers to the little fingers. This flap includes a dorsal sensory branch of the ulnar nerve, which was sutured to the digital nerve in all transfers. Each flap had one to three reliable perforators (mean 0.44 mm diameter) to the ulnar parametacarpal region and contained at least one perforator within 2 cm proximal to the palmar digital crease. All the 25 flaps survived completely. Twenty-two patients were followed for 15 months (range 12 to 24), and three were lost to follow-up. The mean static and moving two-point discrimination of the flap was 7 mm and 5 mm, respectively. At the donor site, sensory reinnervation was acceptable. We conclude that ulnar parametacarpal perforator flaps offer sensate, thick and glabrous skin for finger pulp repair, all in a single operative field. Level of evidence: IV

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