Algorithms for perforator-based flaps in different anatomical locations

Authors : Bilgen CAN, Can EKİNCİ

Pages : 1023-1029

Doi:10.32322/jhsm.1120364

View : 28 | Download : 10

Publication Date : 2022-07-20

Article Type : Research Paper

Abstract :Introduction: Perforator-based flaps can be planned in any anatomic location in the body when there is a detectable perforator. Although preoperative perforator mapping ensures safety and versatility of these flaps, there is no consensus yet about flap planning in different anatomical locations. Material and Method: 28 patients underwent perforator-based flap surgery for different anatomical locations as face insert ignore into journalissuearticles values(5);, sternum insert ignore into journalissuearticles values(3);, back insert ignore into journalissuearticles values(5);, lomber insert ignore into journalissuearticles values(4);, sacral insert ignore into journalissuearticles values(4); and scrotal insert ignore into journalissuearticles values(4); areas, leg insert ignore into journalissuearticles values(2); and foot insert ignore into journalissuearticles values(1);. 19 of the patients were male while 9 were female. The mean age was 58.1±13.5 insert ignore into journalissuearticles values(22-80 years);. Perforator-based flaps were planned as V-Y design in face, sacral and scrotal areas while as perforator plus transposition flaps for lomber area, leg and sternum. On the other hand, for foot the flap was planned as subcutaneous-pedicled turnover flap. Results: The mean follow-up time was 10 months insert ignore into journalissuearticles values(3-36 months);. Partial flap necrosis is seen in all 3 patients who had underwent flap surgery on the lower extremity. There were no other complications seen in short- or long-term follow-ups. Comorbid diseases were not statistically significant on complications rates insert ignore into journalissuearticles values(P>0.05);. Conclusion: V-Y flap for the face and the sacral area; and perforator plus transposition flap for back ,lomber area and sternum are suggested as the ideal flap modifications for these anatomical locations. On the other hand, perforator-based flaps should not be used as a first choice in reconstruction of lower extremity defects.
Keywords : Perforator based, Versatility, Flap modification, planning