Keystone and Perforator Flaps in Reconstruction: Modifications and Updated Applications.
Clin Plast Surg
; 47(4): 635-648, 2020 Oct.
Article
en En
| MEDLINE
| ID: mdl-32892806
ABSTRACT
Pedicle perforator flaps and keystone perforator island flaps provide additional tools for the reconstructive surgeon's armamentarium. Advances in understanding of vascular anatomy, dynamic nature of perforator perfusion, interperforator flow, and "hot spot" principle have led to reconstructive methods that allow for autologous tissue transfer, while limiting donor site morbidity. Further modifications in pedicle perforator flap enabled the propeller flap and freestyle perforator free flap for soft tissue reconstruction. Modifications in keystone perforator island flap increased degrees of freedom the reconstructive surgeon has for soft tissue coverage of large defects, with significant reliability, aesthetically pleasing results, and reduced donor site morbidity.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Procedimientos de Cirugía Plástica
/
Colgajo Perforante
Límite:
Female
/
Humans
/
Male
Idioma:
En
Revista:
Clin Plast Surg
Año:
2020
Tipo del documento:
Article
País de afiliación:
Estados Unidos