Effects of thinning the anterolateral thigh flap on the blood supply to the skin

Alkureishi, Lee W. T.; Shaw-Dunn, John; Ross, Gary

doi:10.1016/s0007-1226(03)00125-5

Cited by 124 publications

(72 citation statements)

References 18 publications

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“…Although anatomical reports have stressed the importance of the vascular communication between the deep fascia and the subdermal plexus, the role of perfusion in these communication has not been evaluated. 17 According to the perforasome concept by Saint-Cyr et al, viability of flap with superficial fascia plane will be derived from perfusion of the perforator and the ability of indirect linking vessels connecting to each other. 18,19 On the basis of this knowledge, a large thin flap will survive even though without direct linking vessels.…”

Section: Discussionmentioning

confidence: 99%

“…18,19 On the basis of this knowledge, a large thin flap will survive even though without direct linking vessels. 13,17 Therefore, despite debulking the deep fat where the direct linking vessels might be found, the thin flap harvested on the superficial plane will still have adequate blood supply. This hypothesis was proven to be an adequate one as 304 consecutive flaps elevated on the superficial fascia had a 97% survival rate and the largest dimension reached up to 30 Â 18 cm based on a single perforator.…”

Section: Discussionmentioning

confidence: 99%

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A New Plane of Elevation: The Superficial Fascial Plane for Perforator Flap Elevation

Hong

Choi

Suh

et al. 2014

J reconstr Microsurg

151

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Background?The aim for microsurgical reconstruction has broadened from achieving functional to also providing good esthetic outcomes. The perforator flaps are widely used for this goal. However, perforator flaps can still be bulky especially to resurface the skin defect. We hypothesized that elevation from the superficial fascial plane can obtain a thin and viable flap. Method?In this retrospective study, we report consecutive perforator flaps elevated at the superficial fascial plane from November 2007 to July 2013. Total of 304 flaps which were 196 superficial circumflex iliac perforator (SCIP) flaps, 81 anterolateral thigh (ALT) flaps, and 27 gluteal artery perforator (GAP) flaps were reviewed. Result?The patient group composed of 189 male and 115 female patients with an average age of 35.8 years. The average body mass index was 23.5 kg/m2 (range, 15.91?34.57 kg/m2). All 304 flaps were successfully elevated with this approach with at least one viable perforator. The thickness averaged approximately 6?mm for ALT flap (range, 4?11 mm), 5?mm for SCIP flap (range, 3?12 mm), and 8.5?mm for GAP flap (range, 5?11 mm). Complete survival was noted in 282 flaps, partial loss of flaps requiring secondary procedures in 6 cases, partial loss healing secondarily in 8 cases, and total loss in 9 cases. During the average follow-up of 34 months, secondary debulking procedures were required in six flaps. Conclusion?This new approach of elevation on the superficial fascia is reliable, provides a viable tissue, and is able to obtain a thin flap achieving good functional and esthetic outcome.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A New Plane of Elevation: The Superficial Fascial Plane for Perforator Flap Elevation

Hong

Choi

Suh

et al. 2014

J reconstr Microsurg

151

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“…Özellikle alT flebin popülerliğine bağlı olarak bu fleplerin inceltilmesi ile ilgili birçok yayın yapılmıştır (8,9,10). Bazı yazarlar tarafından rekonstruksiyon ile eş zamanlı flep inceltmesi önerirken, bazıları eş zamanlı inceltme önermek-tedirler (8,11).…”

Section: Methodsunclassified

“…Bazı yazarlar tarafından rekonstruksiyon ile eş zamanlı flep inceltmesi önerirken, bazıları eş zamanlı inceltme önermek-tedirler (8,11). Yapılan yayınların birçoğunda geciktirilmiş flep inceltilmesi önerilmektedir (1,7,12).…”

Section: Methodsunclassified

Aesthetic and Functional Revision of Free Flaps Used In Soft Tissue Reconstruction

Özkan¹,

Ünal²,

Ögan³

et al. 2016

Akd Med J

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ÖZAmaç: Yumuşak doku defektlerinin rekonstrüksiyonunda ilk hedef açıkta olan damar, sinir, kas ve kemik gibi dokuların üzerini kapatmak olduğundan estetik görünüm ikinci plandadır. Bu nedenle bazen hastalar flep dokusunda oluşan bulky görüntüden rahatsız olmakta ve düzeltilmesini istemektedir. Bu amaçla ikincil cerrahi girişimlerle hem estetik hem de fonksiyonel olarak daha iyi bir sonuç elde edilebilmektedir. Gereç ve ABSTRACTObjective: The main objective of soft tissue reconstruction is covering exposed muscle, bone and neurovascular tissues via healthy skin cover rather than aesthetic results. some patients feel uncomfortable about bulky flep mass. Thus, we can use some corrective surgical procedures for better aesthetic and functional outcomes.

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“…This new plane was considered hemodynamically reliable compared to the deep fascial plane. It was shown in clinical settings that this new plane was able to obtain a thin flap, achieving good functional and aesthetic outcomes 6 with reliable perfusion due to indirect linking vessels and choke vessels 7 . Many surgeons also do debulking procedures at this plane with confidence of hemodynamically safety 8 .…”

mentioning

confidence: 98%

Safety of Elevation from Superficial Fascial Plane versus Traditional Deep Fascial Plane for Flap Elevation in a Porcine Model

Park

Lee

Son

2018

Arch Hand Microsurg

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Effects of thinning the anterolateral thigh flap on the blood supply to the skin

Cited by 124 publications

References 18 publications

A New Plane of Elevation: The Superficial Fascial Plane for Perforator Flap Elevation

A New Plane of Elevation: The Superficial Fascial Plane for Perforator Flap Elevation

Aesthetic and Functional Revision of Free Flaps Used In Soft Tissue Reconstruction

Safety of Elevation from Superficial Fascial Plane versus Traditional Deep Fascial Plane for Flap Elevation in a Porcine Model

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