The Transformation of a Free Skin Graft Into a Vascularized Pedicled Flap

Erol, Onur

doi:10.1097/00006534-197610000-00014

Cited by 130 publications

(41 citation statements)

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“…The procedure provides the option of creating thin, large, and suitable flaps with minimal morbidity regardless of natural vascular anatomy. This type of flap has been experimentally investigated [5,8,10,11,15,19,21,23,27,28]. The most important requirement for determining successful transfer of prefabricated flaps is maturation of neovascularization.…”

Section: Discussionmentioning

confidence: 99%

Influence of Silicone Sheets on Microvascular Anastomosis

Kloeppel

Hoehnke

Staudenmaier

2008

Clinical Orthopaedics &Amp; Related Research

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Section: Discussionmentioning

confidence: 99%

Influence of Silicone Sheets on Microvascular Anastomosis

Kloeppel

Hoehnke

Staudenmaier

2008

Clinical Orthopaedics &Amp; Related Research

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“…Although reasonably thin, the radial forearm flap is too thick for reconstruction of the hand and distal part of the lower leg, since after reconstruction the flap remains above the level of the surrounding skin. Erol [9], Fox [12], and Ohmori [30], promoted the idea of using fascia as a vascular base. In 1984, Thatte [37] described his experience using lower leg fascia as a local flap.…”

Section: Discussionmentioning

confidence: 99%

Experience with the forearm septofascial flap

et al. 1992

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Fascia has a well vascularized surface, and when it is covered with a split skin graft, it provides the thinnest possible flap. The authors present their own experience with the use of the forearm septofascial flap in 23 patients. A free septofascial flap was used in 15 patients and an island flap in 8 patients. Seven days later, only 25% of the patients had complete take of the split skin graft, while in 60% of the cases, there was only partial take of the graft. The results at 6 months, regarding appearance of the flap and donor site, were good. In 2 patients, a composite osteofascial flap was used for reconstruction of the mandible. In those patients, the viability of the bone was assessed with scintigraphy. There were no significant complications with the donor site. The forearm septofascial flap proved to be a good and reliable method of reconstruction in those parts of the body where thin cover was required. Constant anatomy and minimal postoperative complications are great advantages of the forearm septofascial flap when compared with other fascial flaps.A large number of assorted free flaps are now available for use in plastic and reconstructive surgery. Unfortunately, the results are not always satisfactory, particularly in areas with thin, soft tissue cover, e.g. hand, lower leg and foot. Even very thin flaps are sometimes too bulky in such cases.Fox [12] and Erol [9] described a method of vascularizing skin grafts using temporalis fascia which was then pedicled as a flap. Smith [32] and Brent [4] used fascia in combination with a free skin graft for reconstruction

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“…Washio [2] used a demucosalized segment of intestine to neovascularize the overlying abdominal wall skin in a mongrel dog model. Erol [3] experimentally revascularized split-thickness skin grafts with the femoral, superficial temporal, and supraorbital vessels, subsequently transferring them on those pedicles. He applied this technique successfully in ten clinical cases.…”

Section: Historical Reviewmentioning

confidence: 99%

A review of the experimental study and clinical application of the prefabricated flap

Yong-fang

2001

Eur J Plast Surg

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It is this paper's intention to review the concept, research, clinical applications, and the advantages and disadvantages of prefabricated flaps. Prefabricating a flap is a technique that allows non-axial flaps to be connected to axial flaps. The usual adopted methods include transplanting the vascular axis into a donor site that does not have a defined vascular supply or transplanting the flap onto a richly vascularized area. The basic theories of prefabrication have been proven experimentally, and the clinical application of this concept has been satisfactory. Moreover, studies that focus on using allogenic vascular transplantation, alloplastic materials, bioengineering, as well as combinations of these methods have begun.

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The Transformation of a Free Skin Graft Into a Vascularized Pedicled Flap

Cited by 130 publications

References 0 publications

Influence of Silicone Sheets on Microvascular Anastomosis

Influence of Silicone Sheets on Microvascular Anastomosis

Experience with the forearm septofascial flap

A review of the experimental study and clinical application of the prefabricated flap

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