Thoracoacromial artery perforator flap based on the clavicular branch: A new option in regional reconstruction

Yıldız, Kemalettin; Baygöl, Emre Gönenç; Ergün, Selma Sönmez; Karaaltın, Mehmet Veli; Yeşïloğlu, Nebil; Güneren, Ethem

doi:10.1111/1744-1633.12046

Cited by 2 publications

(2 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To achieve this goal, the most suitable are tissues located near the gland. Perforator flaps of thoracodorsal artery (3), deep inferior epigastric artery (5,6), intercostal artery (7)(8)(9)(10), thoracoacromial artery (11,12) are successfully used.…”

Section: Introductionmentioning

confidence: 99%

Enlarged perforating flaps of the anterior thoracic and abdominal wall: A novel approach to autologous breast reconstruction

Feyta¹,

Andriyovych²,

Oleksandrovych³

et al. 2022

Acta fac medic Naissensis

View full text Add to dashboard Cite

Aim. To develop methods for obtaining enlarged perforating flaps on the anterior surfaces of the thoracic and abdominal walls. Material and methods: The study included 16 patients with post-burn breast deformities aged from 5 to 22 years. In the upper part of the anterior surface of the chest, the flaps were formed on the basis of 2, 3 anterior intercostal artery perforator and thoracoacromial artery perforator with the inclusion of the vascular network of the thoracic branch of the supraclavicular artery. In the lower part of the thoracic and upper abdominal wall, there were also enlarged flaps based on the superior epigastric artery perforator with the connection of vascular networks 6, 7 anterior intercostal artery perforator and perforator deep inferior epigastric artery. The obtained flaps were moved by direct advancement, rotation and transposition methods. Results: The largest area of the wound defect was closed with flaps that were moved by rotation and it was 1.8 times larger than the area of wounds closed by direct advancement and 1.3 times larger than if using transposition flaps. The use of stretched perforating flaps from the anterior surface of the thoracic and abdominal walls allowed to obtain a positive result in 90.4% of cases with the short-term treatment, and in all cases with the long-term treatment. Conclusion: A simple technique based on the proposed methods can be widely used for the reconstruction of the upper and lower quadrants of the breast and intermammary and submammary spaces.

show abstract

Section: Introductionmentioning

confidence: 99%

Enlarged perforating flaps of the anterior thoracic and abdominal wall: A novel approach to autologous breast reconstruction

Feyta¹,

Andriyovych²,

Oleksandrovych³

et al. 2022

Acta fac medic Naissensis

View full text Add to dashboard Cite

show abstract

“…When considering soft tissue reconstruction, the dimensions, location and shape of losses of substances, as well as the reliability and the arc of rotation of the chosen flap, must be taken into account. 1,2 Numerous arteries have already been used to produce perforator flaps in this region, including the thoracoacromial artery. 2 Because of the anatomy and the configuration of this artery it is possible to use its 2-constant branches during the surgery of perforator flaps: the pectoral and deltoid branches.…”

Section: Introductionmentioning

confidence: 99%

Anatomical study of the clavicular branch of the thoracoacromial artery

Nyemb¹,

Fontaine²,

Duquennoy-Martinot³

et al. 2020

MOJAP

View full text Add to dashboard Cite

Introduction: The etiology and the complexity of losses of substances from the chest wall cause technical difficulties during their reconstruction. In order to obtain the best possible functional and morphological results, it is important to appreciate the lesions. When considering soft tissue reconstruction, the dimensions, location and shape of losses of substances, as well as the reliability and the arc of rotation of the chosen flap, must be taken into account. The perforator flap of the thoracoacromial artery and its vascular anatomical bases have been recently studied, concerning the pectoral and deltoid branches. The clavicular branch has only been rarely studied. We propose to study anatomically the clavicular branch of the thoracoacromial artery, in terms of constancy, dimensions and direction, in order to give to practitioners an additional option in the surgery of perforator flaps of the cervical region. Material and methods: We carried out a direct and selective injection of 24 thoracoacromial arteries, on corpses preserved in a low-formalin solution rich in glycerin. The injected solution was made from a mixture of methylene blue and gelatin. Cadaveric dissection was then used to study the location, frequency, and path of the clavicular branch of the thoracoacromial artery. Results: The clavicular branch was absent in more than half of the dissections. The length of its extrafascial pedicle varied between 0.5 and 2.5cm. The length of the pedicle after transmuscular dissection varied between 3 and 6cm. The general direction of this clavicular branch was ascending and medial. Conclusion: Our work shows that when it is present the clavicular branch of the thoracoacromial artery has an extrafascial pedicle which measures 0.5 to 2.5cm, and a transmuscular pedicle from 3 to 6cm. And that its vascular skin territory projects slightly below the clavicle.

show abstract

Thoracoacromial artery perforator flap based on the clavicular branch: A new option in regional reconstruction

Cited by 2 publications

References 20 publications

Enlarged perforating flaps of the anterior thoracic and abdominal wall: A novel approach to autologous breast reconstruction

Enlarged perforating flaps of the anterior thoracic and abdominal wall: A novel approach to autologous breast reconstruction

Anatomical study of the clavicular branch of the thoracoacromial artery

Contact Info

Product

Resources

About