Perforator flap surgery is a technique used in reconstructive surgery where skin and/or subcutaneous fat are removed from a distant or adjacent part of the body to reconstruct the excised part.[1] The vessels that supply blood to the flap are isolated perforator(s) derived from a deep vascular system through the underlying muscle or intermuscular septa. Some perforators can have a mixed septal and intramuscular course before reaching the skin. The name of the particular flap is retrieved from its perforator and not from the underlying muscle.[1] If there is a potential to harvest multiple perforator flaps from one vessel, the name of each flap is based on its anatomical region or muscle. For example, a perforator that only traverses through the septum to supply the underlying skin is called a septal perforator. Whereas a flap that is vascularised by a perforator traversing only through muscle to supply the underlying skin is called a muscle perforator.[1] According to the distinct origin of their vascular supply, perforators can be classified into direct and indirect perforators. Direct perforators only pierce the deep fascia, they don't traverse any other structural tissue. Indirect perforators first run through other structures before piercing the deep fascia.[1]
^ abcdBlondeel PN, Van Landuyt KH, Monstrey SJ, et al. (October 2003). "The "Gent" consensus on perforator flap terminology: preliminary definitions". Plast. Reconstr. Surg. 112 (5): 1378–83, quiz 1383, 1516, discussion 1384–7. doi:10.1097/01.PRS.0000081071.83805.B6. PMID 14504524. S2CID 38395679.
particular flap is retrieved from its perforator and not from the underlying muscle. If there is a potential to harvest multiple perforatorflaps from one...
the DIEAP flap the SIEA flap is not a perforatorflap, because the vessels do not perforate the abdominal wall musculature. Therefore, the flap can be raised...
including infection and pain. Flap (surgery) Rotation flap TRAM flap Microsurgery List of plastic surgery flapsPerforatorflaps Dolan, Robert (2003). Facial...
or its technically distinct variants of microvascular "perforatorflaps" like the DIEP/SIEA flaps are all commonly used. In a TRAM procedure, a portion...
flap and pedicle flap can be used interchangeably.) Flap (surgery) Perforatorflaps "Sigmoid colon adenocarcinoma local relapse on abdominal wall. Oncological...
term "free flap" where the transferred tissue is completely detached. Flap (surgery) Free flapPerforatorflaps List of plastic surgery flaps Weerda, Hilko...
thickness skin graft Tissue expansion Random flap Axial flap Free flap List of plastic surgery flapsPerforatorflaps ABC of wound healing: BMJ 2006;332;710-712...
Samir (eds.), "CHAPTER 36 - Superior and inferior gluteal artery perforatorflaps", Flaps and Reconstructive Surgery, Edinburgh: W.B. Saunders, pp. 525–539...
epigastric perforator artery, which runs through the abdomen. This is a type of autologous reconstruction, meaning one's own tissue is used. The DIEP flap reconstruction...
Brewster F2A Buffalo fighter aircraft. The SBN had non-folding wings with perforatedflaps. The United States Navy issued specifications for a scout bomber in...
skin graft is an option. Another option is covering the defect with a perforatorflap. With this technique, the (mostly totally excised) defect is covered...
site. Pedicled flaps are used when regional tissue is not available, for example because of burns or radiation. There are two pedicled flaps that are sometimes...
based flaps, subdermal pedicled flaps, and purse-string flaps. In terms of shape, there have been star flap, skate flap, S-flap, H-flap, C-V flap, arrow...
direct-cutaneous perforator, septo-cutaneous perforator and musculo-cutaneous perforator, depending on what anatomical structure the perforator progresses through...
Punched tape or perforated paper tape is a form of data storage device that consists of a long strip of paper through which small holes are punched. It...
perforated split flaps (dive brakes), and main landing gear that retracted backwards into fairing "trousers" beneath the wings. The perforatedflaps were...
reconstruction of a complex form of Poland syndrome using 2 abdominal perforator free flaps". Ann Plast Surg. 74 (5): 580–3. doi:10.1097/SAP.0b013e31829a39b1...
to allow vision, could also be covered. Some featured a ventail (a mail flap next to the mouth) which could be folded over the bottom face and vice versa...
nasal subunit. For such surgical repairs, skin flaps are preferable to skin grafts, because skin flaps generally are the superior remedy for matching...
calcareous, perforate and pustulate, especially on the umbilical side. The primary aperture is interiomarginal, bordered by a wide porticus (flap). Gansserina...
leave a mouth at the front and an anus at the rear. This matches with the "flaps-folding-over" model of gut formation, but an alternative view is that the...
dropped). Structurally, the KMGU is a streamlined body with controlled flaps, compartments for suspending the BKF and automation that allows you to adjust...
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