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Perforator Flap versus Conventional Flap

The introduction of perforator flaps represented a significant advance in microsurgical reconstruction. However, confusion has developed due to the erroneous belief that perforator flaps are different from conventional flaps. The concept of the perforator is not new, but is an idea that evolved from...

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Autores principales: Kim, Jeong Tae, Kim, Sang Wha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Academy of Medical Sciences 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4414633/
https://www.ncbi.nlm.nih.gov/pubmed/25931780
http://dx.doi.org/10.3346/jkms.2015.30.5.514
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author Kim, Jeong Tae
Kim, Sang Wha
author_facet Kim, Jeong Tae
Kim, Sang Wha
author_sort Kim, Jeong Tae
collection PubMed
description The introduction of perforator flaps represented a significant advance in microsurgical reconstruction. However, confusion has developed due to the erroneous belief that perforator flaps are different from conventional flaps. The concept of the perforator is not new, but is an idea that evolved from the conventional flap. In fact, some of the flaps used by microsurgeons were perforator flaps. The only difference is the anatomical level of the blood vessels involved; the perforator concept is focused on the distal circulation, so-called 'perforator'. Therefore, thinner sections of tissue can be taken from the conventional donor sites of myocutaneous flaps. With the use of perforators, there are no longer "flap of choice" for specific reconstructions, because conventional donor sites have become universal donor sites, enabling the harvesting of a variety of flaps. Moreover, depending on the surgeon's ability, any flap can be utilized as a perforator-based island flap whose source vessel has been completely preserved. Therefore, tissues can be efficiently customized and tailored into any configuration required for reconstruction. The application of perforator flap technique enables more precise dissection, and allows more selective harvesting of thinner flaps, which will expand options in reconstructive surgery. No doubt the technique will continue to evolve. GRAPHICAL ABSTRACT: [Image: see text]
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spelling pubmed-44146332015-05-01 Perforator Flap versus Conventional Flap Kim, Jeong Tae Kim, Sang Wha J Korean Med Sci Review Article The introduction of perforator flaps represented a significant advance in microsurgical reconstruction. However, confusion has developed due to the erroneous belief that perforator flaps are different from conventional flaps. The concept of the perforator is not new, but is an idea that evolved from the conventional flap. In fact, some of the flaps used by microsurgeons were perforator flaps. The only difference is the anatomical level of the blood vessels involved; the perforator concept is focused on the distal circulation, so-called 'perforator'. Therefore, thinner sections of tissue can be taken from the conventional donor sites of myocutaneous flaps. With the use of perforators, there are no longer "flap of choice" for specific reconstructions, because conventional donor sites have become universal donor sites, enabling the harvesting of a variety of flaps. Moreover, depending on the surgeon's ability, any flap can be utilized as a perforator-based island flap whose source vessel has been completely preserved. Therefore, tissues can be efficiently customized and tailored into any configuration required for reconstruction. The application of perforator flap technique enables more precise dissection, and allows more selective harvesting of thinner flaps, which will expand options in reconstructive surgery. No doubt the technique will continue to evolve. GRAPHICAL ABSTRACT: [Image: see text] The Korean Academy of Medical Sciences 2015-05 2015-04-15 /pmc/articles/PMC4414633/ /pubmed/25931780 http://dx.doi.org/10.3346/jkms.2015.30.5.514 Text en © 2015 The Korean Academy of Medical Sciences. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Kim, Jeong Tae
Kim, Sang Wha
Perforator Flap versus Conventional Flap
title Perforator Flap versus Conventional Flap
title_full Perforator Flap versus Conventional Flap
title_fullStr Perforator Flap versus Conventional Flap
title_full_unstemmed Perforator Flap versus Conventional Flap
title_short Perforator Flap versus Conventional Flap
title_sort perforator flap versus conventional flap
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4414633/
https://www.ncbi.nlm.nih.gov/pubmed/25931780
http://dx.doi.org/10.3346/jkms.2015.30.5.514
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