Cargando…

Secondary contouring of flaps

Perforator flaps are becoming increasingly common, and as primary thinning techniques are being developed, the need for secondary contouring of flaps is decreasing. However, many reconstructive flap procedures still incorporate secondary debulking to improve the functional and aesthetic outcomes. Di...

Descripción completa

Detalles Bibliográficos
Autores principales: Kim, Tae Gon, Choi, Man Ki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Plastic and Reconstructive Surgeons 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6062696/
https://www.ncbi.nlm.nih.gov/pubmed/30037191
http://dx.doi.org/10.5999/aps.2018.00542
_version_ 1783342421960032256
author Kim, Tae Gon
Choi, Man Ki
author_facet Kim, Tae Gon
Choi, Man Ki
author_sort Kim, Tae Gon
collection PubMed
description Perforator flaps are becoming increasingly common, and as primary thinning techniques are being developed, the need for secondary contouring of flaps is decreasing. However, many reconstructive flap procedures still incorporate secondary debulking to improve the functional and aesthetic outcomes. Direct excision, liposuction, tissue shaving with an arthroscopic cartilage shaver, and skin grafting are the four major methods used for secondary debulking. Direct excision is primarily applied in flaps where the skin is redundant, even though the volume is not excessive. However, due to the limited range of excision, performing a staged excision is recommended. Liposuction can reduce the amount of subcutaneous tissue of the flap and protect the vascular pedicles. However, the main drawback of this method is its limited ability to remove fibrotic tissues, for which the use of a shaver may be more convenient. The main drawback of using a shaver is that it is difficult to simultaneously remove excess skin. Skin grafting enables the removal of sufficient excess tissue to recover the contour of the normal limb and to improve the color match, facilitating excellent aesthetic results.
format Online
Article
Text
id pubmed-6062696
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Korean Society of Plastic and Reconstructive Surgeons
record_format MEDLINE/PubMed
spelling pubmed-60626962018-08-03 Secondary contouring of flaps Kim, Tae Gon Choi, Man Ki Arch Plast Surg Topic: How to Obtain Thin Flap Perforator flaps are becoming increasingly common, and as primary thinning techniques are being developed, the need for secondary contouring of flaps is decreasing. However, many reconstructive flap procedures still incorporate secondary debulking to improve the functional and aesthetic outcomes. Direct excision, liposuction, tissue shaving with an arthroscopic cartilage shaver, and skin grafting are the four major methods used for secondary debulking. Direct excision is primarily applied in flaps where the skin is redundant, even though the volume is not excessive. However, due to the limited range of excision, performing a staged excision is recommended. Liposuction can reduce the amount of subcutaneous tissue of the flap and protect the vascular pedicles. However, the main drawback of this method is its limited ability to remove fibrotic tissues, for which the use of a shaver may be more convenient. The main drawback of using a shaver is that it is difficult to simultaneously remove excess skin. Skin grafting enables the removal of sufficient excess tissue to recover the contour of the normal limb and to improve the color match, facilitating excellent aesthetic results. Korean Society of Plastic and Reconstructive Surgeons 2018-07 2018-07-15 /pmc/articles/PMC6062696/ /pubmed/30037191 http://dx.doi.org/10.5999/aps.2018.00542 Text en Copyright © 2018 The Korean Society of Plastic and Reconstructive Surgeons 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 Topic: How to Obtain Thin Flap
Kim, Tae Gon
Choi, Man Ki
Secondary contouring of flaps
title Secondary contouring of flaps
title_full Secondary contouring of flaps
title_fullStr Secondary contouring of flaps
title_full_unstemmed Secondary contouring of flaps
title_short Secondary contouring of flaps
title_sort secondary contouring of flaps
topic Topic: How to Obtain Thin Flap
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6062696/
https://www.ncbi.nlm.nih.gov/pubmed/30037191
http://dx.doi.org/10.5999/aps.2018.00542
work_keys_str_mv AT kimtaegon secondarycontouringofflaps
AT choimanki secondarycontouringofflaps