BACKGROUND The establishment of the perfusion zones for the deep inferior epigastric artery perforator (DIEP) flap is still under debate. Specifically, differences between clinical and anatomical studies have often been described. The purpose of this combined study was to evaluate the characteristics of a DIEP zoning in both clinical and anatomical settings by quantitatively assessing the perfu...

Aim: Head and neck region reconstructions are often delicate procedures that require different solutions at layers. The use of chimeric flaps offers the interesting characteristic combining tissues, which is extremely valuable in this setting. In present work, we share our experience with types conventional flaps, such as radial flap, medial sural artery perforator fibula osteocutaneous flap.

BACKGROUND We developed a novel pedicled DIEP flap model in rat to explore the possible remedy for the distal necrosis of the flap. METHODS A deep inferior epigastric perforator (DIEP) flap, based on the second right cranial perforator (P2) as the main pedicle, was elevated in 48 Sprague-Dawley rats. The rats were randomized into 4 groups: group I, the left P2 remaining intact as superchargin...

SUMMARY This study introduces the options for supercharging and augmenting venous drainage of an anterolateral thigh free flap. Clinical indications and options for additional microvascular anastomoses are reviewed in 5 consecutive patients. The indications were simultaneous mucosal and cutaneous defects, divergent mucosal defects, and extensively wide and long cutaneous defects. Three addition...

RATIONALE Reducing the morbidity associated with anterolateral thigh (ALT) donor sites by performing aesthetic restoration has become a popular research topic. Various surgical techniques have been developed allowing for direct closure of the donor site. However, closure techniques for ALT donor sites based on the oblique branch have not been systematically reported. PATIENT CONCERNS Data fro...

The purpose of this paper was to discuss an overview of the current clinical practice of microsurgery with a specific use of free anterolateral flap as one of the commonest flaps used in reconstructive surgery. A systematic review was performed through all English publication that goes to Pubmed during the period of 1997 to 2006 using keywords: “anterolateral thigh perforator flap.” The studies...

The tremendous variability of the inferior epigastric arterial system makes accurate imaging of the vasculature of the anterior abdominal wall an essential component of optimal perforator selection. Preoperative imaging of the abdominal vasculature allows for preoperative perforator selection, resulting in improved operative efficiency and flap design. Abdominal wall perforators of 1-mm diamete...

The effects of antithrombotic drugs on random and free flap survival have been investigated in the past, but the experimental and clinical results are not in agreement. A perforator-based critical ischaemia model was used to evaluate the effects of different perioperatively administered pharmaceutical agents on tissue ischaemia and to assess the potential additional haemorheological or vasodila...

INTRODUCTION: Free tissue transfer has become a popular procedure for head and neck defect reconstruction. However, the choice of optimal flap remains challenging especially in recurrent cancer cases involving multiple surgical resections. Here, we describe the novel lower medial thigh perforator (LMTP) flap that can be used reliably to reconstruct head and neck defects in such a difficult situ...