A Study of the Relationship Between Blood Flow and Bacterial Inoculation in Musculocutaneous and Fasciocutaneous Flaps

Gosain, Arun K.; Chang, Ning; Mathes, Stephen J.; Hunt, Thomas K.; Vásconez, Luis O.

doi:10.1097/00006534-199012000-00019

Cited by 187 publications

(88 citation statements)

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“…This maneuver is not without its own attendant morbidity, including the potential of a significant cosmetic deformity. A free flap might then be preferable, especially to gain the immunological advantages of muscle (13), but a single muscle also might not be large enough (9).…”

Section: Discussionmentioning

confidence: 99%

Conjoint muscle free flap for obliteration of an upper thoracic empyema cavity

Hallock¹

2003

J Plast Surg

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GG Hallock. Conjoint muscle free flap for obliteration of an upper thoracic empyema cavity. Can J Plast Surg 2003;11(4):216-218.Successful obliteration of an empyema cavity with vascularized flaps can, on occasion, best be accomplished using a free tissue transfer. A conjoint free muscle flap captures the immunological attributes of muscle necessary in the infectious milieu of these defects, augments the potential flap volume required to fill these often large defects, yet relies on only a single recipient site for the requisite microanastomoses. These advantages are demonstrated by a case using a combined latissimus dorsi/serratus anterior conjoint muscle free flap to obliterate a chronic upper thoracic empyema cavity. The internal mammary vessels were the most readily accessible recipient site, and should be considered an important alternative when managing these challenging wounds of the upper chest.

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Section: Discussionmentioning

confidence: 99%

Conjoint muscle free flap for obliteration of an upper thoracic empyema cavity

Hallock¹

2003

J Plast Surg

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“…Despite a higher vascular density in fasciocutaneous flaps, muscle flaps display a more rapid rate of wound and fracture healing and also have increased antimicrobial properties according to various reports. 9,10,27,28 Muscle flaps have also been shown to promote bone repair secondary to a greater amount of osteogenic mesenchymal stem cells and bone anabolics such as interleukin-6 and fibroblast grow factor-2. 29,30 Multiple animal studies have demonstrated the importance of muscle coverage on fracture sites, although tissue transfer has not been directly examined within these studies.…”

Section: Translational Relevancementioning

confidence: 99%

Plastic Surgery Challenges in War Wounded I: Flap-Based Extremity Reconstruction

Sabino

Slater

Valerio

2016

Advances in Wound Care

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“…Muscle flaps also have demonstrated more rapid collagen deposition and greater tissue ingrowth. [1][2][3] These advantageous characteristics likely account for their high level of success when used to manage hostile wounds. Regardless of their ability to inhibit bacterial growth, muscle flaps should not be used in an inadequately prepared wound bed.…”

Section: Versatilitymentioning

confidence: 99%

Muscle Flaps and their Role in Limb Salvage

Klebuc¹,

Menn

2013

Methodist DeBakey Cardiovascular Journal

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Muscle flaps have proved to be a valuable and versatile tool in the surgical treatment of the severely compromised lower extremity. Utilized as both local pedicle flaps and free tissue transfers, muscles have been successfully employed to cover complex wounds, manage osteomyelitis, salvage infected vascular grafts, treat recalcitrant venous stasis ulcers, preserve amputation levels, and restore motion following compartment syndrome. Free flap pedicles have also been used in a flow-through fashion to create a distal arterial bypass. This article explores the multipurpose role of muscle flaps in limb salvage surgery and their beneficial physiologic characteristics in hostile wound environments.

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A Study of the Relationship Between Blood Flow and Bacterial Inoculation in Musculocutaneous and Fasciocutaneous Flaps

Cited by 187 publications

References 0 publications

Conjoint muscle free flap for obliteration of an upper thoracic empyema cavity

Conjoint muscle free flap for obliteration of an upper thoracic empyema cavity

Plastic Surgery Challenges in War Wounded I: Flap-Based Extremity Reconstruction

Muscle Flaps and their Role in Limb Salvage

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