Free perforator flap transfer for reconstruction of skull base defects after resection of advanced recurrent tumor

Abstract

The use of perforator flaps may be a viable option for reconstruction of skull base defects after the resection of advanced recurrent tumor.

Reliability of eccentric position of the pedicle instead of central position in a thoracodorsal artery perforator flap

“…Although this may be the preferred technique whenever a longer pedicle is required, concerns have been raised about the vascularity of such flaps. The free thoracodorsal (TD) artery perforator flap has been used for the various reconstruction from head and neck region to lower extremities . The aim of this study was to assess the safety and reliability of TD artery perforator flaps harvested with centrally or eccentrically located perforators.…”

Toe resurfacing with a thin thoracodorsal artery perforator flap

“…The thoracodorsal artery perforator flap has been reliably used for various reconstruction operations ranging from head and neck reconstruction to hand resurfacing . The thickness of this flap can be safely reduced to about 5 mm.…”

Reliable harvest of a dorsal scapular artery perforator flap by augmenting its perfusion

“…Second, the conversion to a trapezius musculocutaneous or muscle flap could be a safer solution rather than continuing to search for an additional perforator. Of course, before proceeding with a pedicled DSAP flap, a free flap should be also considered during surgery planning because it has proven to be an effective option in reconstruction of the posterior scalp and neck …”

“…Of course, before proceeding with a pedicled DSAP flap, a free flap should be also considered during surgery planning because it has proven to be an effective option in reconstruction of the posterior scalp and neck. 11,12 The trapezius musculocutaneous flap has been regarded as an easy and useful modality suited to head and neck reconstruction with minor donor site morbidity. However, Angrigiani et al 2 reported 20% mild restriction of shoulder movement to be caused by sacrificing the trapezius muscle, despite including a 25-cm 2 muscle cuff around the perforator, and Haas et al 4 emphasized the utmost importance of preserving as much function as possible when considering role of the trapezius muscle in shoulder function: stabilizing and moving the scapula and elevating the shoulder.…”