Reconstruction of penis with free deltoid flap

Harashina, Takao; Inoue, Tatsuya; Tanaka, Ichiro; Imai, Keisuke; Hatoko, Mitsuo

doi:10.1016/0007-1226(90)90164-u

Cited by 44 publications

(19 citation statements)

References 9 publications

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“…Deltoid flap is a fasciocutaneous flap which should be thin, hairless, of appropriate size and full sensory innervation (Wang et al). The flap which is generally 7x15 cm in size may also be used in the reconstruction of the upper and lower lips, face and penis as the sensory flap (Russel et al, 1985;Volpe et al, 1997;Harashina et al, 1990;Cormack & Lamberty, 1994;Serafin, 1996;Mathes & Nahai, 1997;Munnoch et al). The flap is relatively narrower than the other flaps, which is removed from the same area.…”

Section: Resultsmentioning

confidence: 99%

Anatomy of Deltoid Flap Based on Posterior Subcutaneous Deltoid Artery: A Cadaveric Investigation

Edizer

Tayfur²,

Mağden

et al. 2014

Int. J. Morphol.

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SUMMARY:The purpose of the study is to evaluate neurovascular anatomy of the deltoid flap based on the posterior subcutaneous deltoid artery (PSDA). Bilateral axillary artery dissections of the thirty-four shoulders of 17 formalin-fixed cadavers were performed (15 male, 2 female; age range 40 to 82 years) under the 4x loupe magnification. During the dissection of each region, the PSDA was evaluated with respect to the origin, the branches, course and anatomical relations with neighbouring structures. The PSDA was present in all cases. The PSDA was single in 26 (76.5%) cases, double in 2 (5.9%) cases and had early bifurcation in 6 (17.6%) cases. The mean length of the lateral cutaneous brachial nerve was 6.0 mm range from 49.0 mm to 83.9 mm. The mean distance between the piercing point of the PSDA and the acromion was 74.2 mm range from 51.0 mm to 96.3 mm. The pedicle bifurcated before reaching the superficial fascia in 6 cases (17.6%). An anatomic study of the posterior subcutaneous deltoid artery achieves reliable quantitative anatomic data and would be very helpful for utilizing deltoid flap. The quantitative and detailed anatomic information provided from the study may be of guidance to surgeons for safe operating period.

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Section: Resultsmentioning

confidence: 99%

Anatomy of Deltoid Flap Based on Posterior Subcutaneous Deltoid Artery: A Cadaveric Investigation

Edizer

Tayfur²,

Mağden

et al. 2014

Int. J. Morphol.

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“…This change in policy occurred after Professor Takao Harashina of Saitama Medical School's Department of Plastic Surgery succeeded in reconstructing a penis on a male patient who had lost his penis in an injury (Harashina et al, 1995). This change in policy occurred after Professor Takao Harashina of Saitama Medical School's Department of Plastic Surgery succeeded in reconstructing a penis on a male patient who had lost his penis in an injury (Harashina et al, 1995).…”

Section: Discussionmentioning

confidence: 99%

A Clinical and Psycho-Sociological Case Study on Gender Identity Disorder in Japan

Kameya

Narita²

2000

Journal of Sex & Marital Therapy

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“…Total penile reconstruction has been successfully performed with the use of pedicled and free tissue transfers. [1][2][3][4][5][6][7] Attempts have been made to more clearly identify the distinction between the penile shaft and the glans penis in the reconstruction, however, this cosmetic endeavor is an area of ongoing innovation. 8…”

mentioning

confidence: 98%

Glans Penis Coronaplasty With Palmaris Longus Tendon Following Total Penile Reconstruction

Salgado¹,

Licata²,

Fuller³

et al. 2009

Annals of Plastic Surgery

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Total penile reconstruction has been performed successfully with the use of vascularized flaps, to the point of obtaining a functioning penis where the patient can urinate voluntarily, have sexual relations, and obtain an acceptable reconstruction. Less attention has been paid to the cosmetic appearance, however, perhaps due to an already complex reconstructive effort. In particular, the anatomic distinction between the penile shaft and the glans penis in the reconstruction is commonly flat with absence of the corona. We present a 39-year-old male who underwent complete penile reconstruction following total penectomy for malignancy with a radial forearm osteocutaneous flap and had loss of the corona postoperatively. A palmaris longus graft was used for glans penis coronaplasty. The tendon graft provides autologous tissue, which is easy to harvest, has minimal donor morbidity, and structurally can be manipulated to provide tissue bulk for the reconstruction.

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Reconstruction of penis with free deltoid flap

Cited by 44 publications

References 9 publications

Anatomy of Deltoid Flap Based on Posterior Subcutaneous Deltoid Artery: A Cadaveric Investigation

Anatomy of Deltoid Flap Based on Posterior Subcutaneous Deltoid Artery: A Cadaveric Investigation

A Clinical and Psycho-Sociological Case Study on Gender Identity Disorder in Japan

Glans Penis Coronaplasty With Palmaris Longus Tendon Following Total Penile Reconstruction

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