The Chimeric Propeller Flap

Hallock, Geoffrey G.

doi:10.1055/s-0040-1714290

Cited by 7 publications

(8 citation statements)

References 19 publications

(18 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…19 The chimeric propeller flap is a subtype of the compound flap that contains 2 or more independent components based on a common source vessel. 12 Rozen et al 20 reported the use of a chimeric dorsal scapular artery perforator flap combined with a trapezius muscle flap in obliterating dead space around an exposed cervicothoracic spinal prosthesis after the resection of metastatic renal cell carcinoma. This study confirmed that the chimeric flap could effectively cover the exposed prosthesis and obliterate the dead space.…”

Section: Discussionmentioning

confidence: 99%

“…A challenge in reconstructing this type of wound is the 3-dimensional requirement of the flap, which covers the large skin defect and obliterates the dead space in a 1-stage procedure 19 . The chimeric propeller flap is a subtype of the compound flap that contains 2 or more independent components based on a common source vessel 12 . Rozen et al 20 reported the use of a chimeric dorsal scapular artery perforator flap combined with a trapezius muscle flap in obliterating dead space around an exposed cervicothoracic spinal prosthesis after the resection of metastatic renal cell carcinoma.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Successful Reconstruction of Complex Sacrococcygeal Defects Using Chimeric Perforator Propeller Flap

Yu,

Jin,

Zang

et al. 2023

Ann Plast Surg

View full text Add to dashboard Cite

Background Complex soft tissue defects, which result from the surgical resection of sacral tumors, manifest as a combination of skin defects, dead space, infection, and prosthesis exposure. Because the traditional musculocutaneous flap lacks flexibility because of the close connection between the skin flap and the muscle component, the musculocutaneous flap is not suitable for reconstructing complex soft tissue defects where the dead space and skin defects are located at different sites. Furthermore, the perforator flap is also not appropriate for reconstructing complex defects because it lacks the muscular component. We considered the possibility of using the chimeric perforator propeller flap for reconstructing complex sacrococcygeal defects. Methods This study included 7 patients who underwent, between July 2007 and July 2021, the reconstruction of complex soft tissue defects of the sacrococcygeal region using a chimeric perforator propeller flap. Results Among the included cases, the etiologies were chordoma (n = 3), sacral tumor (n = 3), and squamous cell carcinoma (n = 1). In all the cases, vacuum-assisted closure therapy was used to treat wound infections before surgery. The average sizes of the skin and muscle flaps were 195.8 cm2 (range, 100–350 cm2) and 83.6 cm2 (range, 60–140 cm2), respectively. The superior gluteal artery was the source artery for the chimeric perforator propeller flap. The donor sites were primarily closed in all cases. One patient had delayed wound healing, and the secondary wound healed using conservative dressing changes. The other 6 flaps had no complications. The average follow-up time was 5.3 months (range, 1–9 months). Muscle weakness and compromised ambulation in the affected lower extremities were not observed in any of the patients. Furthermore, all 7 patients had no tumor recurrence, prosthesis exposure, and infection events in the sacrococcygeal region. Conclusions The chimeric perforator propeller flap may be an option for reconstructing complex soft tissue defects in the sacrococcygeal region.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Successful Reconstruction of Complex Sacrococcygeal Defects Using Chimeric Perforator Propeller Flap

Yu,

Jin,

Zang

et al. 2023

Ann Plast Surg

View full text Add to dashboard Cite

show abstract

“…An even simpler chimeric flap alternative would be the traditional transfer of a medial gastrocnemius musculocutaneous flap, where the skin paddle were isolated on its perforator enough only to allow its rotation in any direction so as to better fit a given skin defect, as Innocenti et al 82 have done for knee defects. Some would call this variation a “chimeric propeller flap.” 83 …”

Section: Technical Variationsmentioning

confidence: 99%

The Medial Sural Artery Perforator Flap: A Historical Trek from Ignominious to “Workhorse”

Hallock

2022

Arch Plast Surg

Self Cite

View full text Add to dashboard Cite

Rather than just another “review,” this is intended to be an “overview” of the entire subject of the medial sural artery perforator (MSAP) flap as has been presented in the reconstructive literature from its inception in 2001 until the present, with any exceptions not purposefully overlooked. Unfortunately, the pertinent anatomy of the MSAP flap is always anomalous like most other perforator flaps, and perhaps even more variable. No schematic exists to facilitate the identification of a dominant musculocutaneous perforator about which to design the flap, so some adjunctive technology may be highly valuable for this task. However, if a relatively thin free flap is desirable for a small or moderate sized defect that requires a long pedicle with larger caliber vessels, the MSAP flap deserves consideration. Indeed, for many, this has replaced the radial forearm flap such as for partial tongue reconstruction. Most consider the donor site deformity, even if only a conspicuous scar on the calf, to be a contraindication. Yet certainly if used as a local flap for the knee, popliteal fossa, or proximal leg, or as a free flap for the ipsilateral lower extremity where a significant recipient site deformity already exists, can anyone really object that this is not a legitimate indication? As with any perforator flap, advantages and disadvantages exist, which must be carefully perused before a decision to use the MSAP flap is made. Perhaps not a “workhorse” flap for general use throughout the body, the MSAP flap in general may often be a valuable alternative.

show abstract

“…Actually, if the dissection of the perforator into the muscle is minimal, that perforator flap so created can be rotated about that perforator to realign the orientation of the skin paddle of what was originally a composite musculocutaneous flap, making this yet another spinoff as a chimeric perforator pedicled propeller flap. 47 Some would argue that if multiple perforators exist within the angiosome of a given skin territory, the perforasome of each could be separated independently from the others to remain attached only where their specific perforator joins their common source vessel to form an indigenous chimeric perforator-based flap (Fig. 10).…”

Section: Chimeric Perforator Flapmentioning

confidence: 99%

Section: Perforator Spinoffs: a Baker’s Dozenmentioning

confidence: 99%

Perforator and Perforator Flap Spinoffs: A Historical Journey

Hallock¹

2022

Plastic &Amp; Reconstructive Surgery

Self Cite

View full text Add to dashboard Cite

Summary: The concept of the perforator has now become a fundamental topic well known in every training program. However, that has not always been so. The mere definition of the word has historically been argued relentlessly; nevertheless, its major derivative, the perforator flap, has become accepted as a basic consideration whenever flaps need be selected. However, this has not been the only spinoff derived from the author’s investigations of the perforator, a point that should be stressed in addition to some reiterations of pertinent and perhaps confusing nomenclature that deserve to be reemphasized. Truly, it has been amazing to see how our ideas and innovations arise simultaneously and independently throughout the world of reconstructive surgery. A final plea is made to sustain the future—each of us must continue to contribute our passion and our knowledge to all others by means of that technology now globally so instantaneously available.

show abstract

The Chimeric Propeller Flap

Cited by 7 publications

References 19 publications

Successful Reconstruction of Complex Sacrococcygeal Defects Using Chimeric Perforator Propeller Flap

Successful Reconstruction of Complex Sacrococcygeal Defects Using Chimeric Perforator Propeller Flap

The Medial Sural Artery Perforator Flap: A Historical Trek from Ignominious to “Workhorse”

Perforator and Perforator Flap Spinoffs: A Historical Journey

Contact Info

Product

Resources

About