The Development of the Fasciocutaneous Flap and Its Clinical Applications

Tolhurst, David E.; Haeseker, Barend; Zeeman, R. J.; Barclay, T.L.

doi:10.1097/00006534-198305000-00002

Cited by 12 publications

(9 citation statements)

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“…Many authors, however, have found the simplicity and reliability of distally based adipofascial and fasciocutaneous flaps make these a valuable alternative to microsurgical free tissue transfer [2,22,26]. We believe our results confirm this view.…”

Section: Discussionsupporting

confidence: 82%

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Perforator-based flaps in distal upper and lower extremity defects

2002

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The reconstruction of complex distal extremity defects is challenging with both cosmetic and functional considerations. This case series reviews our experience of using perforator-based flaps in 28 patients requiring reconstruction of 30 distal extremity defects. Hand held Doppler localisation of the perforators was carried out preoperatively in all cases. Flaps used were either fasciocutaneous or adipofascial and 90% of the defects were post-traumatic. Uncomplicated closure was achieved in 22 cases, with the majority of complications being minor. Complete failure was encountered in only two cases and as such was comparable with our experience of free tissue transfer. We propose consideration of perforator based flaps as an acceptable alternative to free tissue transfer in many extremity defects and find the hand held Doppler probe to be an invaluable tool in flap planning.

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Section: Discussionsupporting

confidence: 82%

“…There is no prescribed size although Pontén described safely designing flaps of 18×8 cm in the lower limb. Others state length to width ratios of 3:1 [2] or 4:1 [22] as being acceptable. We did not set a specific size or length to width ratio to adhere to.…”

Section: Discussionmentioning

confidence: 99%

Perforator-based flaps in distal upper and lower extremity defects

2002

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“…The scalp vascularisation depends on perforating vessels that give off multiple fine branches that form an extensive plexus superficial to the temporoparietal fascia which is analogous to the deep fascia of the extremities. The vessels of the temporoparietal fascia are arranged in the long axis, with which the fasciocutaneous flap should be aligned (14).…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of Large Defects in the Scalp With Fasciocutaneous Flaps

Guerrissi

1999

Scandinavian Journal of Plastic and Reconstructive Surgery and

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Although recent reports have emphasised free microsurgical transfer for reconstruction of extensive defects in the scalp, in our experience a carefully planned scalp flap is a simpler and safer method than a free transfer. Twenty-one patients with defects as large as 10%-60% of the scalp surface area were reconstructed; the calvarium was resected in five cases and the dura mater in two. In 18 cases the flaps were based on a single pedicle: the superficial temporal artery. In three cases the blood supply of the flaps was based on three major homolateral arteries: the superficial temporal, the posterior auricular, and the occipital. The blood supply of all scalp flaps was based on the interconnected network of the aponeurotic plexus and the pedicles were included into flap in 18 cases. The principles of fasciocutaneous flaps were applied for all 21 scalp flaps. The reconstruction of the skull was delayed in all cases, and the dura was replaced by free autogenous periosteum. The donor area was covered with a skin graft in all cases. In all patients the aesthetic and functional results were considered excellent by them and by us. There were no postoperative complications.

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“…Nevertheless, with the incorporation of the fascia to these flaps their vascularization and security have been improved, as has been demonstrated by a study carried out on cadavers and experimental animals [1,2], in addition to a histological study of the deep fascia and its clinical application [3,4]. In addition to this, the incorporation of fascia limits its advancement or rotation.…”

Section: Discussionmentioning

confidence: 99%

Turnover cutaneous and fasciocutaneous flaps in the treatment of cutaneous defects of the leg

Martinez

Márquez

1995

Eur J Plast Surg

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Twenty-nine cases of skin loss on the legs with bone exposure were studied. As an alternative to other techniques, turnover dermal fat flaps and turnover fasciodermal fat flaps were used for reconstruction of the defects. Excellent functional and aesthetic results were obtained. These flaps are easy to perform, the hospital stay is short, and there is minimal dissection in the leg. Key words: Cutaneous flaps -Leg defects -Turnover fasciocutaneous flapsAt present, musculocutaneous, fasciocutaneous, muscular and free flaps are extensively used for reconstruction of skin loss in the lower extremity with exposure of bone, tendons, nerves, vessels, etc. However, the use of older techniques, which are easy to use, give good functional and aesthetic results, and require only a short hospital stay, should not be ruled out.Turnover cutaneous and fasciocutaneous flaps are easy to use for the treatment of cutaneous loss in the legs with bone exposure. These flaps will successfully solve the problem in selected cass.In both types of flaps, the epidermis is removed, and vascularity and venous drainage is provided by vessels which are present in the pedicle running parallel to the defect. The difference between the flaps is the incorporation of the fascia when indicated. Materials and methodsTwenty-nine cases of cutaneous loss in the lower extremities with exposed bone were studied. All patients had been treated with turnover cutaneous or fasciocutaneous flaps.

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The Development of the Fasciocutaneous Flap and Its Clinical Applications

Cited by 12 publications

References 0 publications

Perforator-based flaps in distal upper and lower extremity defects

Perforator-based flaps in distal upper and lower extremity defects

Reconstruction of Large Defects in the Scalp With Fasciocutaneous Flaps

Turnover cutaneous and fasciocutaneous flaps in the treatment of cutaneous defects of the leg

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