The lumbar artery perforator based island flap: anatomical study and case reports

Kato, H; Hasegawa, Morimasa; Takada, Toshio; Torii, Shuhei

doi:10.1054/bjps.1999.3120

Cited by 106 publications

(71 citation statements)

References 7 publications

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“…24 We already reported on the use of intercostal perforator flaps in the treatment of lumbar defects and free flaps have been described both on the lumbar, dorsal, and lateral cutaneous branches of the intercostal arteries. [25][26][27][28] In the lower extremity, "propeller flaps" have been used, which shows that skin flaps based on one single perforator can be safely raised and turned over 180°if the perforator is sufficiently freed. 2 The tissue remains vascularized and mammographic follow-up seems not to be an issue; on MRI imaging, the gland can easily be discerned from the underlying flap.…”

Section: Discussionmentioning

confidence: 99%

Autologous Breast Augmentation by Pedicled Perforator Flaps

Landuyt

Hamdi

Blondeel

et al. 2004

Annals of Plastic Surgery

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A technique is described for autologous breast augmentation based on perforator flaps of the lateral chest wall. Raising these flaps as perforator flaps implies minimal donor site morbidity; however, the price to pay is a scar underneath the armpit extending from the lateral end of the inframammary fold onto the back. This scar can be relatively well hidden underneath the arm and in the brassiere. Indications depend on the aversion of the patient against prostheses and the extent of available tissue versus the desired augmentation. As typical indications, we would consider the occasional developmental asymmetry, autologous augmentation after contralateral breast reconstruction, or contour surgery in the bariatric patient.

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Section: Discussionmentioning

confidence: 99%

Autologous Breast Augmentation by Pedicled Perforator Flaps

Landuyt

Hamdi

Blondeel

et al. 2004

Annals of Plastic Surgery

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“…Rotation of local perforator-based flaps has been described previously for reconstruction in the sacral area, 19 the back, 18,20 and the lower extremity. 11,22,25,26,29,30 In general, good cosmetic and functional results have been reported.…”

Section: Discussionmentioning

confidence: 99%

Local Perforator Flap for Reconstruction of Deep Tissue Defects in the Elbow Area

Frost‐Arner¹,

Björgell²

2003

Annals of Plastic Surgery

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Limited deep tissue defects in the elbow area can occur after burns, advanced bursitis, and inflammatory processes, to name a few. Reconstruction is complicated because sufficient tissue with adequate elasticity and strength has to be transferred. Often major surgical procedures such as free tissue transfer are considered. A novel method for reconstruction of deep tissue defects in the elbow area, based on a single perforator artery and vein, is described. Perforator vessels are identified preoperatively using color Doppler ultrasonography, and a flap from the upper arm is rotated 180 degrees. The authors describe the successful treatment of two patients. The surgical technique is comparatively simple and can be performed with regional anesthesia. Postoperative recovery is short and skin sensibility is retained. The authors suggest that local, single perforator flaps can be considered as a first alternative in treatment of limited, deep tissue defects in the elbow area, especially for elderly or severely ill patients.

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“…Additionally, in 1998, Ao et al [15] reported reconstruction of lumbosacral defects using perforator flaps based on the intercostal arteries, lumbar artery, and gluteal perforators, with minor complications and minimal donor-site morbidity. Subsequently, Kato et al [16] used a perforator flap based on the lumbar artery for low back defect reconstruction, and Garrido et al [17] used a perforator flap based on the parasacral artery for natal cleft defect reconstruction. In 2004, Wei and Mardini [18] described the use of a freestyle flap as a new technique for reconstruction; the freestyle flap can be safely harvested if a sizable perforator is detected using Doppler ultrasonography.…”

Section: Introductionmentioning

confidence: 99%