The scrotal free flap: First successful clinical application of a free Super-Thin External Pudendal Artery (STEPA) flap for reconstruction of a foot defect

Kiranantawat, Kidakorn; Yeo, Matthew Sze‐Wei; Imaizumi, Atsushi; Sitpahul, Ngamcherd; Ciudad, Pedro; Nicoli, Fabio; Maruccia, Michele; Sapountzis, Stamatis; Chatdokmaiprai, Chalermpong

doi:10.1016/j.bjps.2017.10.011

Cited by 7 publications

(4 citation statements)

References 3 publications

(1 reference statement)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…6A-D), and the thoracodorsal artery. 15,22 Arterialized venous flow-through flaps can also be harvested suprafascially. Thin flap harvest allows for a wide range of reconstructive options, and any area with predictable vasculature and low donor site morbidity could be selected.…”

Section: Other Flapsmentioning

confidence: 99%

Thin Perforator Flaps for Reconstruction of the Lower Extremity

Ebner

Gould

Patel

2019

J Reconstr Microsurg

View full text Add to dashboard Cite

Thin flaps, a modification of traditional flaps that minimize the need for debulking and revision, offer unique advantages in the field of lower limb reconstruction. Advances in the field of microsurgery have made this streamlined method of reconstruction a viable solution for soft tissue coverage in patients with both trauma and nonhealing wounds. Better understanding of anatomy has allowed for flap harvest above the fascia level and the Scarpal plane. These modifications allow for flap transfer with thicknesses more comparable to the native anatomy of the lower leg, ankle, and foot. Flap survival is comparable to traditional techniques with greater potential for improved patient-centered outcomes.

show abstract

Section: Other Flapsmentioning

confidence: 99%

Thin Perforator Flaps for Reconstruction of the Lower Extremity

Ebner

Gould

Patel

2019

J Reconstr Microsurg

View full text Add to dashboard Cite

show abstract

“…1,2 With the rapid development of microsurgical techniques and reliable flap survival in flap transfers, the use of free flap such as the anterolateral thigh (ALT) flap has been gaining more popularity in the reconstruction of such patients. 3,4 However, free flaps represent the highest rung on the reconstructive ladder, requiring technically demanding, costly, and timeconsuming operations, with significant complication rates, donor-site morbidity, failure rates, and risk at the anastomosis. 5,6 The elderly patients, who do not need high aesthetic requirements, sometimes cannot tolerate the prolonged free flap surgery.…”

Section: Introductionmentioning

confidence: 99%

“…Its reconstruction poses unique challenges due to its requirements for durable soft tissue that can withstand the load‐bearing function of the plantar surface while providing a thin, pliable contour for resurfacing the dorsal foot and ankle 1,2 . With the rapid development of microsurgical techniques and reliable flap survival in flap transfers, the use of free flap such as the anterolateral thigh (ALT) flap has been gaining more popularity in the reconstruction of such patients 3,4 . However, free flaps represent the highest rung on the reconstructive ladder, requiring technically demanding, costly, and time‐consuming operations, with significant complication rates, donor‐site morbidity, failure rates, and risk at the anastomosis 5,6 .…”

Section: Introductionmentioning

confidence: 99%

Foot and ankle reconstruction using the lateral supramalleolar flap versus the anterolateral thigh flap in the elderly: A comparative study

Zhang

Zhu

et al. 2022

International Wound Journal

View full text Add to dashboard Cite

The purpose of this study was to compare the reconstructive outcomes of soft‐tissue defects around the foot and ankle with anterolateral thigh (ALT) flap or lateral supramalleolar (LSM) flap and attempt to provide an optimal strategy for elderly patients. A retrospective review of all continuous patients with foot and ankle reconstruction using different flaps from October of 2010 and October of 2020 was performed. Based on the flap types, the patients were divided into two groups: ALT flap group (n = 50) and LSM flap group (n = 46). Outcomes were assessed according to the flap survival rate, early complications, general complications, late complications, cosmetic appearance, functional outcomes and Vancouver Scar Scale (VSS). We found that there was no difference in average age, gender, aetiology, size of the defect, debridement times between the two groups; however, a significant difference in operation time, hospitalisation time and cost were noted between them. What's more, the early flap complications between them were not significantly different. The LSM flap group showed less general complications, less flap bulky and lower cosmetic appearance. Moreover, the functional evaluation and VSS seem similar (P > .05). Thus, The ALT flap and LSM flap are both flaps available for foot and ankle reconstruction in elderly patients. However, the LSM flap offers short operation time, short hospitalisation time, and less cost with a lower frequency of postoperative complications. Thus, we advocate the LSM flap for the reconstruction of moderate‐size defects of the foot and ankle region in elderly patients.

show abstract

“…With equivalent features in terms of fineness and flexibility for minimal scarring, the scrotal free flap named super thin external pudendal artery (STEPA) flap was recently described and used for the reconstruction of critical areas such as limbs or joint areas at the shoulder or knee (Phoon, Shah, Cormack, & Saint-Cyr, 2014). The STEPA flap was used for the first time in free form for the reconstruction of a foot defect in 2017 (Kiranantawat et al, 2018). In this article, we report the use of the STEPA flap for an oropharyngeal reconstruction.…”

Section: Introductionmentioning

confidence: 99%

The super thin external pudendal artery (STEPA) free flap for oropharyngeal reconstruction – A case report

et al. 2019

View full text Add to dashboard Cite

The radial forearm flap is one of the most used micro‐anastomotic flaps in cervicofacial reconstruction in a carcinological context. This flap is an ideal in terms of reliability and fineness; it has, however, some disadvantages in terms of the functional and aesthetic complications of its donor site. In alternative to a radial forearm free flap, we report the use of the free super thin external pudendal artery flap (STEPA flap) for an oropharyngeal reconstruction. The aim was to decrease the donor site morbidity. A 71‐years‐old man with a T2N0M0 oropharyngeal squamous cell carcinoma has undergone surgical treatment. A left STEPA free flap was performed to reconstruct a defect about 8 × 6 cm2. This flap was designed as a half‐scrotal free flap sized 9 × 7 cm2 and was inset after tunneling of the pedicle at the floor of the mouth. A surgical revision was needed on the 15th day postoperative for disunion. There was no skin flap failure. After 12 month of follow‐up, no complication was observed at the donor site and no erectile dysfunction was recorded. Its characteristics in terms of fineness, flexibility, ease of conformation, and pedicle length are similar to those of the radial forearm flap with less aesthetic and functional sequelae of the donor site. The STEPA flap may be a promising free flap in oropharyngeal or oral cavity reconstruction.

show abstract

The scrotal free flap: First successful clinical application of a free Super-Thin External Pudendal Artery (STEPA) flap for reconstruction of a foot defect

Cited by 7 publications

References 3 publications

Thin Perforator Flaps for Reconstruction of the Lower Extremity

Thin Perforator Flaps for Reconstruction of the Lower Extremity

Foot and ankle reconstruction using the lateral supramalleolar flap versus the anterolateral thigh flap in the elderly: A comparative study

The super thin external pudendal artery (STEPA) free flap for oropharyngeal reconstruction – A case report

Contact Info

Product

Resources

About