Priego BR, Haddad TJL, Trejo CD, Caracheo RR

Language: Spanish
References: 13
Page: 22-26
PDF size: 299.94 Kb.

ABSTRACT

The flaps of perforators described since 1989 have increased steadily in their applications and the vascular areas from which they can be designed. In the thigh, the lateral femoral circumflex artery system has allowed the development of the tensor fasciae latae muscle flaps and anterolateral thigh flap. The purpose of this study is to describe the anatomy of this flap and propose it as the side thigh flap. An anatomical study with 40 dissections in fresh corpse was carried out. We identified 123 perforating vessels in total. The average length of the pedicle was 7.65 cm with a standard deviation of 2.4 centimeters; the external diameter of the perforator vessels varies from 0.8 up to 3 mm with an average of 1.8 mm. In 85% of the dissections, the nutrient vessels the transverse branch of the lateral femoral circumflex artery were identified. 87% of cases identified three or more perforator vessels with a standard deviation of 1.02, and a variance of 5.77, originating from the transverse branch of the lateral femoral circumflex artery. The anatomical record of the perforator and its artery provide a very secure flap.

REFERENCES

1. Koshima I, Soeda S. Inferior epigastric skin flaps without rectus abdominis muscle. Br J Plast Surg 1989; 42: 645-648.

2. Tamai S. History of microsurgery. Plast Reconstr Surg 2009; 124(6): 282e-294e.

3. Hallock GG. Further clarification of the nomenclature for compound flaps. Plast Reconstr Surg 2006; 117(7): 151e-160e.

4. Wei FC, Mardini S. Free-style free flaps. Plast Reconstr Surg 2004; 114(4): 910-916.

5. Wei FC, Jain V, Celik N, Chen HC, Chuang DCC, Lin CH. Have we found an ideal soft-tissue flap? An experience with 672 Anterolateral thigh flaps. Plast Reconstr Surg 2002; 109(7): 2219-2226.

6. Wei FC, Jain V, Celik N, Suominen S, Chen HC. Confusion among perforator flaps: What is a true perforator flap? Plast Reconstr Surg 2001; 107(3): 874-876.

7. Kim JT. New nomenclature concept of perforator flap. Brit Jour Plast Surg 2005; 58(4): 431-440.

8. Chana JS, Wei FC. A review of the advantages of the anterolateral thigh flap in head and neck reconstruction. Br J Plast Surg 2004; 57(): 603-609.

9. Ishida LH, Munhoz AM, Montag E et al. Tensor fasciae latae perforator flap: Minimizing donor-site morbidity in the treatment of trochanteric pressure sores. Plast Reconstr Surg 2005; 116: 1346-1352.

10. Koshima I, Urushibara K, Inagawa K, Moriguchi T. Free tensor fasciae latae perforator flap for the reconstruction of defects in the extremities. Plast Reconstr Surg 2001; 107: 1759-1765.

11. Valdatta L, Tuinder S, Buoro M, Thione A, Faga A, Putz R. Lateral circumflex femoral arterial system and perforators of the anterolateral thigh flap: An anatomic study. Ann Plast Surg 2002; 49:145–150.

12. Taylor GI, Palmer JH. The vascular territories (angiosomes) of the body: Experimental study and clinical applications. Br J Plast Surg 1987; 40: 113-141.

13. Ishida LH, Munhoz AM, Montag E, Alves H, Lopes Saito F, Nakamoto H, Ferreira MC. Tensor fasciae latae perforator flap: Minimizing donor-site morbidity in the treatment of trochanteric pressure sores. Plast Reconstr Surg 116(5): 1346-1352.