Abstract:
PURPOSE:The reconstruction of complicated defects with 3-dimensional deficits remains challenging. The reconstruction of these defects requires not only coverage of surface but also appropriate obliteration of dead space, and muscle-chimeric perforator flaps can be a valuable option. Here, we present our experience with free latissimus dorsi (LD) muscle-chimeric thoracodorsal artery perforator (TDAP) flaps for the treatment of complicated defects. METHODS:A retrospective chart review was performed for patients who underwent a free LD muscle-chimeric TDAP flap procedure for the treatment of complicated wounds with 3-dimensional tissue deficits between March 2005 and October 2012. The surgical technique, clinical outcomes, and postoperative complications were evaluated. RESULTS:A total of 24 cases were included. All flaps survived and no partial flap losses were encountered. Large skin flaps of 115 cm average size were elevated, with an average of 38-cm muscle segments. The total length of pedicle was 12.2 cm on average, with 7.3 cm of common pedicle, 4.9 cm of skin paddle, and 3.4 cm of muscle segments. Muscle segments could be inset in the underlying dead space with spatial freedom. The mean follow-up period was 34.1 months. Wounds successfully healed in all cases without significant postoperative complications. The donor-site complication rate of the chimeric flap group was similar to that of the simple TDAP group. CONCLUSIONS:The use of LD muscle-chimeric TDAP flaps with Y-pedicle configurations allowed efficient positioning of both skin and muscle components for their specific purposes and successful healing of complicated wounds. The muscle components of chimeric flaps acted as "filler flaps" and were an effective addition to the perforator flap technique for the reconstruction of complicated defects without the addition of significant donor-site morbidity.
journal_name
Ann Plast Surgjournal_title
Annals of plastic surgeryauthors
Lee KT,Wiraatmadja ES,Mun GHdoi
10.1097/SAP.0b013e3182a6363csubject
Has Abstractpub_date
2015-05-01 00:00:00pages
565-72issue
5eissn
0148-7043issn
1536-3708journal_volume
74pub_type
杂志文章abstract::A random-pattern cutaneous flap with its base at the highly vascularized dorsal web space has been designed to decrease donor site deformity and to increase securely flap mobilization in contractures involving more than 1 adjacent proximal phalanx base. Rectangular flaps facing each other on the lateral sides of adjac...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/01.sap.0000141941.62650.59
更新日期:2005-01-01 00:00:00
abstract::The purpose of this study was to evaluate the ability of Automated Facial Image Analysis (AFA) to detect changes in facial motion after Botox injections in patients with facial nerve disorders accompanied by abnormal muscle activity. Eight subjects received Botox for oral to ocular synkinesis (n = 6), ocular to oral s...
journal_title:Annals of plastic surgery
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journal_title:Annals of plastic surgery
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doi:10.1097/00000637-199706000-00001
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journal_title:Annals of plastic surgery
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abstract:BACKGROUND:Preoperative localization of the perforators allows precise planning of the flap design and improves surgical efficiency. Recently, infrared thermography is introduced as a reliable alternative, where the perforator corresponds to the "hot spot" on the thermogram. This study aims to compare the application o...
journal_title:Annals of plastic surgery
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abstract:PURPOSE:To establish outcome of brow suspension techniques, a reliable and clinically suitable measurement tool is required. Most of the published methods lack statistical validation, and in none of the reviewed studies, the standardized photograph protocols were validated. METHODS AND TECHNIQUES:Fifteen subjects were...
journal_title:Annals of plastic surgery
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abstract::Despite the recent overall increase in cases of tuberculosis and other types of mycobacterial infection, the incidence of tuberculous hand infections remains extremely low in the United States. The rarity of this infection often results in delay in diagnosis and treatment. A case of Mycobacterium tuberculosis infectio...
journal_title:Annals of plastic surgery
pub_type: 杂志文章,评审
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journal_title:Annals of plastic surgery
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journal_title:Annals of plastic surgery
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journal_title:Annals of plastic surgery
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journal_title:Annals of plastic surgery
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journal_title:Annals of plastic surgery
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journal_title:Annals of plastic surgery
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journal_title:Annals of plastic surgery
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journal_title:Annals of plastic surgery
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journal_title:Annals of plastic surgery
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更新日期:2010-04-01 00:00:00
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journal_title:Annals of plastic surgery
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更新日期:1994-12-01 00:00:00
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journal_title:Annals of plastic surgery
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更新日期:1981-09-01 00:00:00
abstract:INTRODUCTION:Currently, only a few large animal models, including swine, dog, and nonhuman primate, are described for composite face transplantation studies and the literature lacks reports on the large animal model of composite auricular transplantation. Large animal models offer better understanding of the immunologi...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
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更新日期:2014-04-01 00:00:00