Abstract:
:A pedicle flap with distal segment compromise is classically managed by allowing tissue demarcation, debridement of non-viable tissue, and local tissue manipulation to achieve wound closure. When aggressive debridement leaves insufficient tissue for defect coverage, the original flap is often discarded. We present a case of distal necrosis of a pedicle internal mammary artery perforator flap for cheek reconstruction. The flap, which was rendered too small after debridement for defect coverage in its pedicle form, was converted to a free flap. The technical details of such conversion and potential feasibility of applying this conversion to other compromised pedicle flaps are discussed. We hypothesized that the principle of "free-ization" can be applied effectively for salvage of other failing pedicle flaps with axial blood supply.
journal_name
Microsurgeryjournal_title
Microsurgeryauthors
Chen WF,Tsao CK,Cheng MHdoi
10.1002/micr.21962subject
Has Abstractpub_date
2012-05-01 00:00:00pages
314-7issue
4eissn
0738-1085issn
1098-2752journal_volume
32pub_type
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