A novel salvage approach for pedicle axial flap--free-ization of pedicle internal mammary artery perforator flap.

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

Microsurgery

journal_title

Microsurgery

authors

Chen WF,Tsao CK,Cheng MH

doi

10.1002/micr.21962

subject

Has Abstract

pub_date

2012-05-01 00:00:00

pages

314-7

issue

4

eissn

0738-1085

issn

1098-2752

journal_volume

32

pub_type

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