Abstract:
BACKGROUND:The universal adoption of muscle perforator flaps has been hampered by a lack of uniformity that would ensure the reliable harvest of the requisite vascular pedicle. Anatomical anomalies of their vascular supply are the anticipated norm, creating a conundrum inasmuch as retention of an adequate circulation is imperative to ensure the expected flap viability. Despite better preoperative assessment of the blood supply of muscle perforator flaps, including color duplex ultrasound, computed tomographic angiography, and magnetic resonance angiography, Doppler ultrasonography remains the most convenient, inexpensive, and readily available method for evaluating a potential donor site. METHODS AND RESULTS:Schematics detailing the important basic anatomical features were recapitulated for the four most prevalent muscle perforator flaps: the lateral circumflex femoral artery perforator-vastus lateralis (sic, anterolateral thigh), the deep inferior epigastric artery perforator, the superior gluteal artery perforator, and the thoracodorsal artery perforator flaps. They were also done for five other useful lower-extremity donor sites: the inferior gluteal artery perforator, the lateral circumflex femoral artery perforator-tensor fasciae latae, the medial circumflex femoral artery perforator-gracilis, the profunda femoris artery perforator-adductor magnus, and the medial sural artery perforator flaps. CONCLUSIONS:A general knowledge of the relationship of pertinent musculocutaneous perforators to certain anatomical landmarks is still relevant as a starting point for identifying their location by Doppler ultrasonography. These schematics are only rudimentary guidelines for the subsequent design of the desired flap and should in no way be construed as a definitive review of the technique nor indications for these flaps.
journal_name
Plast Reconstr Surgjournal_title
Plastic and reconstructive surgeryauthors
Hallock GGdoi
10.1097/PRS.0b013e318199f7d2subject
Has Abstractpub_date
2009-03-01 00:00:00pages
1107-1115issue
3eissn
0032-1052issn
1529-4242pii
00006534-200903000-00043journal_volume
123pub_type
杂志文章abstract:BACKGROUND:Current rodent models of wound healing and scarring are flawed because of rapid wound contraction and inconspicuous scarring after healing, which is not closely parallel to the physiologic process in humans. This study aimed to establish a novel model of wound healing and scarring in rats. METHODS:Excisiona...
journal_title:Plastic and reconstructive surgery
pub_type: 杂志文章
doi:10.1097/PRS.0000000000005274
更新日期:2019-02-01 00:00:00
abstract:BACKGROUND:Prevention of recurrent eyebrow ptosis is the greatest challenge in brow lift surgery today. In this article, the author describes a new surgical procedure to provide long-lasting results in brow lift surgery. METHODS:Over 7 years, this new technique was used in 37 patients. Except for four, all patients we...
journal_title:Plastic and reconstructive surgery
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doi:10.1097/01.prs.0000182601.94805.58
更新日期:2005-10-01 00:00:00
abstract:BACKGROUND:In 2002, the author implemented a new two-stage approach, "delayed-immediate breast reconstruction," for patients who desire breast reconstruction and who are at an increased risk for conditions necessitating postmastectomy radiotherapy. There is increasing acceptance of this approach in clinical practice. T...
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abstract:BACKGROUND:The management of postoperative deep sternal wound infection varies widely based on the discretion of the cardiovascular surgeon and the plastic surgeon. METHODS:Analysis of patients with deep sternal wound infection undergoing one-step radical sternal débridement and muscle flap reconstruction by a single ...
journal_title:Plastic and reconstructive surgery
pub_type: 杂志文章
doi:10.1097/PRS.0b013e3181a205f9
更新日期:2009-05-01 00:00:00
abstract::Surgical management of snoring and obstructive sleep apnea is indicated when a surgically correctable abnormality is believed to be the source of the problem. Many patients opt for surgical treatment after noninvasive forms of treatment have been proven ineffective or difficult to tolerate. With increasing frequency, ...
journal_title:Plastic and reconstructive surgery
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journal_title:Plastic and reconstructive surgery
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journal_title:Plastic and reconstructive surgery
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doi:10.1097/PRS.0b013e31826d1682
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journal_title:Plastic and reconstructive surgery
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journal_title:Plastic and reconstructive surgery
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journal_title:Plastic and reconstructive surgery
pub_type: 杂志文章
doi:10.1097/00006534-199103000-00018
更新日期:1991-03-01 00:00:00
abstract::The use of nonpenetrating clips to accomplish wound closure as an alternative to suture in the repair of simulated cleft lips in partially exteriorized fetuses has been described previously. In this study, the fetus is approached endoscopically, and clipped (n = 8) and sutured (n = 4) intrauterine endoscopic repairs i...
journal_title:Plastic and reconstructive surgery
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更新日期:1998-07-01 00:00:00
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journal_title:Plastic and reconstructive surgery
pub_type: 杂志文章
doi:10.1097/PRS.0000000000003543
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doi:
更新日期:1994-03-01 00:00:00
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journal_title:Plastic and reconstructive surgery
pub_type: 杂志文章
doi:10.1097/PRS.0000000000006463
更新日期:2020-02-01 00:00:00
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journal_title:Plastic and reconstructive surgery
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journal_title:Plastic and reconstructive surgery
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更新日期:2007-09-15 00:00:00
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journal_title:Plastic and reconstructive surgery
pub_type: 杂志文章
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更新日期:1992-09-01 00:00:00
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journal_title:Plastic and reconstructive surgery
pub_type: 杂志文章
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更新日期:2006-09-15 00:00:00
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journal_title:Plastic and reconstructive surgery
pub_type: 杂志文章,多中心研究
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更新日期:2016-02-01 00:00:00
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journal_title:Plastic and reconstructive surgery
pub_type: 杂志文章,评审
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更新日期:1996-06-01 00:00:00
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journal_title:Plastic and reconstructive surgery
pub_type: 杂志文章
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更新日期:2005-03-01 00:00:00
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pub_type: 杂志文章,实务指引
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更新日期:2014-10-01 00:00:00