Clinical and anatomical study of cervicopectoral superthin flaps.

Abstract:

BACKGROUND:The authors have used cervicopectoral superthin flaps to reconstruct face, chin, and neck scar contractures. In the authors' clinical experience, three types of flaps could be harvested: (1) cutaneous pedicled flaps, (2) musculocutaneous pedicled flaps, and (3) muscle pedicled flaps. In the present study, the authors discuss the clinical usefulness of these flaps. Moreover, through their anatomical study using cadavers, the authors attempted to clarify the mechanism of blood flow into these flaps. METHODS:The authors retrospectively analyzed seven clinical cases. In their anatomical study, the authors performed selective angiograms of the vessels related to 30 cervicopectoral flaps from 15 preserved cadavers. RESULTS:Clinically, six of seven flaps survived completely, and contractures were released. Three types of perforators were identified, and their networks were observed in the anatomical study. CONCLUSIONS:Various types of cervicopectoral superthin flaps can be harvested for the reconstruction of contoured sensitive areas. If a much larger than average flap is designed, the pectoral intercostal artery can be attached to the flap for microvascular augmentation.

journal_name

Plast Reconstr Surg

authors

Vinh VQ,Ogawa R,Iwakiri I,Hyakusoku H,Tanuma K

doi

10.1097/01.prs.0000256050.27716.03

subject

Has Abstract

pub_date

2007-04-15 00:00:00

pages

1464-1471

issue

5

eissn

0032-1052

issn

1529-4242

pii

00006534-200704150-00009

journal_volume

119

pub_type

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