Anatomical basis and clinical application of the infragluteal perforator flap.

Abstract:

BACKGROUND:When selecting flaps for coverage of pressure ulcers of the sacrum and perineal region in paraplegic patients, long-term high recurrence rates should be considered. Therefore, the authors developed an infragluteal perforator flap to avoid "burning bridges" for future reconstruction. METHODS:Infragluteal perforator flaps were dissected in five fresh human cadavers to define the anatomy of the cutaneous branches of the descending branch of the inferior gluteal artery and cluneal nerves and define anatomical landmarks for clinical application. In a series of 13 paraplegic patients, the authors used perforator-based flaps (additional skin bridge) to cover four perineal ulcers and one sacral ulcer and perforator flaps to cover six perineal and two sacral ulcers. Donor sites were closed by direct approximation. RESULTS:Twelve of 13 flaps healed uneventfully. In all cadaver and clinical dissections, one or two cutaneous branches of the descending branch of the inferior gluteal artery and one or two cluneal nerves were found at the lower border of the gluteus maximus muscle supplying the infragluteal perforator flap. These direct cutaneous branches allowed dissection of inferior gluteal perforator flaps with improved flap mobility compared with the perforator-based flaps. The descending branch of the inferior gluteal artery could always be spared for future flaps. CONCLUSIONS:The infragluteal perforator flap is a versatile and reliable flap for coverage of ischial and sacral pressure sores. It can be designed as a perforator-based or perforator flap and could provide a sensate flap in ambulatory patients. Donor-site morbidity is minimal, and options for future flaps of the gluteal and posterior thigh region are preserved.

journal_name

Plast Reconstr Surg

authors

Scheufler O,Farhadi J,Kovach SJ,Kukies S,Pierer G,Levin LS,Erdmann D

doi

10.1097/01.prs.0000239533.39497.a9

subject

Has Abstract

pub_date

2006-11-01 00:00:00

pages

1389-1400

issue

6

eissn

0032-1052

issn

1529-4242

pii

00006534-200611000-00017

journal_volume

118

pub_type

杂志文章
  • The incidence of tuberous breast deformity in asymmetric and symmetric mammaplasty patients.

    abstract:BACKGROUND:Breast asymmetry is commonly accompanied by tuberous deformity. To date, no study has reported the incidence of this breast deformity in the presence of asymmetry. A retrospective analysis of standard preoperative photographs was performed on 375 consecutive female patients presenting for mammaplasty over a ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000189206.94466.a9

    authors: DeLuca-Pytell DM,Piazza RC,Holding JC,Snyder N,Hunsicker LM,Phillips LG

    更新日期:2005-12-01 00:00:00

  • Primary closure of trochanteric decubitus ulcers: the bipedicle tensor fascia lata musculocutaneous flap.

    abstract::A surgical procedure is described for the definitive treatment of trochanteric decubitus ulcers. It combines the advantages of the bipedicle skin flap and the musculocutaneous flap; that is, a large area of skin is provided with a thick protective padding consisting of fat, fascia, and muscle richly vascularized by th...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198011000-00011

    authors: Schulman NH

    更新日期:1980-11-01 00:00:00

  • Critical Evaluation of Risk Factors and Early Complications in 564 Consecutive Two-Stage Implant-Based Breast Reconstructions Using Acellular Dermal Matrix at a Single Center.

    abstract:BACKGROUND:Acellular dermal matrix for implant-based breast reconstruction appears to cause higher early complication rates, but long-term outcomes are perceived to be superior. This dichotomy is the subject of considerable debate. The authors hypothesized that patient characteristics and operative variables would have...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000001327

    authors: Selber JC,Wren JH,Garvey PB,Zhang H,Erickson C,Clemens MW,Butler CE

    更新日期:2015-07-01 00:00:00

  • The effects of distraction osteogenesis on mandibular growth in growing minipigs: a report on three-dimensional morphologic changes.

    abstract:BACKGROUND:The purpose of the study was to investigate the morphologic changes of distraction osteogenesis performed on the mandible in growing minipigs. METHODS:Eighteen piglets were divided into four groups. In group A (n = 6), animals received unilateral osteotomy and the distractor device was activated for 2 weeks...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000163326.63031.30

    authors: Chang HH,Tseng H,Hsieh TM,Huang CY,Chen YH,Hsu CY,Cheng WM,Chen MH,Chen SR,Yao CC

    更新日期:2005-06-01 00:00:00

  • Pharyngeal flap outcomes in nonsyndromic children with repaired cleft palate and velopharyngeal insufficiency.

    abstract:BACKGROUND:Velopharyngeal insufficiency occurs in 5 to 20 percent of children following repair of a cleft palate. The pharyngeal flap is the traditional secondary procedure for correcting velopharyngeal insufficiency; however, because of perceived complications, alternative techniques have become popular. The authors' ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181c2a6c1

    authors: Sullivan SR,Marrinan EM,Mulliken JB

    更新日期:2010-01-01 00:00:00

  • The role of tissue expansion in the management of large congenital pigmented nevi of the forehead in the pediatric patient.

    abstract::The authors present a cohort of 21 consecutive patients who had congenital pigmented nevi covering 15 to 65 percent of the forehead and adjacent scalp and who were treated at their institution within the last 12 years. All patients were treated with an expansion of the adjacent texture- and color-matched skin as the p...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200103000-00004

    authors: Bauer BS,Few JW,Chavez CD,Galiano RD

    更新日期:2001-03-01 00:00:00

  • Progressive tension sutures to prevent seroma formation after latissimus dorsi harvest.

    abstract::The latissimus dorsi muscle flap is a versatile flap used in a variety of reconstructive procedures. The major complication reported with its use is donor-site seroma, reported to occur in 20 to 79 percent of cases. A retrospective review of 47 patients undergoing latissimus dorsi muscle harvest from April of 1998 thr...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.PRS.0000090542.68560.69

    authors: Rios JL,Pollock T,Adams WP Jr

    更新日期:2003-12-01 00:00:00

  • Prepectoral Breast Reconstruction: A Safe Alternative to Submuscular Prosthetic Reconstruction following Nipple-Sparing Mastectomy.

    abstract:BACKGROUND:Nipple-sparing mastectomy with immediate prosthetic reconstruction is routinely performed because of excellent aesthetic results and safe oncologic outcomes. Typically, subpectoral expanders are placed, but in select patients, this can lead to significant postoperative pain and animation deformity, caused by...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000003627

    authors: Sbitany H,Piper M,Lentz R

    更新日期:2017-09-01 00:00:00

  • Body image concerns of breast augmentation patients.

    abstract::This study investigated the body image concerns of women who sought cosmetic breast augmentation. Thirty breast augmentation candidates completed several measures of body image before their initial surgical consultation. Thirty physically similar women who were not interested in breast augmentation were recruited from...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.PRS.0000066005.07796.51

    authors: Sarwer DB,LaRossa D,Bartlett SP,Low DW,Bucky LP,Whitaker LA

    更新日期:2003-07-01 00:00:00

  • The cessation of cervical nerve root pain following modified SMAS rhytidectomy.

    abstract::The cessation of cervical nerve root pain following modified SMAS rhytidectomy is reported. CAT scans and radiographs demonstrating substantial changes in the intervertebral relationships are documented. No previous report exists demonstrating the biomechanical response to platysma muscle surgery. The potential for al...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198804000-00019

    authors: Toranto IR

    更新日期:1988-04-01 00:00:00

  • Combined orthognathic distraction procedure: Le Fort I maxillary osteotomy and mandibular curvilinear distraction osteogenesis. A new technique for craniofacial management.

    abstract::Dentofacial deformities are traditionally treated by maxillary and mandibular osteotomies conducted separately or simultaneously. Recently, distraction osteogenesis has become an irreplaceable part of the surgical armamentarium, for its ability to induce new bone formation between the surfaces of bone segments that ar...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000000055

    authors: Schendel SA,Hazan-Molina H,Aizenbud D

    更新日期:2014-04-01 00:00:00

  • A fresh cadaveric study of the paratubal muscles: implications for eustachian tube function in cleft palate.

    abstract::The aims of this anatomic investigation were to examine the levator veli palatini, tensor veli palatini, and salpingopharyngeus muscles in relation to normal eustachian tube function and to analyze the clinical implications of these data for tubal physiology in cleft palate individuals. Detailed dissections under 3.2x...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199709001-00003

    authors: Huang MH,Lee ST,Rajendran K

    更新日期:1997-09-01 00:00:00

  • To distract or not to distract: an algorithm for airway management in isolated Pierre Robin sequence.

    abstract::Approaches advocated for treatment of airway obstruction among neonates with Pierre Robin sequence include positioning, tongue-lip adhesion, mandibular distraction, and tracheostomy, with no established guidelines regarding which modality is appropriate for a specific patient. This report proposes an algorithm for the...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000110323.50084.21

    authors: Schaefer RB,Stadler JA 3rd,Gosain AK

    更新日期:2004-04-01 00:00:00

  • The effect of age on human adipose-derived stem cells.

    abstract:BACKGROUND:Adipose-derived mesenchymal stem cells are a robust, multipotent cell source. They are easily harvested and exhibit promise in a variety of regenerative applications. The purpose of this study was to evaluate the aging impact on adipose-derived mesenchymal stem cells, relating to morphology, senescent proper...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3182729cfc

    authors: Wu W,Niklason L,Steinbacher DM

    更新日期:2013-01-01 00:00:00

  • Surgical anatomy of the SMAS: a reinvestigation.

    abstract::There has been considerable disagreement in descriptions of the SMAS. Fresh cadaver dissection, combining anatomic dissection done with the aid of the operating microscope and histologic cross section of facial tissues, was performed in 24 facial halves. Histologic preparation was made on tissue macrosections, each 10...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Gosain AK,Yousif NJ,Madiedo G,Larson DL,Matloub HS,Sanger JR

    更新日期:1993-12-01 00:00:00

  • Are Quantitative Measures of Academic Productivity Correlated with Academic Rank in Plastic Surgery? A National Study.

    abstract:BACKGROUND:The purpose of this study was to investigate the correlation between quantitative measures of academic productivity and academic rank among full-time academic plastic surgeons. METHODS:Bibliometric indices were computed for all full-time academic plastic surgeons in the United States. The primary study vari...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000001531

    authors: Susarla SM,Lopez J,Swanson EW,Miller D,O'Brien-Coon D,Zins JE,Serletti JM,Yaremchuk MJ,Manson PN,Gordon CR

    更新日期:2015-09-01 00:00:00

  • Unilateral fusion of the frontosphenoidal suture: a rare cause of synostotic frontal plagiocephaly.

    abstract::Unilateral coronal synostosis is the common appellation for premature, one-sided fusion of the frontoparietal suture-the most common cause of synostotic frontal plagiocephaly. However, frontal asymmetry can also result from isolated fusion across the anterior cranial base without involvement of the frontoparietal sutu...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.PRS.0000021308.37931.18

    authors: Rogers GF,Proctor MR,Mulliken JB

    更新日期:2002-09-15 00:00:00

  • Comparison between rapid and slow tissue expansion in breast reconstruction.

    abstract::Fifty women scheduled for breast reconstruction surgery with tissue expansion were randomly divided into two groups. In the first group the tissue was expanded rapidly, i.e., once a day, starting 1 week postoperatively, and in the other group it was expanded slowly, i.e., once a week, starting after 2 weeks. The expan...

    journal_title:Plastic and reconstructive surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Wickman M

    更新日期:1993-04-01 00:00:00

  • Cranio-orbital correction for massive enlargement of the cranial vault.

    abstract::A case is reported in which an immense cranial vault was reduced as part of the rehabilitation of a patient with severe hydrocephalus who had preservation of the intellect. This patient was selected carefully, and we do not advocate such procedures on every hydrocephalic. This patient was recumbent and bedridden prior...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197904000-00004

    authors: Vries JK,Habal MB

    更新日期:1979-04-01 00:00:00

  • Salvage of externally exposed ventricular assist devices.

    abstract::Although externally exposed ventricular assist devices are associated with extremely high mortality rates, salvage may be accomplished by early aggressive wound debridement, transposition of a well-perfused autologous tissue (such as omentum), dead space obliteration, and adequate external coverage using vascularized ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199812000-00025

    authors: Turowski GA,Orgill DP,Pribaz JJ,Eriksson E,Couper GS

    更新日期:1998-12-01 00:00:00

  • Computed tomographic angiography in planning abdomen-based microsurgical breast reconstruction: a comparison with color duplex ultrasound.

    abstract:BACKGROUND:To plan abdominal perforator-based microsurgical breast reconstruction, duplex ultrasound is often employed to preoperatively identify the location of abdominal wall perforating vessels. Recently, several groups have published the use of computed tomography angiography for preoperative planning in perforator...

    journal_title:Plastic and reconstructive surgery

    pub_type: 临床试验,杂志文章

    doi:10.1097/PRS.0b013e3181c82d24

    authors: Scott JR,Liu D,Said H,Neligan PC,Mathes DW

    更新日期:2010-02-01 00:00:00

  • Bilateral neuromata of the great auricular nerves 8 years following face lift.

    abstract::A patient is presented with bilateral neuromata incontinuity of the great auricular nerves 8 years following face lift. The neuromata were excised and repaired utilizing the operating microscope. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198512000-00027

    authors: Manstein CH,Manstein G

    更新日期:1985-12-01 00:00:00

  • Importance of the new position of the nipple-areola complex in breast augmentation surgery.

    abstract:BACKGROUND:When the results of breast augmentation surgery are evaluated, the respective points of view of the surgeon and the patient can differ. Because of the nature of plastic surgery, evaluation of the results puts more emphasis on the patient's satisfaction than on medical knowledge. Among the patients who are sa...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000246235.00439.3d

    authors: Youn ES

    更新日期:2006-12-01 00:00:00

  • Facial cleft no. 1.

    abstract::The anomaly of facial cleft no. 1 has been encountered recently. It is a rare finding and, accordingly, is being reported with the hope that more craniofacial clefts will be seen in the future and direct the attention of the medical community to the problems. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199412000-00022

    authors: Suwantemee C

    更新日期:1994-12-01 00:00:00

  • Paranasal implants for correction of midface concavity.

    abstract::Central midface concavity was corrected with the placement of porous polyethylene implants in the paranasal area. This simulated the effect of skeletal osteotomies and advancement without altering dental occlusion. Implants were placed to correct congenital, posttraumatic, and cleft-related skeletal midface retrusion ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199810000-00055

    authors: Yaremchuk MJ,Israeli D

    更新日期:1998-10-01 00:00:00

  • Nasal Dorsal Augmentation with Freeze-Dried Allograft Bone: 10-Year Comprehensive Review.

    abstract:BACKGROUND:The aim of this study was to evaluate freeze-dried cortical allograft bone for nasal dorsal augmentation. The 42-month report on 18 patients was published in 2009 in Plastic and Reconstructive Surgery with 89 percent success at level II evidence, and this article is the 10-year comprehensive review of 62 pat...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000005166

    authors: Clark RP,Pham PM,Ciminello FS,Hagge RJ,Drobny S,Wong GB

    更新日期:2019-01-01 00:00:00

  • Mammaplasty combining vertical and transverse approaches through a vertical incision.

    abstract::An adjustable vertical marking is described for vertical mammaplasty in mild and moderate hypertrophy or ptosis of the breast. A vertical rectangular flap with the pedicle supported at the inframammary fold provides fullness for the upper or the lower pole of the breast. It is fixed over the pectoralis aponeurosis alo...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.PRS.0000100811.71958.A5

    authors: Abramo AC,Teixeira JC Jr,Galindo A

    更新日期:2004-02-01 00:00:00

  • Treatment of sternal nonunion with the Dall-Miles cable system.

    abstract::We have used this technique in two patients. One had early sternal dehiscence with presternal infection, and the other had late sternal nonunion. Uncomplicated sternal union was achieved in both patients. The cables were nonpalpable in both patients, but they were removed in one patient at that patient's request. This...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200010000-00019

    authors: Eich BS,Heinz TR

    更新日期:2000-10-01 00:00:00

  • Complications of total ischiectomy for the treatment of ischial pressure sores.

    abstract::Five patients are reported, 4 of whom had total ischiectomies and the other an extensive partial ischiectomy. In each, recurrent ulcers, extending into the perineum, developed subsequently. One patient had a urethrocutaneous fistula as a result of his perineal ulcer, and he had to undergo an ileal loop diversion. Foll...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197807000-00015

    authors: Karaca AR,Binns JH,Blumenthal FS

    更新日期:1978-07-01 00:00:00

  • The anesthetic management and intraoperative care of patients undergoing major facial osteotomies.

    abstract::Our experiences with 42 major craniofacial osteotomies--performed at The Hospital for Sick Children, Toronto, between July, 1971 and January, 1974--are related. Guidelines for operative care and anesthetic management are outlined--with regard to the length and positioning of endotracheal tubes, fluid and blood replace...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197501000-00008

    authors: Davies DW,Munro IR

    更新日期:1975-01-01 00:00:00