Augmentation of Perforator Flap Blood Supply with Sole or Combined Vascular Supercharge and Flap Prefabrication for Difficult Head and Neck Reconstruction.

Facial Plastic Surgery & Aesthetic Medicine
Tao ZanQingfeng Li

Abstract

Importance: The strategic option between vascular supercharge and flap prefabrication in the fabrication of multipedicle flaps for difficult head and neck reconstruction has not been reported. Objectives: To summarize our 13-year experience in the design of multipedicle pre-expanded perforator flaps for extensive head and neck defect reconstruction, with vascular supercharge and flap prefabrication, either solely or in combination. To discuss the strategy for judicious selection between these techniques in the design of multipedicle flaps at different donor sites. Design, Setting, and Participants: A retrospective study was performed in patients with severe head and neck deformities and treated with multipedicle pre-expanded perforator flaps between May 2005 and May 2018. Intraoperative indocyanine green angiography was utilized for visualization of flap perfusion and analysis of the hemodynamics of pre-existing perforator and prefabricated vessels. Main Outcomes and Measures: The main outcomes measured were (1) features of deformities, (2) multipedicle flap designs, and (3) postoperative complications and long-term functional and aesthetic outcomes. Results: Seventy-five multipedicle pre-expanded perforator flaps were harveste...Continue Reading

References

Apr 1, 1993·Burns : Journal of the International Society for Burn Injuries·H HyakusokuM Fumiiri
May 1, 1960·Plastic and Reconstructive Surgery and the Transplantation Bulletin·M T EDGERTON, F C HANSEN
Dec 18, 2008·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Xianjie MaKaihua Lu
Jun 10, 2009·Clinics in Plastic Surgery·Jon A Mathy, Julian J Pribaz
Jan 9, 2010·Plastic and Reconstructive Surgery·Lifei Guo, Julian J Pribaz
Dec 17, 2009·Plastic and Reconstructive Surgery·Michel Saint-CyrRod J Rohrich
May 5, 2010·Plastic and Reconstructive Surgery·Murat TopalanYener Demirtas
Mar 30, 2012·Plastic and Reconstructive Surgery·Shimpei OnoHiko Hyakusoku
May 1, 2012·Plastic and Reconstructive Surgery·Hunter R Moyer, Albert Losken
Jan 17, 2013·Journal of Reconstructive Microsurgery·Davide LazzeriYi Xin Zhang
May 21, 2013·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Tao ZanQingFeng Li
Nov 30, 2016·Clinics in Plastic Surgery·Chunmei WangLee L Q Pu
Nov 30, 2016·Clinics in Plastic Surgery·Tao ZanQingfeng Li
Nov 30, 2016·Clinics in Plastic Surgery·Stacy WongMichel H Saint-Cyr
May 4, 2018·Journal of Reconstructive Microsurgery·Yashan GaoTao Zan

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