Expanding the Applications of the Profunda Artery Perforator Flap

Plastic and Reconstructive Surgery
James L MayoHugo St Hilaire

Abstract

The profunda artery perforator free flap has not gained traction for nonbreast reconstruction, likely because of the presence of a proven workhorse in the anterolateral thigh flap. The authors believe that the profunda artery perforator flap offers similar coverage characteristics with the benefits of a medial donor site, a more consistent anatomy, and relatively easy dissection. The authors review their indications, technique, and outcomes in seven patients requiring eight free flap reconstructions. The authors applied the use of the vertically oriented profunda artery perforator flap to both lower extremity and head and neck reconstructions in which an anterolateral thigh flap would normally have been used. Details reviewed include soft-tissue defect, perforator location, flap size, recipient vessel, and complications. Eight soft-tissue defects were covered with a vertically oriented profunda artery perforator flap in seven patients. Six reconstructions were for distal lower extremity and two were for head and neck reconstruction, both trauma and oncologic reconstructions. Flap sizes ranged from 40 to 92 cm. The pedicle length ranged from 7 to 10 cm. There were no partial or complete flap losses. One complication of seroma at...Continue Reading

References

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Citations

Jun 25, 2019·Microsurgery·Susana HerederoMarek Ogledzki
Jan 19, 2018·Advances in Skin & Wound Care·Allyson R AlfonsoErnest S Chiu
Jan 25, 2020·Plastic and Reconstructive Surgery·Nidal F Al Deek
May 23, 2020·Plastic and Reconstructive Surgery. Global Open·Nicholas Till HaddockSumeet Sorel Teotia
Mar 30, 2020·Plastic and Reconstructive Surgery·Nidal F Al Deek
Nov 28, 2019·Plastic and Reconstructive Surgery. Global Open·Joseph H Dayan, Robert J Allen
Aug 23, 2020·Plastic and Reconstructive Surgery·Rene D LargoPeirong Yu
Apr 24, 2021·Plastic and Reconstructive Surgery. Global Open·Aneesh KarirJing Zhang
May 12, 2021·Plastic and Reconstructive Surgery·Rene D LargoEdward I Chang

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