Modification of the Elevation Plane and Defatting Technique to Create a Thin Thoracodorsal Artery Perforator Flap

Journal of Reconstructive Microsurgery
Kyu Nam KimChi Sun Yoon

Abstract

Perforator flaps have been used extensively in the field of reconstruction, and the thoracodorsal artery perforator (TDAP) flap is very popular. However, the perforator flap can be relatively bulky in some cases, depending on the defect's location. Thus, several methods have been developed to address this bulkiness, including modification of the flap elevation, application of an ultrathin flap using microdissection, and the defatting technique. However, these methods have various disadvantages, so we developed an adjustable thin TDAP flap using modification of the flap elevation and defatting technique. Between January 2012 and February 2015, 13 patients underwent reconstruction of defects of their upper and lower extremities using TDAP flaps. We measured all the flap dimensions, except for thickness, because it was adjusted for the target defect. The mean flap size was 94 cm(2) (range: 48-210 cm(2)), and all flaps were ≤10 cm wide to facilitate primary donor-site closure. Two subjects with a history of diabetes exhibited partial flap loss, so we performed secondary skin graft surgery. The TDAP flap elevation was modified at the superficial fascia plane, and the defatting technique was used to adjust the flap volume. This techn...Continue Reading

Citations

Dec 19, 2017·The International Journal of Lower Extremity Wounds·Chi Sun YoonKyu Nam Kim
Jun 25, 2019·Microsurgery·Susana HerederoMarek Ogledzki
Aug 10, 2019·Plastic and Reconstructive Surgery·Usama AbdelfattahJoon Pio Hong
Jun 17, 2020·Plastic and Reconstructive Surgery. Global Open·Yoshitsugu HattoriAtsushi Niu
Jul 25, 2018·Archives of Plastic Surgery·Bo Young Park
Aug 31, 2019·Journal of Reconstructive Microsurgery·Peggy J EbnerKetan M Patel
Feb 24, 2021·Plastic and Reconstructive Surgery·Marco InnocentiAlessandro Innocenti
Mar 7, 2021·Annals of Plastic Surgery·Dallan DarganDavid Ralston
May 11, 2021·Plastic and Reconstructive Surgery. Global Open·Erik Hanson-VianaJulio Palacios-Juárez
Mar 30, 2020·Annales de chirurgie plastique et esthétique·P TawaQ Qassemyar

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