Pure Skin Perforator Flaps: The Anatomical Vascularity of the Superthin Flap

Plastic and Reconstructive Surgery
Mitsunaga NarushimaIsao Koshima

Abstract

Recently, a superthin "pure skin perforator" flap without any subcutaneous tissue was proposed, but the vascularity is still unclear. The authors therefore investigated the vascularity of the proposed superficial circumflex iliac artery-pure skin perforator along with its clinical applications and findings on indocyanine green imaging. The locations and dimension of 70 pure skin perforators on 40 flaps were investigated and classified into central-peripheral and mediolateral parts. Indocyanine green angiography was used to analyze the patterns of the vascular anatomy. Twenty-seven of 29 cases (93.1 percent) presented with pure skin perforator vessels within the area 5 cm above and 1 cm below the inguinal ligament and 4 cm medial and 2 cm lateral from the anterior superior iliac spine. The total flap size averaged 39 ± 22 cm(2) (range, 3 to 90 cm(2)). A subanalysis of the relationship between the flap size and location of pure skin perforators within the single, double, and triple pure skin perforator flap subgroups did not reveal any significance. Indocyanine green angiography revealed three interesting perfusion patterns of pure skin perforator flap: a radial diffusion pattern, direct linking vessels in the intradermal layer, ...Continue Reading

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Citations

Aug 28, 2018·Plastic and Reconstructive Surgery·Joon Pio Hong, Hyunsuk Peter Suh
Jun 17, 2020·Plastic and Reconstructive Surgery. Global Open·Yoshitsugu HattoriAtsushi Niu
Nov 18, 2019·Sports Medicine·Barlo HillenPerikles Simon
Sep 7, 2020·Journal of Reconstructive Microsurgery·G Ian Taylor, Geoffrey G Hallock
Oct 13, 2020·Seminars in Plastic Surgery·Mohamed A EllabbanGeoffrey G Hallock
Aug 31, 2019·Journal of Reconstructive Microsurgery·Peggy J EbnerKetan M Patel
Dec 18, 2020·Global Health & Medicine·Takumi YamamotoReiko Tsukuura
Jan 19, 2019·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·Takumi Yamamoto
Feb 24, 2021·Plastic and Reconstructive Surgery·Marco InnocentiAlessandro Innocenti
Dec 29, 2020·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Ying-Sheng LinKuo-Chung Yang
Sep 22, 2021·International Journal of Clinical Practice·Cengiz EserMetin Yavuz
Feb 6, 2021·The Journal of Hand Surgery, European Volume·Mohamed A EllabbanOsama A Adly
Dec 19, 2021·Journal of Reconstructive Microsurgery·Giuseppe ViscontiMarzia Salgarello
Jan 26, 2022·Plastic and Reconstructive Surgery·Geoffrey G Hallock

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