Clinical and Anatomical Study of Cervicopectoral Superthin Flaps

The authors have used cervicopectoral superthin flaps to reconstruct face, chin, and neck scar contractures. In the authors' clinical experience, three types of flaps could be harvested: (1) cutaneous pedicled flaps, (2) musculocutaneous pedicled flaps, and (3) muscle pedicled flaps. In the pre...

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Veröffentlicht in:Plastic and reconstructive surgery (1963) 2007-04, Vol.119 (5), p.1464-1471
Hauptverfasser: Vinh, Vu Quang, Ogawa, Rei, Iwakiri, Itaru, Hyakusoku, Hiko, Tanuma, Kumiko
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container_end_page 1471
container_issue 5
container_start_page 1464
container_title Plastic and reconstructive surgery (1963)
container_volume 119
creator Vinh, Vu Quang
Ogawa, Rei
Iwakiri, Itaru
Hyakusoku, Hiko
Tanuma, Kumiko
description The authors have used cervicopectoral superthin flaps to reconstruct face, chin, and neck scar contractures. In the authors' clinical experience, three types of flaps could be harvested: (1) cutaneous pedicled flaps, (2) musculocutaneous pedicled flaps, and (3) muscle pedicled flaps. In the present study, the authors discuss the clinical usefulness of these flaps. Moreover, through their anatomical study using cadavers, the authors attempted to clarify the mechanism of blood flow into these flaps. The authors retrospectively analyzed seven clinical cases. In their anatomical study, the authors performed selective angiograms of the vessels related to 30 cervicopectoral flaps from 15 preserved cadavers. Clinically, six of seven flaps survived completely, and contractures were released. Three types of perforators were identified, and their networks were observed in the anatomical study. Various types of cervicopectoral superthin flaps can be harvested for the reconstruction of contoured sensitive areas. If a much larger than average flap is designed, the pectoral intercostal artery can be attached to the flap for microvascular augmentation.
doi_str_mv 10.1097/01.prs.0000256050.27716.03
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In the authors' clinical experience, three types of flaps could be harvested: (1) cutaneous pedicled flaps, (2) musculocutaneous pedicled flaps, and (3) muscle pedicled flaps. In the present study, the authors discuss the clinical usefulness of these flaps. Moreover, through their anatomical study using cadavers, the authors attempted to clarify the mechanism of blood flow into these flaps. The authors retrospectively analyzed seven clinical cases. In their anatomical study, the authors performed selective angiograms of the vessels related to 30 cervicopectoral flaps from 15 preserved cadavers. Clinically, six of seven flaps survived completely, and contractures were released. Three types of perforators were identified, and their networks were observed in the anatomical study. Various types of cervicopectoral superthin flaps can be harvested for the reconstruction of contoured sensitive areas. 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source MEDLINE; Journals@Ovid Complete
subjects Adolescent
Adult
Aged
Biological and medical sciences
Child
Cicatrix - complications
Cicatrix - surgery
Contracture - etiology
Contracture - surgery
Female
Humans
Male
Medical sciences
Middle Aged
Neck
Reconstructive Surgical Procedures - methods
Retrospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgical Flaps
title Clinical and Anatomical Study of Cervicopectoral Superthin Flaps
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