Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Reconstruction of Defect Adjacent to the Buttock with Gluteal Perforator Flap: Free Style Flap Design

둔부천공지피판의 둔부 인접 부위로의 적용: 둔부천공지피판의 자유로운 작도

  • Lee, Muyoung (Department of Plastic Surgery, Asan Medical Center, University of Ulsan, College of Medicine) ;
  • Choi, Jong-Woo (Department of Plastic Surgery, Asan Medical Center, University of Ulsan, College of Medicine) ;
  • Hong, Joon-Pio (Department of Plastic Surgery, Asan Medical Center, University of Ulsan, College of Medicine) ;
  • Koh, Kyung-S (Department of Plastic Surgery, Asan Medical Center, University of Ulsan, College of Medicine) ;
  • Eom, Jin Sup (Department of Plastic Surgery, Asan Medical Center, University of Ulsan, College of Medicine)
  • 이무영 (울산대학교 의과대학 성형외과학교실) ;
  • 최종우 (울산대학교 의과대학 성형외과학교실) ;
  • 홍준표 (울산대학교 의과대학 성형외과학교실) ;
  • 고경석 (울산대학교 의과대학 성형외과학교실) ;
  • 엄진섭 (울산대학교 의과대학 성형외과학교실)
  • Received : 2008.07.30
  • Accepted : 2008.09.08
  • Published : 2008.11.10
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Abstract

Purpose: Gluteal perforator flap has evolved to one of the standard tools for coverage of pressure sore. We used this flap to cover the defect adjacent to the buttock. Methods: From September 2004 to August 2006, gluteal perforator flaps were performed in 3 patients with sore and 9 patients with tumor. We made the rule for free style design of the flap. First, the defect should be covered fully regardless of the shape or area. Second, the location of perforators was decided to maximize flap mobility. Third, the donor-site should be closed directly. Results: Successful reconstruction was fulfilled. In 2 cases, initial flap congestion was observed but medical leech was applied and it was resolved. Partial flap loss occurred in one case. Infection was observed in one case. But there were no major complications. Conclusion: Gluteal perforator flap is very good option for the reconstruction of the defects adjacent to the buttock.

Keywords

References

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