• Title/Summary/Keyword: Perforator

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Upside-down Adipofascial Flap for the Medial Foot Soft Tissue Defect after Trauma: Case Report (지방 근막 피판을 이용한 외상성 족부 내측면의 연부 조직 결손의 치료: 증례보고)

  • Kim, Min Bom;Lee, Young Ho;Seo, Gil Joon;Baek, Goo Hyun
    • Journal of Trauma and Injury
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    • v.28 no.1
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    • pp.27-30
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    • 2015
  • A child sustained a car tire friction injury and had multiple soft tissue wounds. She had a severe soft tissue defect in the medial foot and ankle aspect which requiring flap coverage. We performed an adipoafscial flap with upside-down pattern for the treatment of the medial foot and ankle soft tissue posttraumatic defect. The flap is based on the perforator artery from the posterior tibial artery. Because it gave a thin coverage for the foot, the patient could walk with normal foot wear.

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Immediate Bilateral Breast Reconstruction with Unilateral Deep Superior Epigastric Artery and Superficial Circumflex Iliac Artery Flaps

  • Hansen, Keith S.;Gutwein, Luke G.;Hartman, Brett C.;Sood, Rajiv;Socas, Juan
    • Archives of Plastic Surgery
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    • v.43 no.5
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    • pp.457-460
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    • 2016
  • Autologous breast reconstruction utilizing a perforator flap is an increasingly popular method for reducing donor site morbidity and implant-related complications. However, aberrant anatomy not readily visible on computed tomography angiography is a rare albeit real risk when undergoing perforator flap reconstruction. We present an operative case of a patient who successfully underwent a bilateral breast reconstruction sourced from a unilateral abdominal flap divided into deep superior epigastric artery and superficial circumflex iliac artery flap segments.

Anatomic basis for flap thinning

  • Park, Seong Oh;Chang, Hak;Imanishi, Nobuaki
    • Archives of Plastic Surgery
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    • v.45 no.4
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    • pp.298-303
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    • 2018
  • Flap thinning is a procedure for making a thick flap thinner. This procedure does more than simply fill in the defected area, and it is better for reconstructing the area both functionally and aesthetically. However, because flap thinning is a rather blind procedure, it may have harmful effects on flap vascularity. Therefore, the vasculature of a flap must be understood before performing flap thinning. This paper analyzes the basic anatomy underlying flap thinning based on the previous anatomic study that categorized flaps into 6 types by their vascular structures. This paper also reviews specific studies of frequently practiced flap procedures (deep inferior epigastric artery perforator flap, thoracodorsal artery perforator flap, and anterolateral thigh flap) and presents important precautions for flap thinning procedures. Finally, this paper briefly examines the axiality of the subdermal plexus, which needs to be taken into account when performing flap thinning.

Structural Safety Evaluation of PBD Composite Perforator's Leader for Soft Ground Improvement (연약지반 개량 PBD 복합천공기 리더의 구조 안전성 평가)

  • Kim, Min-Ho
    • Journal of the Korean Society of Mechanical Technology
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    • v.20 no.6
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    • pp.894-900
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    • 2018
  • Among the soft ground improvement methods, PBD is the most common construction method because it is cheap and construction is fast. However, if the ground is rigid, additional work is required. In this study, the structural safety, natural vibration, and safety angle of the steel vertical tower structure were evaluated in the development of the PBD composite perforator which can be combined with drilling work and PBD construction. Structural safety was assessed when the wind load of 20 m/s was simultaneously applied to the PBD construction load of 20 tons, the perforating operation of 25 tons, and the wind speed of 50 m/s was applied only to the wind load. The natural frequencies were evaluated up to the sixth mode, and the safety angle was evaluated for static and dynamic safety angles.

Multidisciplinary Treatment of Persistent Nontuberculous Mycobacterial Spinal Hardware Infection with a Pedicled Superior Gluteal Artery Perforator Flap

  • Tuano, Krystle R.;Yang, Jerry H.;Kleck, Christopher J.;Mathes, David W.;Chong, Tae W.
    • Archives of Plastic Surgery
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    • v.49 no.5
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    • pp.604-607
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    • 2022
  • Nontuberculous mycobacterial hardware infections are extremely challenging to treat. Multidisciplinary care involving removal of infected hardware, thorough debridement, and durable soft tissue coverage in conjunction with antibiotic therapy is essential for successful management. This case report presents a patient with chronic mycobacterial spinal hardware infection that underwent successful treatment with aggressive serial debridements and reconstruction with a large pedicled superior gluteal artery perforator flap coverage.

Superthin Flap Harvesting Procedure: Technical Note

  • Sara Calabrese;Marco Innocenti
    • Archives of Plastic Surgery
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    • v.49 no.6
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    • pp.785-786
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    • 2022
  • The anterolateral thigh (ALT) flap has been extensively discussed in the literature as it allows for a wide variety and depth of tissues for complex wound coverage. Thanks to many cadaveric and angiographic studies of the subdermal plexus, it is to date ascertained that tailoring ALT thickness can be safely performed without compromising flap outcomes or causing additional morbidity. Recently, the authors applied and described a simpler, safer, and less time-consuming superthin ALT perforator (ALTP) free flap harvesting technique. The aim of this article is to show the versatility of the adipofascial flap harvested around the chosen perforators, which allowed us to safely expand the usage of ALTP superthin flaps.