Microsurgical Reconstruction: Experience with Free Fascia Flaps
| Autor: | N B Meland, Weimar R |
|---|---|
| Rok vydání: | 1991 |
| Předmět: |
Adult
Male Microsurgery medicine.medical_specialty Serratus anterior muscle medicine.medical_treatment Free flap Surgical Flaps Foot Diseases medicine.artery Skin Ulcer medicine Humans Fascia Wound Healing Thoracodorsal artery Foot business.industry Middle Aged medicine.disease eye diseases Surgery body regions Venous thrombosis Plastic surgery medicine.anatomical_structure Female business |
| Zdroj: | Annals of Plastic Surgery. 27:1-8 |
| ISSN: | 0148-7043 |
| DOI: | 10.1097/00000637-199107000-00001 |
| Popis: | Microsurgical reconstruction can often benefit from the thin, pliable, and vascular characteristics of free fascia flaps. Investigation to identify donor sites and to maximize reliability of these flaps continues. Microfil injections of the thoracodorsal artery confirm the ability to use the fascia overlying the serratus anterior muscle as a free flap based on this vessel. We have used this flap in distal extremity wounds in 4 patients with one failure (venous thrombosis). Free fascia flaps from other donor sites have been used in 9 patients in a variety of locations (head and neck, hand, and extremity) with excellent results. We conclude that when thin, well-vascularized tissue is required for reconstructive purposes, the skin-grafted free fascial flap provides excellent durable coverage with minimal donor site complications. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|