Abstract
The introduction of supermicrosurgery has led to the development of a new gluteal perforator flap nourished only by a musculocutaneous perforator of the superficial gluteal artery system. This flap has a perforator that is short (3-4 cm in length) and small (less than 1 mm). The successful transference of a free gluteal perforator flap for the coverage of soft-tissue defects in the foot and face in two patients is described in this article. With this flap, deeper and longer dissection for a pedicle vessel is unnecessary, flap elevation time is shorter, thinning of the flap with primary defatting and creation of an adiposal flap with customized thickness for tissue augmentation are possible, the donor site is in a concealed area with minimal donor site morbidity, and application of the flap as a scarred flap for previous operations in the gluteal region is possible. The disadvantages of this flap are necessity of dissection for a smaller perforator and of anastomosis of small-caliber vessels of less than 1.0 mm.
| Original language | English |
|---|---|
| Pages (from-to) | 200-204 |
| Number of pages | 5 |
| Journal | Annals of Plastic Surgery |
| Volume | 51 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - Aug 1 2003 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Surgery
Cite this
Free gluteal artery perforator flap with a short, small perforator. / Koshima, Isao; Tsutsui, Tetsuya; Takahashi, Yoshio; Namba, Yuzaburo.
In: Annals of Plastic Surgery, Vol. 51, No. 2, 01.08.2003, p. 200-204.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Free gluteal artery perforator flap with a short, small perforator
AU - Koshima, Isao
AU - Tsutsui, Tetsuya
AU - Takahashi, Yoshio
AU - Namba, Yuzaburo
PY - 2003/8/1
Y1 - 2003/8/1
N2 - The introduction of supermicrosurgery has led to the development of a new gluteal perforator flap nourished only by a musculocutaneous perforator of the superficial gluteal artery system. This flap has a perforator that is short (3-4 cm in length) and small (less than 1 mm). The successful transference of a free gluteal perforator flap for the coverage of soft-tissue defects in the foot and face in two patients is described in this article. With this flap, deeper and longer dissection for a pedicle vessel is unnecessary, flap elevation time is shorter, thinning of the flap with primary defatting and creation of an adiposal flap with customized thickness for tissue augmentation are possible, the donor site is in a concealed area with minimal donor site morbidity, and application of the flap as a scarred flap for previous operations in the gluteal region is possible. The disadvantages of this flap are necessity of dissection for a smaller perforator and of anastomosis of small-caliber vessels of less than 1.0 mm.
AB - The introduction of supermicrosurgery has led to the development of a new gluteal perforator flap nourished only by a musculocutaneous perforator of the superficial gluteal artery system. This flap has a perforator that is short (3-4 cm in length) and small (less than 1 mm). The successful transference of a free gluteal perforator flap for the coverage of soft-tissue defects in the foot and face in two patients is described in this article. With this flap, deeper and longer dissection for a pedicle vessel is unnecessary, flap elevation time is shorter, thinning of the flap with primary defatting and creation of an adiposal flap with customized thickness for tissue augmentation are possible, the donor site is in a concealed area with minimal donor site morbidity, and application of the flap as a scarred flap for previous operations in the gluteal region is possible. The disadvantages of this flap are necessity of dissection for a smaller perforator and of anastomosis of small-caliber vessels of less than 1.0 mm.
UR - http://www.scopus.com/inward/record.url?scp=0042627750&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0042627750&partnerID=8YFLogxK
U2 - 10.1097/01.SAP.0000044139.78441.53
DO - 10.1097/01.SAP.0000044139.78441.53
M3 - Article
C2 - 12897526
AN - SCOPUS:0042627750
VL - 51
SP - 200
EP - 204
JO - Annals of Plastic Surgery
JF - Annals of Plastic Surgery
SN - 0148-7043
IS - 2
ER -