Priego BR, Trejo CD, Haddad TJL, Caracheo RR, Villanueva MA

Language: Spanish
References: 13
Page: 126-133
PDF size: 461.41 Kb.

ABSTRACT

Perforator flaps are used in all anatomic regions due to their versatility, thickness, pedicle and size of skin island. The properties of these flaps allow them to be designed tridimensionally allowing irregular surfaces, folds and commisures to be reconstructed with improved aesthetic and functional results compared to other types of flaps. We performed lateral thigh flaps that depend on septocutaneous perforators from the transverse branch of the lateral femoral circumflex artery in 20 patients in order to reconstruct soft tissue defects. In 87% we found anatomic persistence in the three septocutaneous perforators, while 13% of the cases showed two septocutaneous perforators and one musculocutaneous branch. Mean pedicle length was 7.5 cm with an artery diameter of 3 mm and a vein diameter of 4 mm. Anatomic areas where the flap was used were cheek and orbit, neck, distal third of forearm, hand, trochanteric pressure sores, and foot. The most common complication (20%) was partial loss of the skin graft covering the donor area. In 5% we re-explored the venous anastomoses due to thrombosis, without flap loss. The lateral thigh flap is a reliable alternative for soft tissue reconstruction.

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