견갑하 혈관경을 기저로 하는 키메라 피판의 유용성Usefullness of Chimeric Flaps Based on the Subscapular Vascular System
- Other Titles
- Usefullness of Chimeric Flaps Based on the Subscapular Vascular System
- Authors
- 김현석; 박승하; 이병일; 임형우
- Issue Date
- 2009
- Publisher
- 대한성형외과학회
- Keywords
- Chimeric flap; Subscapular vascular system
- Citation
- Archives of Plastic Surgery, v.36, no.5, pp.597 - 604
- Indexed
- KCI
- Journal Title
- Archives of Plastic Surgery
- Volume
- 36
- Number
- 5
- Start Page
- 597
- End Page
- 604
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/121743
- ISSN
- 2234-6163
- Abstract
- Purpose: Compound tissue defects remain a challenge to reconstructive surgeons. The objective of this study was to introduce examples of successful reconstruction of compound defects of the head and neck and upper and lower limbs, using chimeric flaps based on the subscapular vascular system.
Methods: We report 19 reconstruction cases using chimeric flaps based on the subscapular vascular system. The scapular flap, scapular fascia, scapular bone, parascapular flap, latissimus dorsi, latissimus dorsi perforator flap, latissimus dorsi myocutaneous perforator flap, serratus anterior, serratus anterior fascia, and rib bone were used as components for chimeric flaps. 12 cases had defects of the upper limb, three in the lower limb, three in the head and neck area, and one case had a defect of the thoracoabdominal wall.
Results: Defect sizes ranged from 6 × 8 ㎝ to 20 × 22 ㎝. The component used most often for skin coverage was the latissimus dorsi perforator flap; for soft tissue bulk, the latissimus dorsi; for fascia coverage, the serratus anterior fascia flap; and for bone reconstruction, the scapular bone flap respectively. All cases were successfully reconstructed without additional operative procedures or flap necrosis.
Conclusion: Because it is fairly easy to employ vascular pedicles of sufficient length and diameter, enabling the use of diverse types of tissue with various shapes and sizes, the use of chimeric flaps based on the subscapular vascular system allows one - stage reconstruction tailored to the characteristics of the defect area.
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