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Flaps can be classified by the content of the tissue within them. Cutaneous flaps contain the full thickness of the skin, fat, and superficial fascia and are used to fill small defects. These are typically supplied by a random blood supply. Examples include Z-plasty, deep inferior epigastric perforator (DIEP) flaps, and V-Y advancement flaps. [2]
Free flap: Mandible reconstruction Gastrocnemius flap: Muscle: Interpolation: Open tibial fractures: Hatchett design flap: Cutaneous: Advancement: Forehead excisions/defects Inferior gluteal artery perforator (IGAP) flap [4] Cutaneous: Free flap: Free flap breast reconstruction: Karapandzic flap: Cutaneous: Rotation: Full-thickness lip defects ...
Three to four weeks later, when the full thickness forehead flap is well healed at the recipient site, the second stage begins. The skin of the flap and 3–4 mm of subcutaneous fat is elevated. [1] [3] The underlying excess of soft tissue is then excised and the remaining healed tissue is sculpted in an ideal nasal subunit. The flap is then ...
An example of "free flap" could be a "free toe transfer" in which the great toe or the second toe is transferred to the hand to reconstruct a thumb. [1] For all "free flaps", the blood supply is reconstituted using microsurgical techniques to reconnect the artery (brings blood into the flap) and vein (allows blood to flow out of the flap).
Perforator flap surgery is a technique used in reconstructive surgery where skin and/or subcutaneous fat are removed from a distant or adjacent part of the body to reconstruct the excised part. [1] The vessels that supply blood to the flap are isolated perforator(s) derived from a deep vascular system through the underlying muscle or ...
A DIEP flap is type of breast reconstruction where blood vessels, fat, and skin from the lower belly are relocated to the chest to rebuild breasts after mastectomy. [1] DIEP stands for the deep inferior epigastric perforator artery, which runs through the abdomen. This is a type of autologous reconstruction, meaning one's own tissue is used.
Four drawings illustrating the first tubed pedicle flap of Vladimir Filatov, 1916. A walking-stalk skin flap or waltzing tube pedicle is a reconstructive technique in which the skin and soft tissue to be used for the flap is formed into a tubular pedicle and moved from the source to the target site by anchoring at both ends, periodically severing one end and anchoring it closer to the flap ...
The transposition of two triangular flaps The incisions are designed to create a Z shape with the central limb aligned with the part of the scar that needs lengthening or re-aligning. The traditional 60° angle Z-plasty will give a theoretical lengthening of the central limb of 75%. [ 1 ]