Naslov
Perforator flaps in Head & Neck Reconstruction

Autori
Dediol, Emil ; Zubčić, Vedran ; Uglešić, Vedran ; Leović, Dinko ; Zubčić, Željko

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Skup
7th Croatian Congress of Plastic, Reconstructive and Aesthetic Surgery

Mjesto i datum
Split, Hrvatska, 01.10.2008. - 05.10.2008

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
head neck reconstruction; perforator flaps

Sažetak
Perforator flaps have proven advantages over the other soft tissue flaps, including the potential for large flaps with long vascular pedicle of large caliber to be appropriate for microsurgical transfer or local reconstruction. However, there are also recognised disadvantages.Anatomic anomalies are the norm and should be expected. Prior Doppler verification of the perforator is necessary. From August 2006 until May 2008 at the Department of Maxillofacial Surgery, University Hospital, Osijek and Department of Maxillofacial Surgery, University Hospital Dubrava, Zagreb we used 22 microvascular and 7 local perforator flaps for various head and neck sites. Prior Doppler identification of the perforator was performed in each case. Mostly harvested free flap was anterolateral thigh flap in 19 cases (succcess rate 18/19, 1 total loss due venous thrombosis), followed by 3 tensor fasciae latae perforator flaps (success rate 3/3). FAMM flap was used in 4 cases (success rate 4/4), submental perforator flap in 2 cases (1 partial flap necrosis occured) and facial artery perforator flap in 1 case (succes rate 1/1). Despite the fact that surgical harvest of the flaps is more tedious and time consuming the reality is that there is a role for these important flap types considering their advantages (minimal donor site morbidity, accessibility, diversity, size, bulk).

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA