کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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4117398 | 1270304 | 2013 | 5 صفحه PDF | دانلود رایگان |
SummaryThe use of the intercostal artery perforator (ICAP) flap has recently become popular in reconstructions of the breast, upper arm and trunk. Lateral cutaneous branches (LCBs) are a group of the ICAPs that penetrate the fascia near the middle axillary line. However, reports on its precise anatomy and clinical applications are quite limited. We performed an anatomical study of LCBs using cadavers. Based on the findings, we developed novel clinical application methods as follows: (1) sensate superficial circumflex iliac perforator (SCIP) flap, (2) supercharged SCIP flap, (3) ICAP-based propeller flap (IBPF) and (4) free ICAP flap based on LCB.LCBs have the following advantages:(1) Long pedicles can be obtained in the supine position without risk of pneumothorax.(2) The neurovascular bundle is consistently available, allowing elevation of sensate flaps.(3) Donor-site morbidity is low.Therefore, we believe that LCBs offer a versatile option in reconstructive surgery.
Journal: Journal of Plastic, Reconstructive & Aesthetic Surgery - Volume 66, Issue 11, November 2013, Pages 1564–1568