Anatomic basis for flap thinning

Flap thinning is a procedure for making a thick flap thinner. This procedure does more than simply fill in the defected area, and it is better for reconstructing the area both functionally and aesthetically. However, because flap thinning is a rather blind procedure, it may have harmful effects on flap vascularity. Therefore, the vasculature of a flap must be understood before performing flap thinning. This paper analyzes the basic anatomy underlying flap thinning based on the previous anatomic study that categorized flaps into 6 types by their vascular structures. This paper also reviews specific studies of frequently practiced flap procedures (deep inferior epigastric artery perforator flap, thoracodorsal artery perforator flap, and anterolateral thigh flap) and presents important precautions for flap thinning procedures. Finally, this paper briefly examines the axiality of the subdermal plexus, which needs to be taken into account when performing flap thinning.

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
Anatomic basis for flap thinning ; volume:45 ; number:04 ; year:2018 ; pages:298-303
Archives of Plastic Surgery ; 45, Heft 04 (2018), 298-303

Contributor
Park, Seong Oh
Chang, Hak
Imanishi, Nobuaki

DOI
10.5999/aps.2017.01543
URN
urn:nbn:de:101:1-2022051910283272576028
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
15.08.2025, 7:32 AM CEST

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Associated

  • Park, Seong Oh
  • Chang, Hak
  • Imanishi, Nobuaki

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