Keystone and Perforator Flaps in Reconstruction: Modifications and Updated Applications. Clin Plast Surg 2020 Oct;47(4):635-648
Date
09/08/2020Pubmed ID
32892806DOI
10.1016/j.cps.2020.06.014Scopus ID
2-s2.0-85089358230 (requires institutional sign-in at Scopus site) 7 CitationsAbstract
Pedicle perforator flaps and keystone perforator island flaps provide additional tools for the reconstructive surgeon's armamentarium. Advances in understanding of vascular anatomy, dynamic nature of perforator perfusion, interperforator flow, and "hot spot" principle have led to reconstructive methods that allow for autologous tissue transfer, while limiting donor site morbidity. Further modifications in pedicle perforator flap enabled the propeller flap and freestyle perforator free flap for soft tissue reconstruction. Modifications in keystone perforator island flap increased degrees of freedom the reconstructive surgeon has for soft tissue coverage of large defects, with significant reliability, aesthetically pleasing results, and reduced donor site morbidity.
Author List
Rodriguez-Unda NA, Abraham JT, Saint-Cyr MAuthor
Nelson Agustin Rodriguez-Unda MD Assistant Professor in the Plastic Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
EstheticsFemale
Humans
Male
Perforator Flap
