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Czasopismo

2016 | 75 | 1 |

Tytuł artykułu

Vascular anatomical features of the medial thigh flap in human cadavers of Caucasian origin

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Background: Medial fasciocutaneous flaps, which are based on the femoral artery from the thigh region, are used for wide inguinal, scrotal, vaginal, perineal, leg, head and neck defect reconstructions in injured human patients. Within this regard, anatomical knowledge about perforating and cutaneous branches of the femoral artery is important for the surgeons. Materials and methods: In the present study, vascular pedicles of the medial thigh perforator flap based on the femoral artery were investigated according to anatomical and surgical landmarks. Human Caucasian preserved cadavers of 15 adults (13 males, 2 females; age range 55–82 years: 30 sides, bilaterally) that were previously formalin fixed were subjected to our analytical examinations. Micro dissections were performed under 4× loop magnification while representing the perforating branches of the femoral artery after filling by coloured latex injection via the external iliac artery. Results: The size and length parameters of these branches which appeared around the apex of the femoral triangle were evaluated. The mean size of the perforating branch at the point of origin was 0.14 cm and the mean size of the cutaneous branch at the point of origin was 0.09 cm, the mean length of the pedicle was 4.74 cm and the mean length of the cutaneous branch was 3.30 cm, respectively. Location of the perforating and the cutaneous branches were also determined according to the surgical landmarks such as the anterior superior iliac spine, inguinal ligament, pubic tubercle and interepicondylar line. Conclusions: The pedicle of the medial flap should locate up to 25 cm from the anterior superior iliac spine so as to preserve the vascular structures. Exact location of this artery helps the surgeons to perform anastomosis in an easier and safer manner during surgical operations. (Folia Morphol 2016; 75, 1: 27–32)

Słowa kluczowe

Wydawca

-

Czasopismo

Rocznik

Tom

75

Numer

1

Opis fizyczny

p.27-32,fig.,ref.

Twórcy

autor
  • Department of Anatomy, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey
autor
  • Department of Anatomy, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey
autor
  • Dr.Volkan Tayfur Estetik Klinik, Ufuk Universitesi Caddesi, Cankaya, Ankara, Turkey
autor
  • Department of Anatomy, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey
  • Department of Anatomy, Faculty of Medicine, Dokuz Eylul University, Inciraltı Yerleskesi, Izmir, Turkey

Bibliografia

  • 1. Baek SM (1983) Two new cutaneous free flap, the medial, and lateral thigh flaps. Plast Reconstr Surg, 71: 354–365.
  • 2. Benninger B (2014) Novel femoral artery terminology: integrating anatomy and clinical procedures leading to standardized intuitive nomenclature. Clin Anat, 27: 1085–1088.
  • 3. Cairns TS, de Villiers W (1980) Vaginoplasty. S Afr Med J, 57: 50–55.
  • 4. Cormack GC, Lamberty BGH (1994) The arterial anatomy of skin flaps. 2nd Ed. “The blood supply to the skin by regions” and “The vascular territories and the clinical application to the planning of flaps”. Churchill-Livingstone, Edinburgh, pp. 131–275, 278–439.
  • 5. Ellabban MG, Townsend PL (2003) Single-stage muscle flap reconstruction of major scrotal defects: report of two cases. Br J Plast Surg, 56:489–493.
  • 6. Federative Committee on Anatomical Terminology (FCAT) (1998) Terminologia Anatomica, Thieme Stuttgart, New York, pp. 90.
  • 7. Feng CH, Yang JY, Chuang SS, Huang CY, Hsiao YC, Lai CY (2010) Free medial thigh perforator flap for reconstruction of the dynamic and static complex burn scar contracture. Burns, 36: 565–571.
  • 8. Guan WX (1988) Application of a free medial thigh flap to the treatment of late postburn cases. Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi, 4: 258–317.
  • 9. Hallock GG (2003) The gracilis (medial circumflex femoral) perforator flap: a medial groin free flap? Ann Plast Surg, 51: 623–626.
  • 10. Jones JW1, Barone RM, Adamson RM (2005) Combined thigh flap for closure of massive trunk defect. J Reconstr Microsurg, 21: 441–445.
  • 11. Koshima I, Hosoda M, Inagawa K, Moriguchi T, Orita Y (1996) Free medial thigh perforator-based flaps: new definition of the pedicle vessels and versatile application. Ann Plast Surg, 37: 507–515.
  • 12. Lockwood TE (1988) Fascial anchoring technique in medial thigh lifts. Plast Reconstr Surg, 82: 299–304.
  • 13. Malikov S, Valenti P, Masquelet AC (1999) Neurocutaneous flap of the anteromedial aspect of the thigh with a distal pedicle. Anatomical study and clinical application. Ann Chir Plast Esthet, 44: 531–540.
  • 14. McCarthy JG (1990) Plastic Surgery. Vol. 3. WB Saunders Company, USA, Philadelphia, pp. 4044.
  • 15. Muresian H (2015) Novel femoral artery terminology: from ınconsistent and confusing to stereostructural clarity? Clin Anat, 28: 424–425. doi: 10.1002/ca.22477.
  • 16. Muruci A, Muniz CR (1987) Nipple reconstruction with muscle flap. Aesthetic Plast Surg, 11: 41–43.
  • 17. Peek A, Müller M, Ackermann G, Exner K, Baumeister S (2009) The free gracilis perforator flap: anatomical study and clinical refinements of a new perforator flap. Plast Reconstr Surg, 123: 578–588.
  • 18. Spirito D (1998) Medial thigh lift and DE.C.LI.VE. Aesthetic Plast Surg, 22: 298–300.
  • 19. Strauch B, Vasconez LO, Hall-Findlay EJ (1998) Grabbs’s Encylopedia of flaps. 2nd Ed. “The anteromedial thigh flap”, “Medial thigh skin flaps for repair of vaginal stenosis”, and “ Medial thigh skin flaps for reconstruction of scrotum”. Lippincott-Raven, Philadelphia, pp. 433–438, 1458, 1575, 1998.
  • 20. Turley CB, Cutting P, Clarge J (1991) Medial fasciocutaneous flap of thigh for release of post-burn groin contractures. Br J Plast Surg, 44: 36–40.
  • 21. Wang TN, Whetzel T, Mathes SJ, Vasconez LO (1987) A fasciocutaneous flap for vaginal and perineal reconstruction. Plast Reconstr Surg, 80: 95–103.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

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