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Microsurgical Pedicle Lengthening for Pedicled Thoracodorsal Artery Perforator Flap Transfer

Title
Microsurgical Pedicle Lengthening for Pedicled Thoracodorsal Artery Perforator Flap Transfer
Authors
Park, Bo YoungSeo, Sung WookMun, Goo-Hyun
Ewha Authors
박보영
SCOPUS Author ID
박보영scopus
Issue Date
2014
Journal Title
ANNALS OF PLASTIC SURGERY
ISSN
0148-7043JCR Link

1536-3708JCR Link
Citation
ANNALS OF PLASTIC SURGERY vol. 73, no. 2, pp. 174 - 176
Keywords
pedicled thoracodorsal artery perforator flaplengthened pedicleelbow reconstruction
Publisher
LIPPINCOTT WILLIAMS &

WILKINS
Indexed
SCIE; SCOPUS WOS
Document Type
Article
Abstract
The pedicled thoracodorsal artery perforator flap has been shown to be an effective option for reconstruction of various regions, including the breast, axilla, upper arm, lateral chest, and shoulder area. However, the original length of the pedicle limits the flap's reach to remote locations. We devised a technique that involves microsurgical lengthening of the pedicle to extend the arc of rotation of the pedicled perforator flap. After exposure of the subscapular vascular tree, we divided the thoracodorsal vessel at the point of bifurcation to the serratus branch and then the pedicle was reconnected to the distal end of the serratus branch. Here, we present 2 cases in which this technique was effectively applied to reconstruct a defect of the elbow using a thoracodorsal artery perforator flap with a pedicle lengthening procedure.
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DOI
10.1097/SAP.0b013e31827100c2
Appears in Collections:
의과대학 > 의학과 > Journal papers
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