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The microvascular augmented subdermal vascular network (ma-SVN) flap: its variations and recent development in using
H Hyakusoku1, J H Gao, D G Pennington
1Department of Plastic and Reconstructive Surgery, Nippon Medical School Hospital, Tokyo, Japan.
British Journal of Plastic Surgery
|October 10, 2002
Summary
This study details the successful use of microvascular augmented flaps for cervical reconstruction in burn patients. These advanced techniques improve outcomes for anterior cervical scar contractures.
Area of Science:
- Plastic Surgery
- Microsurgery
- Reconstructive Surgery
Background:
- The initial report in 1994 introduced the 'super-thin' flap for cervical reconstruction.
- Further experience with 17 additional flaps has validated its utility.
Observation:
- The flap is particularly effective for treating anterior cervical scar contractures in extensively burned patients.
- Variations include narrow skin pedicles, myocutaneous pedicles, and island vascular pedicles.
- Augmentation vessels from intercostal perforators have also been successfully employed.
Findings:
- The study describes the development and application of microvascular augmented subdermal vascular network flaps.
- These flaps offer enhanced reconstructive capabilities for complex cervical defects.
Implications:
- This technique provides a valuable option for managing challenging post-burn cervical deformities.
- The versatility of the flap design expands reconstructive possibilities in microsurgery.