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Perforator flaps in head and neck surgery.

A J Lyons1

  • 1Department of Oral & Maxillofacial Surgery, Guy's Hospital Tower, London SE1 9 RT, UK. lyonz@tiscali.co.uk

International Journal of Oral and Maxillofacial Surgery
|November 19, 2005
PubMed
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Perforator flaps minimize donor site morbidity and offer versatility in reconstruction. The anterolateral thigh perforator flap shows promise for head and neck surgery, potentially replacing the Radial Forearm Flap.

Area of Science:

  • Microsurgery
  • Plastic and Reconstructive Surgery

Background:

  • Perforator flaps are skin or subcutaneous tissue flaps based on perforating vessels.
  • They aim to minimize donor site morbidity and maximize versatility.
  • Numerous perforator flaps have been developed recently.

Purpose of the Study:

  • To discuss principal perforator flaps, especially for head and neck reconstruction.
  • To describe methods for locating perforating vessels.
  • To illustrate the technique of perforator flap harvest and discuss its advantages.

Main Methods:

  • Discussion of principal perforator flaps, including free-style perforator flaps.
  • Description of techniques for locating perforating vessels.
  • Illustration of anterolateral thigh perforator flap harvest.

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Main Results:

  • Perforator flaps offer reduced muscle harvest and trauma, minimizing donor site morbidity.
  • The anterolateral thigh perforator flap is presented as a versatile option for head and neck reconstruction.
  • Comparison with non-perforator flaps, like the Radial Forearm Flap, highlights advantages.

Conclusions:

  • Perforator flaps provide enhanced versatility and reduced morbidity in reconstructive surgery.
  • The anterolateral thigh perforator flap is a highly versatile option for head and neck reconstruction.
  • This flap may become the preferred choice over the Radial Forearm Flap.