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The "Tokyo" consensus on propeller flaps.

Marco Pignatti1, Rei Ogawa, Geoffrey G Hallock

  • 1West Sussex, United Kingdom; Tokyo, Japan; Allentown, Pa.; Bishkek, Kyrgyzstan; Cluj-Napoca, Romania; Kilpauk, Chennai, India; and Palermo, Italy From the Department of Plastic Surgery, Queen Victoria Hospital NHS Foundation Trust; Department of Plastic, Reconstructive, and Aesthetic Surgery, Nippon Medical School; Division of Plastic Surgery, Sacred Heart Hospital and The Lehigh Valley Hospitals; Department of Plastic, Reconstructive Microsurgery, and Hand Surgery, National Hospital of Kyrgyzstan; Plastic Surgery and Reconstructive Microsurgery Clinic, University of Medicine "Iuliu Hatieganu"; Plastic and Hand Surgery, Right Hospitals; Chirurgia Plastica e Ricostruttiva, Dipartimento di Discipline Chirurgiche ed Oncologiche, Universita" degli Studi di Palermo; and Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo.

Plastic and Reconstructive Surgery
|February 3, 2011
PubMed
Summary
This summary is machine-generated.

Propeller flaps, a popular reconstructive technique, are now clearly defined and classified. This consensus establishes standardized terminology for these island flaps, ensuring consistent application in surgical practice.

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Microsurgery

Background:

  • Propeller flaps, relying on subcutaneous tissue or perforators, have gained popularity.
  • Lack of standardized terminology leads to confusion in the literature regarding propeller flap use.

Purpose of the Study:

  • To establish a consensus on the definition and classification of propeller flaps.
  • To standardize terminology and nomenclature for propeller flaps in reconstructive surgery.

Main Methods:

  • Consensus reached at the First Tokyo Meeting on Perforator and Propeller Flaps (June 2009).
  • Discussion of peculiar aspects of surgical technique.
  • Definition and classification based on established criteria.

Main Results:

  • A propeller flap is defined as an 'island flap that reaches the recipient site through an axial rotation.'
  • Classification includes nourishing pedicle type (subcutaneous, perforator, supercharged), rotation degrees (90-180), and perforator artery of origin.

Conclusions:

  • Propeller flaps are valuable reconstructive tools yielding good cosmetic and functional outcomes.
  • Strict adherence to the definition is recommended for accurate flap identification.
  • Specification of pedicle type, source vessel, and rotation degree is crucial for reporting.