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Related Experiment Video

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An Overview of Pre-expanded Perforator Flaps: Part 1, Current Concepts.

Chunmei Wang1, Sifen Yang1, Jing Zhang2

  • 1Department of Plastic and Aesthetic Surgery, Dongguan Kanghua Hospital, 1000 Donguan Avenue, Dongguan, Guangdong Province 523080, P.R. China.

Clinics in Plastic Surgery
|November 30, 2016
PubMed
Summary
This summary is machine-generated.

Pre-expanded perforator flaps combine tissue expansion with perforator flaps for versatile reconstructive surgery. This review clarifies their definition and the effects of pre-expansion on blood vessel architecture.

Keywords:
Perforator flapsPre-expanded perforator flapsPre-expansionPre-fabricationSkin flaps

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Tissue Engineering

Background:

  • Pre-expanded perforator flaps merge tissue expansion and perforator flap techniques.
  • These flaps offer significant versatility in reconstructive procedures.
  • Controversies exist regarding their precise definition and vascular changes.

Purpose of the Study:

  • To review current concepts of pre-expanded perforator flaps.
  • To elucidate the mechanism of tissue expansion in this context.
  • To analyze the impact of pre-expansion on superficial angio-architecture.

Main Methods:

  • Literature review of existing studies on pre-expanded perforator flaps.
  • Analysis of the biological mechanisms underlying tissue expansion.
  • Examination of changes in superficial vascular patterns post-expansion.

Main Results:

  • Pre-expansion involves controlled tissue stretching, influencing vascularity.
  • Angio-architecture modifications are a key consideration.
  • Existing classifications and definitions are discussed.

Conclusions:

  • Pre-expanded perforator flaps represent an advancement in plastic surgery.
  • Understanding vascular changes is crucial for optimal application.
  • Further research may refine definitions and classifications.