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Updated: Mar 11, 2026

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Pre-expanded Brachial Artery Perforator Flap.

Yuanbo Liu1, Mengqing Zang1, Maolin Tang2

  • 1Department of Plastic and Reconstructive Surgery, Plastic Surgery Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Ba-Da-Chu Road 33#, Beijing 100144, P.R. China.

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

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Revitalizing the medial upper arm flap with tissue expansion and perforator surgery improves flap size and blood supply. This combined approach offers effective reconstruction for diverse defects with good outcomes.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • The medial upper arm flap is a traditional surgical technique for tissue reconstruction.
  • This method has been underutilized in recent reconstructive surgery practices.

Purpose of the Study:

  • To evaluate the efficacy of combining tissue expansion with perforator flap surgery for medial upper arm flap reconstruction.
  • To assess the functional and aesthetic outcomes of this revitalized technique.

Main Methods:

  • Utilizing tissue expansion to pre-dilate the medial upper arm flap.
  • Incorporating perforator flap techniques to enhance flap vascularity and dimension.
  • Applying the pre-expanded flap for reconstruction of soft tissue defects in various anatomical locations.

Main Results:

Keywords:
Brachial arteryPerforator flapSeptocutaneous perforatorTissue expansionUpper arm flap

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  • Pre-expansion significantly increased flap dimensions and improved flap vasculature.
  • The technique demonstrated excellent functional and aesthetic results for defects in the head and neck, axilla, chest wall, and upper extremity.
  • The surgical procedures, though requiring multiple stages, were associated with a low complication rate.

Conclusions:

  • Combining tissue expansion with perforator flap surgery revitalizes the medial upper arm flap.
  • This enhanced technique provides a versatile and effective option for complex reconstructive challenges.
  • The procedure yields superior functional and aesthetic outcomes with manageable morbidity.