Pre-expanded Intercostal Perforator Super-Thin Skin Flap

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Microsurgery

Background:

• Reconstructing large facial and neck defects presents challenges in achieving optimal functional and aesthetic outcomes.
• The development of thin perforator flaps is crucial for minimizing donor site morbidity and improving contour.
• Intercostal perforator flaps offer a potential source for reconstructive materials.

Purpose of the Study:

• To introduce and describe the technique of pre-expanded super-thin intercostal perforator flaps.
• To detail the specific application of flaps with perforators between the first and second intercostal spaces.
• To outline the advantages, disadvantages, and complication management of this reconstructive approach.

Main Methods:

• Pre-expansion of intercostal perforator flaps.
• Thinning techniques applied to the pre-expanded flaps.
• Surgical reconstruction of large facial and neck defects using these flaps.

Main Results:

• The pre-expanded super-thin intercostal perforator flap, particularly from the first to second intercostal spaces, achieves maximal thinning.
• Successful reconstruction of large facial and neck defects was demonstrated.
• Restoration of both function and cosmetic appearance was achieved in the described cases.

Conclusions:

• Pre-expanded super-thin intercostal perforator flaps are a viable option for reconstructing extensive facial and neck defects.
• This technique allows for the creation of exceptionally thin flaps, enhancing aesthetic results.
• Careful technique and management are essential for successful outcomes and minimizing complications.