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Pre-expanded Intercostal Perforator Super-Thin Skin Flap.

Yunjun Liao1, Yong Luo1, Feng Lu1

  • 1Department of Plastic and Aesthetic Surgery, Nanfang Hospital, Southern Medical University, 1838 North Guangzhou Avenue, Guangzhou 510515, P.R. China.

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

This study details pre-expanded super-thin intercostal perforator flaps for facial reconstruction. These flaps offer a thin option for large defects, restoring function and appearance.

Keywords:
ExpandedIntercostal perforatorSkin flapSuper-thin

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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.