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Related Experiment Video

Updated: Dec 24, 2025

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
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Pedicled perforator-based flaps: Risk factor analysis, outcomes evaluation and decisional algorithm based on 130

Beniamino Brunetti1, Mauro Barone1, Stefania Tenna1

  • 1Department of Plastic, Reconstructive and Aesthetic Surgery, Campus Bio-Medico University of Rome, Rome, Italy.

Microsurgery
|April 17, 2020
PubMed
Summary
This summary is machine-generated.

Coronary heart disease and increased pedicle rotation are linked to complications in pedicled perforator flaps for soft tissue reconstruction. Patients reported high satisfaction with aesthetic and functional outcomes.

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Microsurgery

Background:

  • Pedicled perforator flaps are crucial for soft tissue reconstruction.
  • Evidence on risk factors for flap complications remains inconclusive.
  • This study investigates risk factors and outcomes of pedicled perforator flaps across various anatomical sites.

Purpose of the Study:

  • To identify patient and flap-related risk factors for complications in pedicled perforator flaps.
  • To evaluate the aesthetic and functional outcomes of these flaps.
  • To provide a decisional algorithm for plastic surgeons.

Main Methods:

  • Retrospective analysis of 130 pedicled perforator flaps (71 propeller, 59 V-Y advancement).
  • Flaps used for facial, truncal, and extremity defects.
  • Statistical analysis of patient/flap variables and complication rates; patient-reported outcomes via Likert scale.

Main Results:

  • Overall complication rate was 23.07%.
  • Coronary heart disease was an independent risk factor (p=.010); hypertension showed a protective effect (p=.010).
  • Increased pedicle rotation significantly correlated with vascular complications (p=.008).

Conclusions:

  • Coronary heart disease and greater pedicle rotation increase complication risk.
  • Patient satisfaction with aesthetic and functional outcomes was high (mean ratings >4.2/5).
  • The proposed algorithm achieved a 93.1% success rate, aiding surgeons in managing soft tissue defects.