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The History of Propeller Flaps
Hiko Hyakusoku1,2, Shimpei Ono2
1Department of Plastic Surgery, Square Clinic, Tokyo, Japan.
Seminars in Plastic Surgery
|October 12, 2020
Summary
Propeller flaps, a reconstructive microsurgery technique, evolved from pedicled flaps for postburn contractures. This review details their development, classification, and significance in plastic surgery.
Area of Science:
- Plastic Surgery
- Reconstructive Microsurgery
Background:
- Pedicled flaps were developed for postburn contractures in the 1980s.
- Propeller flaps were first described in 1991, named for their rotating skin island.
- The perforator flap concept was applied to propeller flaps in 2006.
Purpose of the Study:
- To provide a historical overview of propeller flap development.
- To discuss the evolution and classification of propeller flaps.
- To highlight the significance of propeller flaps in reconstructive microsurgery.
Main Methods:
- Review of historical development of pedicled and propeller flaps.
- Discussion of key contributions and terminology (perforator flaps, propeller flaps).
- Reference to the 2009 Tokyo Meeting consensus on definition and classification.
Main Results:
- Propeller flaps emerged as a significant advancement in reconstructive microsurgery.
- A consensus on the definition and classification of propeller flaps was established.
- The technique has undergone continuous evolution since its inception.
Conclusions:
- Propeller flaps represent a crucial development in reconstructive surgery.
- Further advancements in propeller flap techniques are ongoing.
- This review sets the stage for discussing recent evolutions in the field.
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