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Our Definition of Propeller Flaps and Their Classification.

Marco Pignatti1, Rei Ogawa2, Musa Mateev3

  • 1Department of Plastic Surgery, Policlinico di Sant'Orsola - DIMES, University of Bologna, Bologna, Italy.

Seminars in Plastic Surgery
|October 12, 2020
PubMed
Summary
This summary is machine-generated.

Propeller flaps, a surgical technique for reconstruction, have evolved with new classifications. This study proposes an updated classification based on vascular pedicles, including five types for improved understanding and application.

Keywords:
classificationdefinitionpropeller flapupdate

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Microsurgery

Background:

  • The propeller flap concept was initially defined for burn scar contracture release.
  • Evolution of propeller flaps integrated with perforator flap techniques.
  • Previous classifications like the Tokyo consensus established foundational definitions.

Purpose of the Study:

  • To propose an updated and comprehensive classification of propeller flaps.
  • To refine understanding based on vascular pedicle characteristics and recent advancements.
  • To consolidate existing knowledge and new developments in propeller flap surgery.

Main Methods:

  • Review and synthesis of previous classifications and subsequent publications.
  • Development of a new classification system based on vascular pedicle.
  • Identification of key variables for flap classification (pedicle type, rotation, origin, shape).

Main Results:

  • Proposed classification includes five main types of propeller flaps: SPP, PPP (including SCP subtype), APP, muscle propeller, and chimeric propeller.
  • Classification considers pedicle type, rotation degree, pedicle position, artery of origin, and flap shape.
  • This updated system provides a more comprehensive framework for understanding propeller flap variations.

Conclusions:

  • The proposed classification offers a detailed and updated system for propeller flaps.
  • This framework aids in standardizing terminology and understanding diverse applications.
  • Further research and clinical application will validate the utility of this comprehensive classification.