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The combined flap based on a single vascular source: a clinical experience with 32 cases
Y Yamamoto1, K Nohira, H Minakawa
1Department of Plastic and Reconstructive Surgery, School of Medicine, Hokkaido University, Sapporo, Japan.
Plastic and Reconstructive Surgery
|June 1, 1996
Summary
This review of 32 combined flap transfers shows their effectiveness for complex reconstructions. Specific vascular systems offer versatile solutions for head, neck, groin, and abdominal defects.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Microsurgery
Background:
- Combined flap transfers involve two or more flaps from a single vascular source.
- This retrospective review analyzes 32 such cases to evaluate their reconstructive utility.
Observation:
- The study examined two main combined flap systems: subscapular-circumflex scapular-thoracodorsal (24 patients) and profunda femoris-lateral circumflex femoral (8 patients).
- Flaps were transferred as free flaps (24) or pedicled flaps (8).
Findings:
- The subscapular system is indicated for massive, 3D composite defects in the head and neck.
- The profunda femoris-lateral circumflex femoral system is effective for large defects in the groin, perineal, and lower abdominal regions.
Implications:
- Combined flap transfers provide robust options for complex reconstructive challenges.
- Understanding the specific applications of different vascular systems enhances surgical planning and outcomes.