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Related Experiment Videos

The external oblique muscle free flap

R Kuzbari1, A Worseg, G Burggasser

  • 1Department of Plastic Surgery, Wilhelminen Hospital, Vienna, Austria.

Plastic and Reconstructive Surgery
|April 1, 1997
PubMed
Summary

The external oblique muscle, previously thought to have only segmental blood supply, can now be used as a free flap. This is due to significant contributions from the deep circumflex iliac artery, enabling new surgical applications.

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Area of Science:

  • Anatomy
  • Vascular Surgery
  • Microsurgery

Background:

  • The external oblique muscle was traditionally used surgically only as a pedicled flap due to its presumed segmental vascular supply.
  • Understanding its detailed vascular and nerve supply is crucial for expanding its reconstructive potential.

Observation:

  • Arterial injection studies and nerve dissections were performed on 35 human cadavers.
  • The deep circumflex iliac artery was found to significantly supply the external oblique muscle in most specimens.
  • Lateral cutaneous branches of intercostal nerves provided a segmental nerve supply.

Findings:

  • The external oblique muscle receives substantial blood supply from the deep circumflex iliac artery, in addition to segmental arteries.
  • A consistent segmental nerve supply pattern was identified.

Related Experiment Videos

  • These anatomical insights facilitated successful free flap transplantation using the deep circumflex iliac vessels.
  • Implications:

    • The external oblique muscle can be reliably transplanted as a free flap, offering a thin, pliable option for reconstruction.
    • The flap has a long vascular pedicle suitable for microvascular anastomosis and can be combined with bone or skin grafts.
    • Its multiple nerve supply suggests potential for functional reconstruction at recipient sites.