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CC BY-NC-ND 4.0 · J Reconstr Microsurg Open 2017; 02(01): e4-e6
DOI: 10.1055/s-0036-1593751
Letter to the Editor: Short Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Extension of Musculocutaneous Flap Reach Using a Perforator-Pedicled Propeller Flap Technique: A Case Report

Tomoaki Kuroki
1   Department of Plastic and Reconstructive Surgery, Showa University School of Medicine, Tokyo, Japan
,
Masakazu Hasegawa
2   Department of Plastic and Aesthetic Surgery, Chiba University, Chiba, Japan
,
Noriko Miki
2   Department of Plastic and Aesthetic Surgery, Chiba University, Chiba, Japan
,
Ugur Horoz
3   Department of Plastic and Aesthetic Surgery, Ankara Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey
,
Yasuyoshi Tosa
1   Department of Plastic and Reconstructive Surgery, Showa University School of Medicine, Tokyo, Japan
› Author Affiliations
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Publication History

25 August 2016

08 September 2016

Publication Date:
25 October 2016 (online)

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Locating appropriate recipient vessels for anastomosis of flap vessels near lesions can be challenging during the reconstruction of radiation-damaged tissues using free flaps, and the vascular pedicle length of the flap can be insufficient. However, under these conditions, flap reach can be extended by completely dividing it from the main flap using a perforator-pedicled propeller (PPP) flap technique. Furthermore, this technique can be used to optimize flap configurations, such as the shape and direction of the transplant.

In the present case, a thoracodorsal artery perforator (TAP) flap was harvested from within a free latissimus dorsi musculocutaneous (LDMC) flap, and a nuchal radiation ulcer defect was successfully reconstructed without complication. Herein, we report the clinical and surgical details of this case.

Note

This article was presented at the 5th Congress of the World Society of Reconstructive Microsurgery (WSRM); 25–27 June, 2009; Okinawa, Japan. The authors have no conflict of interest or financial disclosures. No funding was utilized for the preparation of this article.


 

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