Zusammenfassung
Dieser Artikel befasst sich mit der Geschichte der Perforator-Lappenplastik. Die Entwicklung aus der Haut-Fettlappenplastik und den muskulokutanen Lappenplastiken bis hin zur paraumbilikalen Perforanslappenplastik, Deep inferior epigastric artery (DIEP)-Lappenplastik und Gluteal artery perforator (GAP)-Lappenplastik wird dargestellt. Zahlreiche weitere Perforator-Lappenplastiken werden mit den relevanten Literaturstellen aufgezeigt. Zum Schluss wird mit der „Ultra-Mikrochirurgie“ ein Ausblick in die Zukunft gegeben.
Abstract
This article reviews the recent evolution of perforator flaps. The tie between perforator flaps and skin flaps as well as perforator flaps and musculocutaneous flaps is explained. The paraumbilical perforator flap, the deep inferior epigastric artery flap (DIEP flap), the gluteal artery perforator flap (GAP flap) and various perforator flaps and perforator-based flaps are described in combination with the review of the relevant literature. As a prospect into the future, the technique of “supra-microsurgery” is presented.
Schlüsselwörter
Perforator-Lappen - Ultra-Mikrochirurgie
Key words
Perforator flap - perforator-based flap - supra-microsurgery
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M. D. Christoph Heitmann
Division of Plastic, Reconstructive, Maxillofacial and Oral Surgery
Duke University Medical Center, Box 3945
Durham, NC 27710
USA
eMail: Heitmann@duke.edu
