CONCEPT ON PERFORATOR FLAP, HISTORY AND EVOLUTION OF ALT FLAP
Since 1985, Isao Koshima focused on the wide range of ALT flap territory and its range of applications. Among all the flaps, he first described ALT flap was indicated the first for head and neck reconstruction. Since 2002, this flap has become the first choice for head and neck reconstruction in Taiwan and the United States. Based on the anatomical characteristics of perforating vessels such as intramuscular and intermuscular septal perforator revealed by ALT flap. Isao Koshima et al. also developed a DIEP flap for cases with tongue reconstruction and wide femoral defect [1989]. These perforator flaps did not initially distribution in Japan, but they have distribution to the world since the 1st International Course on Perforator flaps held in Ghent in 1997. After this meeting, currently, GAP flap for sacral decubitus, DIEP flap for breast, ALT flap for head and neck, flow-through type ALT flap for limb, radial artery perforator flap for dorsal hand. It has been established the reconstructions with plantar perforator flap, and posterior tibial artery perforator flap, SCIP flap, TAP flap, etc. In addition, a perforator-to-perforator flap that anastomoses the perforator of the free flap to the recipient perforator has also been reported. Now supermicrovascular anastomosis of 0.8 mm or less and the capillary perforator flap of 0.3 mm or less have also become important tech nique and concept.
Keywords
перфораторный лоскут,
септокожный перфоратор,
внутримышечный перфоратор,
мышечный перфоратор,
микрохирургия,
супермикрохирургия,
капиллярный перфора торный лоскут,
perforator flap,
septocutaneous perforator,
intramuscular perforator,
muscle perforator,
microsurgery,
supermicrosurgery,
capillary perforator flapAuthors
| Koshima I. | Hiroshima University Hospital | koushimaipla@gmail.com |
Всего: 1
References
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Koshima I, Soeda S, Yamasaki M, Kyou J. The free or pedicled anteromedial thigh flap. Ann Plast Surg. 1988 Nov;21(5):480-5.
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Koshima I., Fukuda H., Utsunomiya R., and Soeda S. The anterolateral thigh flap: Variations in its vascular pedicle. Br. J. Plast. Surg. 42:260, 1989.
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