title: Perforator-based flaps for low posterior midline defects.
abstract: A new type of flap is described based on unnamed perforators located near the midline of the lower back region. Such flaps combine the superior blood supply of the myocutaneous flap with the lack of donor-site morbidity of a skin flap. Five clinical cases are presented, showing how such perforators can augment skin flaps or create custom-designed island flaps. The dissection of the flap is described, and further possibilities for its use are suggested.
authors.affiliation: Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas.
authors.forename: S S
authors.initials: SS
authors.lastname: Kroll
authors.forename: L
authors.initials: L
authors.lastname: Rosenfield
mesh_terms: D000328:Adult; D000368:Aged; D001415:Back / Q000601:surgery*; D002081:Buttocks; D062109:Dermatologic Surgical Procedures; D005260:Female; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D009132:Muscles / Q000098:blood supply / Q000601:surgery / Q000637:transplantation; D009336:Necrosis; D003668:Pressure Ulcer / Q000601:surgery; D011855:Radiodermatitis / Q000601:surgery; D012867:Skin / Q000098:blood supply / Q000473:pathology; D016038:Skin Transplantation; D013524:Surgical Flaps