title: The combined flap based on a single vascular source: a clinical experience with 32 cases.
abstract: This article provides a retrospective review of 32 combined flap transfers. It consists of two or more flaps based on independent vascular branches from a single vascular source. This series included the combined flap based on the subscapular-circumflex scapular-thoracodorsal vascular system in 24 patients and the profunda femorislateral circumflex femoral vascular system in 8 patients. Twenty-four combined flaps were transferred as free flaps and eight as pedicled flaps. The combined flap based on the subscapular system has very good indications for massive and three-dimensional composite defects in the head and neck region. The combined flap based on the lateral circumflex femoral-profunda femoris system is useful for reconstruction of large defects in the groin, perineal, and lower abdominal regions.
authors.affiliation: Department of Plastic and Reconstructive Surgery, School of Medicine, Hokkaido University, Sapporo, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Yamamoto
authors.forename: K
authors.initials: K
authors.lastname: Nohira
authors.forename: H
authors.initials: H
authors.lastname: Minakawa
authors.forename: N
authors.initials: N
authors.lastname: Takeno
authors.forename: T
authors.initials: T
authors.lastname: Sugihara
authors.forename: Y
authors.initials: Y
authors.lastname: Shintomi
mesh_terms: D000008:Abdominal Neoplasms / Q000601:surgery; D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D002813:Chondrosarcoma / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010039:Otorhinolaryngologic Neoplasms / Q000601:surgery*; D012189:Retrospective Studies; D013524:Surgical Flaps / Q000379:methods*; D016896:Treatment Outcome