Accompanying arteries of the cutaneous veins and cutaneous nerves in the extremities: anatomical study and a concept of the venoadipofascial and/or neuroadipofascial pedicled fasciocutaneous flap.
The arterial anatomy of the accompanying arteries of the cutaneous veins and cutaneous nerves in the extremities was investigated in 10 fresh cadavers that had been injected with a lead oxide-gelatin mixture throughout the entire body. It is well known that cutaneous nerves have neurocutaneous perforators, but it was found that cutaneous veins also have their own accompanying arteries as well. The accompanying arteries of the cutaneous veins had branches not only to the vein wall, but also to the skin, i.e., venocutaneous perforators. Based on these findings, the concept of the adipofascial pedicled fasciocutaneous flap using the accompanying arteries of the cutaneous veins, cutaneous nerves, or both was proposed.
Nakajima
H
H
Department of Plastic and Reconstructive Surgery, School of Medicine, Keio University, Tokyo, Japan.
Imanishi
N
N
Fukuzumi
S
S
Minabe
T
T
Aiso
S
S
Fujino
T
T
D000273:Adipose Tissue / Q000098:blood supply / Q000294:innervation; D000792:Angiography; D001158:Arteries / Q000033:anatomy & histology; D005121:Extremities / Q000098:blood supply* / Q000294:innervation; D005205:Fascia / Q000098:blood supply / Q000294:innervation; D006801:Humans; D008866:Microsurgery; D010525:Peripheral Nerves / Q000033:anatomy & histology; D012016:Reference Values; D012867:Skin / Q000098:blood supply* / Q000294:innervation; D013524:Surgical Flaps / Q000098:blood supply* / Q000294:innervation*; D014650:Vasa Nervorum / Q000033:anatomy & histology; D014651:Vasa Vasorum / Q000033:anatomy & histology; D014680:Veins / Q000033:anatomy & histology