Reconstruction of trunk defects with bilobed myocutaneous flap.
This study describes the use of the bilobed myocutaneous (MC) flap for reconstruction of trunk defect. The authors employ this flap because it offers a greater flexibility in the use of available tissue than many other local conventional flaps, is easy to design, safe to elevate, and causes minimal donor-site morbidity. The bilobed MC flaps are based on their main muscular pedicle. The standard bilobed flaps are generally based on a random pattern blood supply, which were restricted to rigid length-to-width ratios to ensure viability. They are usually indicated in the repair of small defects of the nose, and scalp. When we want to apply to reconstruct on the larger trunk defect, especially for the potential to cause life-threatening complications, the bilobed M-C flap might be considered for reconstruction to decrease the potential risk of the complications.
Cheng
Li-Fu
LF
Division of Plastic Surgery, Department of Surgery, Buddhist Tzu-Chi General Hospital, Sec. 3 Chung-Yang Road, Hualien, Taiwan, ROC. e54978@ms6.hinet.net
Lee
Jiunn-Tat
JT
Sun
Tzong-Bor
TB
Wang
Chien-Hsing
CH
Chien
Sou-Hsin
SH
Chang
Bee-Song
BS
D000368:Aged; D000369:Aged, 80 and over; D001415:Back / Q000601:surgery; D062109:Dermatologic Surgical Procedures; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D003668:Pressure Ulcer / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012867:Skin / Q000293:injuries; D012878:Skin Neoplasms / Q000556:secondary / Q000601:surgery; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps; D035441:Thoracic Wall / Q000601:surgery*