Pedicled perforator flap of stellate design.
The perforator flap has proven to be effective as both a free flap and a pedicled flap in the reconstruction of a variety of regions. Usually, a V-Y advancement pattern or simple ellipse is the design selected for pedicled perforator island flaps. On the other hand, the transposition of multiple perforator flaps or skin grafting on the donor sites is required for larger defects. The authors used a stellate design to elevate a perforator flap with large dimensions, whilst allowing the easier closure of the donor defect. This method was used for reconstructing the sacral (six cases), trochanteric (one case), and lower leg (three cases) regions. Although minor wound dehiscence at the donor sites was encountered in three cases, all the defects were reconstructed successfully using a single perforator flap. This design would be a valuable option for planning a pedicled perforator flap, particularly when a difficult donor closure is expected.
Mun
Goo-Hyun
GH
Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Irwon-dong 50, Gangnam-gu, Seoul 135-710, South Korea. gh.mun@samsung.com
Jo
Yong-Woo
YW
Lim
So-Young
SY
Hyon
Won-Sok
WS
Bang
Sa-Ik
SI
Oh
Kap-Sung
KS
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007866:Leg / Q000601:surgery; D008297:Male; D008875:Middle Aged; D003668:Pressure Ulcer / Q000601:surgery; D011832:Radiation Injuries / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D012445:Sacrococcygeal Region / Q000601:surgery; D012878:Skin Neoplasms / Q000601:surgery; D013524:Surgical Flaps; D013529:Surgical Wound Dehiscence / Q000209:etiology; D016896:Treatment Outcome