title: [About perforator flaps…20 years later].
abstract: Despite the birth of reconstructive surgery 2000 years ago, the main advances in this field appeared in the second half of the 20th century. Born in Asia, it is from that same continent that the last improvement has occurred through the perforator flap concept. Combining advances in the understanding of cutaneous blood supply and advances in surgical instrumentation to optimize the reconstruction while reducing morbidity is gradually becoming a reality. Twenty years after the first perforator flap described by Koshima and Soeda, the authors review the history, the concept and nomenclature of these flaps. Furthermore, through an analyze of the international literature, the authors attempt to achieve an assessment of the reliability and morbidity of perforator flaps after 2 decades of existence.
authors.affiliation: Service de chirurgie plastique, reconstructrice et esthétique, hôpital Nord, CHU d'Amiens, place Victor-Pauchet, 80054 Amiens cedex 1, France. raphaelsinna@gmail.com
authors.forename: R
authors.initials: R
authors.lastname: Sinna
authors.forename: Q
authors.initials: Q
authors.lastname: Qassemyar
authors.forename: D
authors.initials: D
authors.lastname: Pérignon
authors.forename: T
authors.initials: T
authors.lastname: Benhaim
authors.forename: M
authors.initials: M
authors.lastname: Robbe
mesh_terms: D006085:Graft Survival / Q000502:physiology; D006801:Humans; D008866:Microsurgery / Q000379:methods; D011183:Postoperative Complications / Q000209:etiology; D019651:Plastic Surgery Procedures / Q000379:methods* / Q000639:trends; D012189:Retrospective Studies; D013524:Surgical Flaps / Q000098:blood supply* / Q000145:classification; D009626:Terminology as Topic; D020858:Tissue and Organ Harvesting / Q000379:methods; D016896:Treatment Outcome