title: [Thin perforator flaps elevated in the plane of the superficial fascia: Principle and surgical procedure].
abstract: Perforator flaps have an ever growing place in reconstructive surgery and classical surgical procedures describe sub or supra-fascial plane elevation. In some indications, defatting of perforator flaps may be necessary and different methods have been described, primary or secondary, but may expose to partial loss of the flap or to another operation. Recently, a new method of perforator flap elevation in the plane of the superficial fascia has been described. This method permits to obtain a thin and reliable flap in the same procedure without the need of debulking and while decreasing donor site morbidity. We present the principle and the surgical procedure of this new method. Advantages and drawbacks are discussed with the help of clinical cases.
authors.affiliation: Service de chirurgie plastique et reconstructrice, Gustave-Roussy, cancer campus Grand-Paris, 114, rue Edouard-Vaillant, 94805 Villejuif, France; Laboratoire d'anatomie et d'organogenèse, université de Picardie-Jules-Verne, rue des Louvels, 80000 Amiens, France; Service de chirurgie plastique, reconstructrice et esthétique, CHU d'Amiens, place Victor-Pauchet, 80000 Amiens, France. Electronic address: q.qassemyar@live.fr.
authors.forename: Q
authors.initials: Q
authors.lastname: Qassemyar
authors.affiliation: Service de chirurgie plastique, reconstructrice et esthétique, CHU d'Amiens, place Victor-Pauchet, 80000 Amiens, France.
authors.forename: A
authors.initials: A
authors.lastname: Delobaux
mesh_terms: D006801:Humans; D061525:Perforator Flap; D019651:Plastic Surgery Procedures / Q000379:methods*; D060053:Transplant Donor Site
keywords: Fascia superficialis; Lambeaux fins; Lambeaux perforants; Microchirurgie; Microsurgery; Perforator flap; Superficial fascia; Thin flap