Bendary, M., M Affifi, S., Sakr, H., Mahmoud, H., Amr, A. (2020). Study of the Effect of the Dissected Length and Diameter of Perforators and the Angle of Rotation on Blood Flow in the Radial Artery Perforator-Based Propeller Flaps. The Egyptian Journal of Plastic and Reconstructive Surgery, 44(4), 519-525. doi: 10.21608/ejprs.2020.140020
Mohamed S Bendary; Salah Nasser M Affifi; Hossam Sakr; Hany S Mahmoud; Adel Hussein S Amr. "Study of the Effect of the Dissected Length and Diameter of Perforators and the Angle of Rotation on Blood Flow in the Radial Artery Perforator-Based Propeller Flaps". The Egyptian Journal of Plastic and Reconstructive Surgery, 44, 4, 2020, 519-525. doi: 10.21608/ejprs.2020.140020
Bendary, M., M Affifi, S., Sakr, H., Mahmoud, H., Amr, A. (2020). 'Study of the Effect of the Dissected Length and Diameter of Perforators and the Angle of Rotation on Blood Flow in the Radial Artery Perforator-Based Propeller Flaps', The Egyptian Journal of Plastic and Reconstructive Surgery, 44(4), pp. 519-525. doi: 10.21608/ejprs.2020.140020
Bendary, M., M Affifi, S., Sakr, H., Mahmoud, H., Amr, A. Study of the Effect of the Dissected Length and Diameter of Perforators and the Angle of Rotation on Blood Flow in the Radial Artery Perforator-Based Propeller Flaps. The Egyptian Journal of Plastic and Reconstructive Surgery, 2020; 44(4): 519-525. doi: 10.21608/ejprs.2020.140020
Study of the Effect of the Dissected Length and Diameter of Perforators and the Angle of Rotation on Blood Flow in the Radial Artery Perforator-Based Propeller Flaps
1The Department of Plastic & Reconstructive Surgery, Al-Ahrar Teaching Hospital in Zagazig
2The Department of Plastic & Reconstructive & Maxillofacial Surgery Ain-Shams University
3The Department of Radiology , Ain-Shams University
4The Department of Plastic, Burn & Maxillofacial Surgery , Ain-Shams University
Abstract
Background: Soft tissue defects in the hand can result from a varietyof mechanisms including trauma, infection, and malignant tumors. Propeller flaps have become an appealing option for coverage of a large range of defects. The aim of this study is to determine the effect of dissected length of the perforator and its diameter and the angle of rotation or twisting of the flap on the blood flow in this chosen perforator and the flap vascularity. Methods: Thirty cases of skin and soft tissue defects of the hand and wrist were reconstructed with a perforator-based propeller flap from the radial artery in the period from May 2016 to November 2019. The age of patients ranged from 15 to 60 years. The defects were on the dorsal or palmer aspect of the hand and wrist. We evaluated the viability of the flap,blood velocity and flow of the flap, survived area of the flap according to length and diameter of the chosen perforator and the angle of rotation of the flap.
Janis J.E., Kwon R.K. and Attinger C.E.: The new reconstructive ladder: Modifications to the traditional model. Plastic and Reconstructive Surgery, 127: 205S-212, 2011. 2- Friedrich J.B., Katolik L.I. and Vedder N.B.: Soft tissue reconstruction of the hand. J. Hand Surg. Am. Jul-Aug., 34 (6): 1148-1155, 2009. 3- Teo T.C.: “Perforator local flaps in lower limb reconstruction”, Cirugia Plastica Ibero-Latinoamericana, Vol. 32, No. 4, pp. 15-292, 2006. 4- Arpa S.D., Cordova A., Pignatti M. and Moschella F.: Freestyle and management based on 85 consecutive cases”, Plastic and Reconstructive Surgery, Vol. 128, No. 4, pp. 892-906, 2014. 5- Teo T.C.: The propeller flap concept. Clin. Plast. Surg., 37 (4): 615-26, 2010. 6- Wong C.H., Cui F., Tan B.K., Liu Z., Lee H.P. and Lu C.: Nonlinear finite element simulations to elucidate the determinants of perforator patency in propeller flaps. Ann. Plast. Surg., 59: 672-678, 2007. 7- Panse N.S., Bhatt Y.C. and Tandale M.S.: What is safe limit of the perforator flap in lower extremity reconstruction? Do we have answers yet? Plast. Surg. Int., 2011: 349-357, 2011. 8- Ono S., Sebastin S.J.,Yazaki N., Hyakusoku H. and Chung K.C.: Clinicalapplications of perforator-based propeller flaps in upper limb soft tissue reconstruction. J. Hand Surg. Am., 36: 853-63, 2011. 9- Hayashi A., Yoshizawa H., Tanaka R., Natori Y., Arakawa A. and Mizuno H.: Intraoperative Use of Indocyanine Green Fluorescence Angiography during Distally Based Radial Artery Perforator Flap for Squamous Cell Carcinoma of the Thumb (Plast. Reconstr. Surg. Glob Open 19 February, 3: e310; doi: 10.1097, 2015. 10- Saint-Cyr M., Wong C., Schaverien M., Mojallal A. and Rohrich R.J.: The perforasome theory: Vascular anatomy and clinical implications. Plast. Reconstr. Surg., 124: 1529-44, 2009. 11- Koshima I., Moriguchi T., Etoh H., et al.: The radial artery perforator-based adipofasical flap for dorsal hand coverage. Ann. Plast. Surg., 35: 474-479, 1995. 12- Panse N. and Sahasrabudhe P.: Department of Plastic Surgery, B.J. Government Medical College & Sassoon Hospital, Pune, Maharashtra, India (Free style perforator based propeller flaps: Simple solutions for upper extremity reconstruction) May 17, IP: 117.195.50.173, 2014.
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