Application of the relaying perforator flap in repairing the donor site of the anterolateral thigh flap
10.3760/cma.j.cn114453-20210507-00206
- VernacularTitle:接力穿支皮瓣在股前外侧皮瓣供区修复中的应用
- Author:
Xuexin CAO
1
;
Yiheng CHEN
;
Lianmin ZHAO
;
Yongde CHEN
;
Zhenglin CHI
Author Information
1. 宿迁市第三医院修复重建显微外科中心，宿迁 223800
- Keywords:
Microsurgery;
Surgical flaps;
Perforator flap;
Wound repair;
Anterolateral thigh flap
- From:
Chinese Journal of Plastic Surgery
2022;38(10):1111-1118
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical effect of the relaying perforator flap for repairing the donor site of the anterolateral thigh flap.Methods:From March 2019 to June 2020, 28 consecutive patients who underwent anterolateral thigh free flap reconstruction for limb soft tissue defects were retrospectively reviewed. A relaying perforator flap was selected from one of the four areas adjacent to the donor site of the anterolateral thigh flap for covering the donor site of the anterolateral thigh flap. The secondary donor site was closed directly. The followed-up contents included the appearance and texture of the flaps. The postoperative followed-up was performed through outpatient visits, telephone, and WeChat interviews.Results:A total of 28 patients were included, with an average age of 37.3 (ranging from 15 to 65). The relaying perforator flap was selected from the anteromedial thigh region ( n=13), the proximal anterolateral thigh region( n=6), the distal anterolateral thigh region ( n=5), and the ilioinguinal region ( n=4). The size of the anterolateral thigh flap ranged from 12.0 cm×10.0 cm to 20.0 cm×13.0 cm, and the size of the relaying perforator flap ranged from 6.0 cm×5.0 cm to 11.0 cm×7.5 cm. The followed-up time ranged from 1 to 6 months (mean 4.8 months). The color, texture, and contour of the flaps were good. Only one linear scar is left in the donor site. Two cases with small necrosis (1.0 cm×2.0 cm and 1.5 cm×1.5 cm, respectively) were found in the distal edge of relaying perforator flaps. Conclusions:The relaying perforator flap is considered as an optimized and reliable method for repairing the donor site of an anterolateral thigh flap and should be recommended.
