The clinical classification of sigle pedicled double island free anterolateral thigh flaps
10.3760/cma.j.issn.1002-0098.2014.08.010
- VernacularTitle:股前外侧一蒂双岛皮瓣的临床分型探讨
- Author:
Zhenhu REN
1
;
Hanjiang WU
;
Sheng ZHANG
;
Hongyu TAN
;
Kai WANG
;
Zhaojian GONG
Author Information
1. 中南大学湘雅二医院口腔颌面外科
- Keywords:
Surgical flaps;
Anatomy,regional;
Neoplasms
- From:
Chinese Journal of Stomatology
2014;49(8):491-494
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the anatomic characteristic of sigle pedicled double island free anterolateral thigh flaps and to evaluate its application and classification.Methods Between January 2010 and March 2013,76 patients underwent free femoral anterolateral double island flap reconstruction of the defects in oral and maxillofacial region.Summarized the anatomic features of perforators,such as the number and origin of the perforators.Results According to the anatomic features and regularity of perforators,76 cases of femoral anterolateral double island flaps were divided into 3 types:trunk type (type Ⅰ),15 cases (20％),in which the perforators of two flaps originated in descending branch and transverse branch of lateral femoral circumflex artery respectively; branch type (type Ⅱ),55 cases (72％),in which both the perforators originated in lateral femoral circumflex artery descending branch or lateral femoral circumflex artery transverse branch; bifurcation type (type Ⅲ),6 cases (8％),in which two perforators originated in the two bifurcation of one perforator.Among the 76 cases,75 survived and 1 showed partial necrosis.Conclusions According to the anatomic features and regularity of perforators,femoral anterolateral double island flaps can be divided into 3 types:trunk type (Ⅰ type),branch type (Ⅱ type),bifurcation type (Ⅲ type).
