Anatomy of tensor fascia latae perforator flap and its clinical significance in reconstruction of head and neck defects
- VernacularTitle:阔筋膜张肌穿支皮瓣的局部解剖及其在头颈修复中的意义
- Author:
Yun FENG
;
Wenting LI
;
Naili WANG
;
Pingzhang TANG
;
Zhengang XU
;
Bin ZHANG
- Publication Type:Journal Article
- Keywords:
tensor fascia latae perforator flap;
anatomy;
head and neck reconstruction
- From:
Basic & Clinical Medicine
2010;30(2):151-154
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study anatomy of the tensor fascia latae perforator flap (TFLP flap) and explore its clini-cal application in reconstruction of head and neck defects. Methods Five fresh cadavers were prepared, and mor-phology and blood supply of TFLP flap were examined by microsurgery anatomy. During dissections, the following parameters were recorded: number and type of perforators vessels, diameter of perforators, pedicle length, diameter of the original vessels, course (infra fascia and supra fascia) ,and its position was located by anatomical landmark. Results There were 41 TFLP flap perforators in all specimen with 35 musculocutaneous perforator and 6 septocuta-neous perforator. Original vessel was ascend branch of lateral circumflex femoral artery/vein with average diameter of (3.01±0.49) mm/(3. 28±0.57) mm. The mean pedicle length was (9. 1±0.79) cm. The surface location was (4. 22± 1. 37) cm laterally and (8. 73±2.72) cm beneath to anterosuperior iliac spine. Conclusion With the characteristics of constant position, large caliber and convenient preparation, TFLP flap is useful for operation andoption in reconstruction of head/neck defects and considered as backup of anterolateral thigh flap. The disadvantage of this flap is its short vascular pedicle.
