perforator flap

perforator flap

a free flap that is based on vessels that "perforate" or penetrate and traverse a muscle before piercing the fascia to reach the skin. Because the donor vessels have traversed muscle before reaching the fascia, a longer vascular pedicle can be dissected.
See also: fasciocutaneous flap.
References in periodicals archive ?
Shoulder function after harvesting a thoracodorsal artery perforator flap. Plast Reconstr Surg 2008; 122: 1111-1117.
The reverse thenar perforator flap has been used successfully for palmar resurfacing in Dupuytren's disease, trauma and burns.
Specific topics include free fibula flap for midface reconstruction, lower eyelid reconstruction with palatal grafts, free flap for hemi-tongue reconstruction, skate flap for nipple reconstruction, hernia repair with open component separation, superior gluteal artery perforator flap, the medial plantar flap, and pediatric facial reinaimation using a functional gracilis muscle transfer.
After removal of the breast cancer, tissue from the abdomen was harvested with its blood vessels and then transplanted onto vessels on the chest wall to create a new breast mound (free perforator flap) so that the patient went to sleep with a breast, had her cancer removed, and woke up with a new breast, in what is described as an 'immediate reconstruction'.
Our results of this novel technique are encouraging for future studies and trials in axial and perforator flap models.
Sullivan et al., "Nipple-Sparing Mastectomy and Ptosis: Perforator Flap Breast Reconstruction Allows Full Secondary Mastopexy with Complete Nipple Areolar Repositioning," Plastic and Reconstructive Surgery, vol.
Haas et al., "Clinical experience with a tensor fasciae latae perforator flap based on septocutaneous perforators," Journal of Plastic, Reconstructive & Aesthetic Surgery, vol.
The soft tissue defect was then reconstructed with a free anterolateral thigh perforator flap taken from the patient's left thigh and revascularized to the patient's right internal mammary vessels (Figures 4 & 5).
We describe a case that can be classified as a type I according to Vince and Miller [1] and area 5 according to Hastings II and Graham [3], with a history of double recurrence and a Darrach procedure [13] already performed, treated by synostosis resection and interposition with an adipofascial dorsoulnar artery (DUA) perforator flap.
Therefore she underwent deep inferior epigastric perforator flap breast reconstruction at the department of plastic and reconstructive surgery.