SUPERIOR GLUTEAL ARTERY PERFORATOR FREE-FLAP FOR BREAST RECONSTRUCTION

被引:272
作者
ALLEN, RJ
TUCKER, C
机构
[1] Section of Plastic Surgery, Louisiana State University Medical Center, New Orleans, LA, 70112-2822
关键词
D O I
10.1097/00006534-199506000-00010
中图分类号
R61 [外科手术学];
学科分类号
摘要
The purpose of this paper is to present a new method of breast reconstruction utilizing skin and fat from the buttock without muscle sacrifice. Cadaver dissections were done to study the musculocutaneous perforators of the superior gluteal artery and vein. Eleven breasts were reconstructed successfully with skin/fat flaps based on the superior gluteal artery with its proximal perforators. Long flap vascular pedicles allow the internal mammary or thoracodorsal vessels to be used as recipient vessels. This new technique has several advantages over the previously described gluteus maximus myocutaneous flaps, including long vascular pedicle and no muscle sacrifice.
引用
收藏
页码:1207 / 1212
页数:6
相关论文
共 10 条
[1]  
Holstrom H., The free abdominoplasty flap and its use in breast reconstruction, Scand.J. Plast. Reconstr. Surg, 13, (1979)
[2]  
Friedman R.J., Argenta L.C., Anderson R., Deep inferior epigastric free flap for breast reconstruction after radical mastectomy, Plast. Reconstr. Surg, 76, (1985)
[3]  
Fujino T., Harashina T., Enomoto K., Primary breast reconstruction after a standard radical mastec tomy by a free flap transfer (Case Report), Plast. Reconstr. Surg, 58, (1976)
[4]  
Shaw W.W., Breast reconstruction by superior gluteal microvascular free flaps without silicone implants, Plast. Reconstr. Surg, 72, (1983)
[5]  
Paletta C.E., Bostwick J., Nahai F., The inferior gluteal free flap in breast reconstruction, Plast. Reconstr. Surg, 84, (1989)
[6]  
Allen R.J., Treece P., Deep inferior epigastric perforator flap for breast reconstruction, Ann. Plast. Surg, 32, (1994)
[7]  
Koshima I., Soeda S., Inferior epigastric artery skin flaps without rectus abdominis muscle, Br. J. Plast. Surg, 42, (1989)
[8]  
Koshima I., Moriguchi T., Soeda S., Kawata S., Ohta S., Ikeda A., The gluteal perforator-based flap for repair of sacral pressure sores, Plast. Reconstr. Surg, 91, (1993)
[9]  
Strauch B., Yu H.L., Atlas of Microvascular Surgery, (1993)
[10]  
Taylor G.I., Doyle M., McCarten G., The Doppler probe for planning flaps: Anatomical study and clinical applications, Br. J. Plast. Surg, 43, (1990)