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Breast Reconstruction pp 129–135Cite as

The Anatomical Basis of the Profunda Femoris Artery Perforator (PAP) Flap: A New Option for Autologous Breast Reconstruction

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Abstract

The profunda femoris artery perforator (PAP) flap is an alternative for autologous breast reconstruction when abdominal tissue is not available. This flap is based on a perforator of the profunda femoris artery. The perforator is consistently found on cadaveric and Computer Tomography Angiogram (CTA). By cadaveric dissection the perforator was identified on average 3.5 centimeters (cm) inferior to the gluteal crease and 6.2 cm from the midline. The average pedicle length was 10.6 cm. Diameters of the artery and vein averaged 2.3 and 2.8 mm. The flaps averaged 28 × 8 cm and weighed about 200 g. On CTA the perforator was identified on average 4.4 cm caudal to the gluteal crease and 5.1 cm lateral to the midline. The consistent anatomy of the perforator allows for consistent elevation of the flap for free tissue transfer in breast reconstruction.

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Author information

Authors and Affiliations

  1. The Plastic Surgery Center, 2500 English Creek Ave., Suite 605, Egg Harbor, Twp, NJ, 08234, USA

    Adam Saad M.D.

  2. Department of Surgery, Drexel University College of Medicine, 245N. 15th St, MS413, Philadelphia, PA, 19102, USA

    Adam Saad M.D.

  3. Department of Surgery, Louisianna State University, 1542 Tulane Ave., Rm 734, New Orleans, LA, 70112, USA

    Alireza Sadeghi M.D.

Authors
  1. Adam Saad M.D.
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  2. Alireza Sadeghi M.D.
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Correspondence to Adam Saad M.D. .

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Editors and Affiliations

  1. Tustin, California, USA

    Melvin A. Shiffman

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© 2016 Springer International Publishing Switzerland

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Saad, A., Sadeghi, A. (2016). The Anatomical Basis of the Profunda Femoris Artery Perforator (PAP) Flap: A New Option for Autologous Breast Reconstruction. In: Shiffman, M. (eds) Breast Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-18726-6_10

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  • DOI: https://doi.org/10.1007/978-3-319-18726-6_10

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-18725-9

  • Online ISBN: 978-3-319-18726-6

  • eBook Packages: MedicineMedicine (R0)

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