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Perforator Flaps

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Interventional Treatment of Wounds

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Abstract

Many wounds that do not heal secondarily will require some form of coverage. Especially wounds that require resurfacing of the skin, a “like with like” tissue would provide an ideal coverage. Perforator flaps are flaps which blood supply is based on solely from a perforator that pierces through the deep fascia. By composition, a perforator flap can be a fascio-adipo-cutaneous flap or an adipo-cutaneous flap. By contiguity, it can be a local island flap that allows advancement and rotation (propeller flap) or it can be a free flap. By conformation, it can be combined with various other flaps based on a single source vessel (chimeric flap).

The advantages of perforator flaps are reduced donor site morbidity including muscle sparing with less functional deficit, increased versatility in flap design, and improved postoperative recovery of the patient. Further modifications such as the freestyle approach and supermicrosurgery have simplified the approach and increased the use of perforator flaps.

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Author information

Authors and Affiliations

  1. Department of Plastic Surgery, Asan Medical Center University of Ulsan, Seoul, South Korea

    Joon Pio (Jp) Hong MD, PhD, MMM, Donghoon Choi MD & Hyunsuk (Peter) Suh MD, PhD

Authors
  1. Joon Pio (Jp) Hong MD, PhD, MMM
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  2. Donghoon Choi MD
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  3. Hyunsuk (Peter) Suh MD, PhD
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Corresponding author

Correspondence to Joon Pio (Jp) Hong MD, PhD, MMM .

Editor information

Editors and Affiliations

  1. Division of Plastic Surgery, Brigham and Women’s Hospital Harvard Medical School, Boston, Massachusetts, USA

    Dennis P. Orgill

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Hong, J.P.(., Choi, D., Suh, H.(. (2018). Perforator Flaps. In: Orgill, D. (eds) Interventional Treatment of Wounds. Springer, Cham. https://doi.org/10.1007/978-3-319-66990-8_10

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  • DOI: https://doi.org/10.1007/978-3-319-66990-8_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-66989-2

  • Online ISBN: 978-3-319-66990-8

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