Skip to main content
SpringerLink
Log in

Komplexe und chimäre Lappenplastiken

  • Chapter
Grundkurs Mikrochirurgie

  • 3009 Accesses

Zusammenfassung

Die ideale Weichteil- und Knochenrekonstruktion sollte möglichst die ursprünglichen anatomischen Verhältnisse hinsichtlich Form, Geometrie und Gewebequalität wiederherstellen. Chimäre Lappenplastiken sind aus mehr als einer(freien) Lappenplastik zusammengesetzt, jedoch über einen gemeinsamen Gefäßstamm perfundiert, sodass mehrere rekonstruktive Schritte in einem Eingriff durchgeführt werden können. In der Hand des erfahrenen Operateurs erweitern sie das plastisch-rekonstruktive Armamentarium zur Defektdeckung von komplexen mehrdimensionalen Defekten.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 64.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 84.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literatur

  • Acland RD, Schusterman M, Godina M, Eder E, Taylor GI, Carlisle I (1981) The saphenous neurovascular free flap. Plast Reconstr Surg 67: 763–74

    Article  CAS  PubMed  Google Scholar 

  • Agarwal JP, Agarwal S, Adler N, Gottlieb LJ (2009) Refining the intrinsic chimera flap: a review. Ann Plas t Surg 63: 462–7

    Google Scholar 

  • Bergeron L, Tang M, Morris SF (2007) The anatomical basis of the deep circumflex iliac artery perforator flap with iliac crest. Plast Reconstr Surg 120: 252–8

    Article  CAS  PubMed  Google Scholar 

  • Beris AE, Lykissas MG, Korompilias AV et al. (2011) Vascularized fibula transfer for lower limb reconstruction. Microsu rgery 31: 205–11

    Google Scholar 

  • Bisase B, Sloane J, Coombes DM, Norris PM (2013) The deep circumflex iliac artery perforator flap (DCIAP)–a reconstructive option for the large composite oro-mandibular cutaneous defect. Br J Oral Maxillofa c Surg 51: 962–4

    Google Scholar 

  • Brown JS (1996) Deep circumflex iliac artery free flap with internal oblique muscle as a new method of immediate reconstruction of maxillectomy defect. Head Neck 18: 412–21

    Article  CAS  PubMed  Google Scholar 

  • Coleman JJ, 3rd, Sultan MR (1991) The bipedicled osteocutaneous scapula flap: a new subscapular system free flap. Plast Reconstr Surg 87: 682–92

    Article  PubMed  Google Scholar 

  • Daya M (2008) Peroneal artery perforator chimeric flap: changing the perspective in free fibula flap use in complex oromandibular reconstruction. J Reconstr Mic rosurg 24: 413–8

    Google Scholar 

  • Dorafshar AH, Seitz IA, DeWolfe M, Agarwal JP, Gottlieb LJ (2010) Split lateral iliac crest chimera flap: utility of the ascending branch of the lateral femoral circumflex vessels. Plast Reconstr Surg 125: 574–81

    Article  CAS  PubMed  Google Scholar 

  • dos Santos LF (1984) The vascular anatomy and dissection of the free scapular flap. Plast Reconstr Surg 73: 599–604

    Article  PubMed  Google Scholar 

  • Engel H, Pelzer M, Sauerbier M, Germann G, Heitmann C (2007) An innovative treatment concept for free flap reconstruction of complex central chest wall defects - the cephalic-thoraco-acromial (CTA) loop. Micros urgery 27: 481–6

    Google Scholar 

  • Gaggl A, Burger H, Chiari FM (2008) The microvascular osteocutaneous femur transplant for covering combined alveolar ridge and floor of the mouth defects: preliminary report. J Reconstr Micr osurg 24: 169–75

    Google Scholar 

  • Gedebou TM, Wei FC, Lin CH (2002) Klinische Erfahrungen mit 1284 freien antero-lateralen Oberschenkel-Lappenplastiken. Handchir Mikrochir Plast Chir 34: 239–44

    Article  CAS  PubMed  Google Scholar 

  • Germann G, Bickert B, Steinau HU, Wagner H, Sauerbier M (1999) Versatility and reliability of combined flaps of the subscapular system. Plast Reconstr S urg 103: 1386–99

    Google Scholar 

  • Gottlieb LJ, Krieger LM (1994) From the reconstructive ladder to the reconstructive elevator. Plast Reconstr Surg 93: 1503–4

    Article  CAS  PubMed  Google Scholar 

  • Hallock GG (1991) Simultaneous transposition of anterior thigh muscle and fascia flaps: an introduction to the chimera flap principle. Ann Plast Surg 27: 126–31

    Article  CAS  PubMed  Google Scholar 

  • Hallock GG (1997) Permutations of combined free flaps using the subscapular system. J Reconstr Mic rosurg 13: 47–54

    Google Scholar 

  • Hamakawa H, Kayahara H, Tanioka H (1997) »Chain-link« combined tissue transfer for the reconstruction of the mandible. Int J Oral Maxillofa c Surg 26: 440–2

    Google Scholar 

  • Huang (2003) Chimeric flap in clinical use. Clinics in Plastic Surgery

    Google Scholar 

  • Innocenti M, Delcroix L, Manfrini M, Ceruso M, Capanna R (2004) Vascularized proximal fibular epiphyseal transfer for distal radial reconstruction. J Bone Joint Surg Am 86-A: 1504–11

    Article  PubMed  Google Scholar 

  • Innocenti M, Ceruso M, Manfrini M, Angeloni R, Lauri G, Capanna R, Bufalini C (1998) Free vascularized growthplate transfer after bone tumor resection in children. J Reconstr Micr osurg 14: 137–43

    Google Scholar 

  • Iorio ML, Masden DL, Higgins JP (2011) The limits of medial femoral condyle corticoperiosteal flaps. The Journal of hand su rgery 36: 1592–6

    Google Scholar 

  • Kim JT, Ho SY, Kim YH (2014) A chimaeric-pattern flap design for implantable Doppler surrogate monitoring: a novel placement technique. J Plast Reconstr Aesthe t Surg 67: 190–7

    Google Scholar 

  • Kimata Y, Uchiyama K, Ebihara S, Nakatsuka T, Harii K (1998) Anatomic variations and technical problems of the anterolateral thigh flap: a report of 74 cases. Plast Reconstr S urg 102: 1517–23

    Google Scholar 

  • Koshima I (2001) A new classification of free combined or connected tissue transfers: introduction to the concept of bridge, siamese, chimeric, mosaic, and chain-circle flaps. Acta Med Ok ayama 55: 329–32

    Google Scholar 

  • Koshima I, Yamamoto H, Hosoda M, Moriguchi T, Orita Y, Nagayama H (1993) Free combined composite flaps using the lateral circumflex femoral system for repair of massive defects of the head and neck regions: an introduction to the chimeric flap principle. Plast Reconstr Surg 92: 411–20

    Article  CAS  PubMed  Google Scholar 

  • Kremer T, Bickert B, Germann G, Heitmann C, Sauerbier M (2006) Outcome assessment after reconstruction of complex defects of the forearm and hand with osteocutaneous free flaps. Plast Reconstr Surg 118: 443-54; discussion 455–6

    Article  Google Scholar 

  • Kuo YR, Shih HS, Chen CC et al. (2010) Free fibula osteocutaneous flap with soleus muscle as a chimeric flap for reconstructing mandibular segmental defect after oral cancer ablation. Ann Plast Surg 64: 738–42

    Article  CAS  PubMed  Google Scholar 

  • Kuzbari R, Worseg A, Burggasser G et al. (1997) The external oblique muscle free flap. Plast Reconstr Surg 99: 1338–45

    Article  CAS  PubMed  Google Scholar 

  • Levin LS (1993) The reconstructive ladder. An ortho- plastic approach. Orthop Clin Nort h Am 24: 393–409

    Google Scholar 

  • Lin CH, Wei FC, Lin YT, Yeh JT, Rodriguez Ede J, Chen CT (2006) Lateral circumflex femoral artery system: warehouse for functional composite free-tissue reconstruction of the lower leg. J T rauma 60: 1032–6

    Google Scholar 

  • Ling XF, Peng X, Samman N (2013) Donor-site morbidity of free fibula and DCIA flaps. J Oral Maxillofac Surg 71:1604–12

    Article  PubMed  Google Scholar 

  • Liu WW, Guo ZM (2014) Reconstruction of Wide-apart Double Defect Using a Branch-based Chimeric Anterolateral Thigh Flap. Plast Reconstr Surg Glob Open 2: e9–6

    Article  Google Scholar 

  • Manfrini M, Innocenti M, Ceruso M, Mercuri M (2003) Original biological reconstruction of the hip in a 4-year-old girl. L ancet 361: 140–2

    Google Scholar 

  • Müller M, Bickert B, Germann G, Sauerbier M (2008) Weichgewebesarkome an Unterarm und Hand. C hirurg 79: 682–8

    Google Scholar 

  • Nassif TM, Vidal L, Bovet JL, Baudet J (1982) The parascapular flap: a new cutaneous microsurgical free flap. Plast Reconstr Surg 69: 591–600

    Article  CAS  PubMed  Google Scholar 

  • Ofer N, Baumeister S, Ohlbauer M, Germann G, Sauerbier M (2005) Mikrochirurgische Rekonstruktion der oberen Extremität nach Brandverletzungen. Handchir Mikrochir Plast Chir 37: 245–55

    Article  CAS  PubMed  Google Scholar 

  • Ofer N, Baumeister S, Megerle K, Germann G, Sauerbier M (2007) Current concepts of microvascular reconstruction for limb salvage in electrical burn injuries. J Plast Reconstr Aesthet Surg 60: 724–30

    Article  PubMed  Google Scholar 

  • Ohsaki M, Maruyama Y (1993) Anatomical investigations of the cutaneous branches of the circumflex scapular artery and their communications. Br J Plas t Surg 46: 160–3

    Google Scholar 

  • Penteado CV, Masquelet AC, Romana MC, Chevrel JP (1990) Periosteal flaps: anatomical bases of sites of elevation. Surg Rad iol Anat 12: 3–7

    Google Scholar 

  • Rahmanian-Schwarz A, Spetzler V, Amr A, Pfau M, Schaller HE, Hirt B (2011) A composite osteomusculocutaneous free flap from the medial femoral condyle for reconstruction of complex defects. J Reconstr Micr osurg 27: 251–60

    Google Scholar 

  • Rahmanian-Schwarz A, Spetzler V, Willkomm LM, Eisenschenk A, Bernhard H, Schaller HE (2012) Kombinierte Lappenplastiken aus der medio-distalen Oberschenkelregion: Anatomische Besonderheiten, klinische Aspekte, neue Applikationen. Handchir Mikrochir Plas t Chir 44: 67–74

    Google Scholar 

  • Rowsell AR, Davies DM, Eisenberg N, Taylor GI (1984) The anatomy of the subscapular-thoracodorsal arterial system: study of 100 cadaver dissections. British journal of plastic s urgery 37: 574–6

    Google Scholar 

  • Rowsell AR, Eisenberg N, Davies DM, Taylor GI (1986) The anatomy of the thoracodorsal artery within the latissimus dorsi muscle. British journal of plastic s urgery 39: 206–9

    Google Scholar 

  • Sanger JR, Matloub HS, Yousif NJ (1990) Sequential connection of flaps: a logical approach to customized mandibular reconstruction. Am J Surg 160: 402–4

    Article  CAS  PubMed  Google Scholar 

  • Sauerbier M, Ofer N, Germann G, Baumeister S (2007) Microvascular reconstruction in burn and electrical burn injuries of the severely traumatized upper extremity. Plast Reconstr Surg 119: 605–15

    Article  CAS  PubMed  Google Scholar 

  • Sauerbier M, Erdmann D, Bickert B, Wittemann M, Germann G (2001) Die Defektdeckung an Hand und Unterarm mit dem freien Skapula-Paraskapularlappen. Handchir Mikrochir Pla st Chir 33: 20–5

    Google Scholar 

  • Serletti JM, Coniglio JU, Tavin E, Bakamjian VY (1998) Simultaneous transfer of free fibula and radial forearm flaps for complex oromandibular reconstruction. J Reconstr Microsurg 14: 297–303

    Article  CAS  PubMed  Google Scholar 

  • Slutsky (2013) The Art of Microsurgical Hand Reconstruction. Thieme Verlag, St uttgart (S. 278)

    Google Scholar 

  • Song YG, Chen GZ, Song YL (1984) The free thigh flap: a new free flap concept based on the septocutaneous artery. Br J Plast Surg 37: 149–59

    Article  CAS  PubMed  Google Scholar 

  • Swartz WM, Banis JC, Newton ED, Ramasastry SS, Jones NF, Acland R (1986) The osteocutaneous scapular flap for mandibular and maxillary reconstruction. Plast Reconstr Surg 77: 530–45

    Article  CAS  PubMed  Google Scholar 

  • Taylor GI, Miller GD, Ham FJ (1975) The free vascularized bone graft. A clinical extension of microvascular techniques. Plast Reconstr Surg 55: 533–44

    Article  CAS  PubMed  Google Scholar 

  • Taylor GI, Townsend P, Corlett R (1979) Superiority of the deep circumflex iliac vessels as the supply for free groin flaps. Clinical work. Plast Reconstr Surg 64: 745–59

    Article  CAS  PubMed  Google Scholar 

  • Ting JW, Rozen WM, Grinsell D, Stella DL, Ashton MW (2009) The in vivo anatomy of the deep circumflex iliac artery perforators: defining the role for the DCIA perforator flap. Micros urgery 29: 326–9

    Google Scholar 

  • Wong CH, Wei FC (2010) Anterolateral thigh flap. Head Neck 32: 529–40

    Article  PubMed  Google Scholar 

  • Yamamoto H, Jones DB, Jr., Moran SL, Bishop AT, Shin AY (2010) The arterial anatomy of the medial femoral condyle and its clinical implications. J Hand Surg Eur Vol 35: 569–74

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Klinik für Plastische, Hand- und Rekonstruktive Chirurgie, BGU Frankfurt, Friedberger Landstraße 430, 60389, Frankfurt am Main, Germany

    Prof. Dr. M. Sauerbier

Authors
  1. Dr. A. Arsalan-Werner
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Prof. Dr. M. Sauerbier
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Berufsgenossenschaftliche Unfallklinik Ludwigshafen, Ludwigshafen Rupprecht-Karls-Universität Heidelberg, Heidelberg, Germany

    Ulrich Kneser

  2. Universitätsklinikum Erlangen Friedrich Alexander Universität Erlangen-Nürnberg, Erlangen, Germany

    Raymund E. Horch

  3. Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil, Bochum, Germany

    Marcus Lehnhardt

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Arsalan-Werner, A., Sauerbier, M. (2016). Komplexe und chimäre Lappenplastiken. In: Kneser, U., Horch, R., Lehnhardt, M. (eds) Grundkurs Mikrochirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48037-3_20

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-48037-3_20

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-48036-6

  • Online ISBN: 978-3-662-48037-3

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation