Distant flaps

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Direct distant flaps

Direct distant flaps are connected to the destination directly.

  • Cross-finger flap – flap from 1 finger to adjacent finger with defect of the fingertip, secondary defect of the donor area is covered by skin flap;
  • cross-leg flap;
  • tubulated flap in the lower abdomen – wrist + hand defect coverage.

Indirect distant flaps[edit | edit source]

Indirect distant flaps are connected to the destination with the help of temporary host destination (usually on the wrist).

  • Filatov flap – oblique strip of skin with subcutaneous tissue in the hypogastrium, length to width ratio 3:1 → tubulated flap → can be disconnected after 3-4 weeks at either end → after sewing + attaching to the wrist disconnect the remaining stem → transfer to the place of the defect;
  • axial groin flap – used as both direct and indirect, nutrition from a. circumflexa ilium superficialis →ratio can be > 3:1.

Division according to the composition of the flap[edit | edit source]

Fasciocutaneous flaps[edit | edit source]

  • Local flaps containing deep fascia on the lower limbs in a length to width ratio of 3:1;
  • supplied by fascial vessels and perforators;
  • safely cover e.g. bare bone or tendons;
  • secondary defect is covered by skin flap.

Muscle and musculocutaneous flaps[edit | edit source]

Defined vascular supply, we rate:[edit | edit source]
  • closeness to defect;
  • necessity, resp. replaceability of the function (we try to keep a part of the muscle for its function);
  • dominant vascular pedicle;
  • defect in place of collection is usually covered by skin flap;
  • most often we use thoracodorsal flap, gastrocnemius flap and flap of the rectus femoris muscle.


Links[edit | edit source]

Related articles[edit | edit source]

Used literature[edit | edit source]

  • MĚŠŤÁK, Jan. Úvod do plastické chirurgie. 1. edition. Univerzita Karlova v Praze - Nakladatelství Karolinum, 2005. 125 pp. ISBN 80-246-1150-3.