Loose flaps
From WikiLectures
Loose/Free flaps are the domain of microsurgery.
- axial flaps: cutaneous, fasciocutaneous, muscular, musculocutaneous
- loose flap transfer : completely separated from the donor site and sewn with a vascular pedicle to the vessels around the defect → sewn to the destination
- vascular bundle of the flap: artery + 1 / 2 vein
Freely transferred skin flaps[edit | edit source]
- inguinal flap – aa. et vv. circumflexae ilium superficial.
- flap from the dorsum of the leg – aa. et vv. dors. pedis
- scapular flap – aa. et vv. circumflexae scapulae
- flap from the radial side of the forearm – aa. et vv. radiales + n. cutaneus antebrachii (preservation of sensitivity)
Freely transferred muscle and musculocutaneous flaps[edit | edit source]
- flap of the latissimi dorsi muscle + serratus anterior muscle – aa. et vv. thoracodorsales
- flap of the recti abdominis muscle – aa. et vv. epigastricae inferiores prof.
- flap of the gracilis muscle – aa. et vv. curcumflexae femoris med.
- flap of the tensor fasciae latae muscle – aa. et vv. circumflexae femoris lat. + n. cutaneus femoris lat.
Freely transferred vascularized bone grafts[edit | edit source]
- vascularized fibula – aa. et vv. peroneae
- vascularized bone graft from the iliac blade – aa. et vv. circumflexae ilium prof.
links[edit | edit source]
Related articles[edit | edit source]
- Flaps
- Local flaps
- Distant flaps
- Facial reconstruction
- Reconstruction of the nose
- Facial soft tissue injuries
- Reconstruction of the upper lip
- Reconstruction of the lower lip
- Skin transplantation
References[edit | edit source]
- MEŠŘÁK, Jan, et al. Introduction to plastic surgery. 1st edition. Prague: Charles University in Prague - Karolinum Publishing House, 2005. 125 pp. ISBN 80-246-1150-3 .
