TY - JOUR AU - 김정태 DA - 2015/05 PY - 2015 UR - http://ovidsp.tx.ovid.com/sp-3.23.1b/ovidweb.cgi?QS2=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 UR - http://hdl.handle.net/20.500.11754/24991 AB - Background: Reconstructive surgery has entered a "perforator flap era" with more surgeons performing successful perforator flap procedures. The perforator-based island flap is an extension of this perforator concept and one of the most successful. In perforator-rich or -reliable areas, this allows for primary closure of the donor site and the construction of highly customized flaps with little tissue waste. Methods: The authors present a design modification of the perforator-based island flap used in 73 patients who underwent heart balloon perforator-based island flap reconstruction between 2008 and 2012. Results: There were no reported cases of total flap necrosis. Marginal necrosis of the flap was noted in three cases, which resolved with simple dressings. The donor sites were closed primarily in all cases. Conclusions: The heart balloon perforator-based island flap enables tension-free closure of the donor site, reduces donor-site complications, and minimizes tissue waste. The resulting shape resembles a heart and gives rise to the flap's name. Key principles for success are perforators close to the defect, a flap axis that allows for primary donor-site closure, flap border adjacent to the defect that is smaller than the postresection defect, flap harvest until an adequate arc of rotation is obtained, primary closure of the donor site before flap inset, and preservation of a triangular area between the proximal apex of the flap and the defect. PB - LIPPINCOTT WILLIAMS & WILKINS KW - LATISSIMUS-DORSI KW - RECONSTRUCTION KW - DEFECTS TI - An Improved Perforator-Based Island Flap: The Heart Balloon Flap IS - 5 VL - 135 DO - 10.1097/PRS.0000000000001153 T2 - PLASTIC AND RECONSTRUCTIVE SURGERY ER -