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Perforator-based island flap with a peripheral muscle patch for coverage of sacral sores

Title
Perforator-based island flap with a peripheral muscle patch for coverage of sacral sores
Author
이장현
Keywords
Perforator flap; Muscle flap; Island flap; Sacral sore
Issue Date
2016-04
Publisher
ELSEVIER SCI LTD
Citation
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, v. 69, NO 6, Page. 777-782
Abstract
Despite numerous therapeutic advances, the treatment of pressure sores remains a challenge. The increased use of perforator flaps enables surgeons to minimize donor-site morbidity by sparing the underlying muscle. In the presence of focal deep spaces, however, the inclusion of muscle would be beneficial. The goal of this study was to introduce a method for including a muscle patch at the periphery of a perforator-based island flap for coverage of sacral pressure sores. Between March 2010 and February 2015, 26 patients with stage IV sacral sores underwent perforator-based island flap reconstruction with a peripheral muscle patch. Patient characteristics, including sex, age, defect size, and postoperative complications, were recorded. All flaps survived without major complications. No flap necrosis was noted. The present study shows that a muscle patch incorporated into the periphery of a perforator-based flap can be transferred safely. This can be a good surgical option in cases where infection control or more volume is needed. (C) 2016 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
URI
https://www.sciencedirect.com/science/article/pii/S1748681516001170?via%3Dihubhttp://hdl.handle.net/20.500.11754/48599
ISSN
1748-6815; 1878-0539
DOI
10.1016/j.bjps.2016.03.006
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > ETC
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