Combined sliding flap using a single perforator enables simple closure of the donor site: A case report

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• 作者：Yoko Katsuragi ; Hirohisa Katagiri ; Shogo Nagamatsu ; Shuji Kayano ; Takuya Koizumi ; Takahiro Matsui ; Tatsuya Takagi ; Hideki Murata ; Dai Ogata ; Mitsuru Takahashi ; Masahiro Nakagawa
• 关键词：Perforator flap ; Sliding flap ; Anterolateral thigh ; Dermatofibrosarcoma protuberans ; Donor-site morbidity
• 刊名：Journal of Plastic, Reconstructive Aesthetic Surgery
• 出版年：2010
• 出版时间：June 2010
• 年：2010
• 卷：63
• 期：6
• 页码：e543-e546
• 全文大小：593 K

文摘

Summary

We report the case of a 39-year-old man with a dermatofibrosarcoma protuberans (DFSP) on the right shoulder. A wide surgical excision of the tumour was performed, creating a 12-cm-wide defect. An anterolateral thigh flap created from two semicircular skin paddles was harvested and the two skin paddles were slid towards each other to cover the circular defect. The sliding technique is a useful design that preserves the suprafascial plexus and enables a single perforator to supply two split-skin paddles. Using this design, the donor site can be closed primarily without requiring a skin graft. This technique can be applied to other free flaps to reconstruct wide defects after the resection of cancers.