Journal of Plastic, Reconstructive & Aesthetic Surgery
Volume 60, Issue 8 , Pages 883-887 , August 2007

The keystone design perforator island flap. Part I: Anatomic study

  • Philippe Pelissier

      Affiliations

    • Service de Chirurgie Plastique, Hôpital Pellegrin-Tondu, 33076 Bordeaux, France
    • Laboratoire d'Anatomie, Université Bordeaux2 – UFR 2, 146, rue Léo Saignat, 33076 Bordeaux, France
    • Corresponding Author InformationCorresponding author. Address: Service de Chirurgie Plastique, Hôpital Pellegrin-Tondu, Place Amelie Raba-Leon, 33076 Bordeaux, France. Tel.: +33 5 56 79 55 48; fax: +33 5 56 79 56 87.
    • ,
  • Max Santoul

      Affiliations

    • Collège Français de Chirurgie Dermatologique, 16, Avenue d'Iena, 75016 Paris, France
    • ,
  • Vincent Pinsolle

      Affiliations

    • Laboratoire d'Anatomie, Université Bordeaux2 – UFR 2, 146, rue Léo Saignat, 33076 Bordeaux, France
    • ,
  • Vincent Casoli

      Affiliations

    • Service de Chirurgie Plastique, Hôpital Pellegrin-Tondu, 33076 Bordeaux, France
    • Laboratoire d'Anatomie, Université Bordeaux2 – UFR 2, 146, rue Léo Saignat, 33076 Bordeaux, France
    • ,
  • Felix Behan

      Affiliations

    • Reconstructive Plastic Surgery Unit, Western Hospital, Footscray, Victoria, Australia
    • Peter MacCallum Cancer Institute, Melbourne, Australia

Received 8 June 2006 ,Accepted 24 January 2007.

References 

  1. Behan FC. The keystone design perforator island flap in reconstructive surgery. ANZ J Surg. 2003;73:112–120
  2. Bang H, Kojima T, Hayashi H. Palmar advancement flap with V-Y closure for thumb tip injuries. J Hand Surg. 1992;17A:933–934
  3. Kojima T, Kinoshita Y, Hirase Y, et al. Extended palmar advancement flap with V-Y closure for finger injuries. Br J Plast Surg. 1994;47:275–279
  4. Pontes L, Ribeiro M, Vrancks JJ, et al. The new bilaterally pedicled V-Y advancement flap for face reconstruction. Plast Reconstr Surg. 2002;109:1870–1874
  5. Houseman ND, Taylor GI, Pan WR. The angiosomes of the head and neck: anatomic study and clinical applications. Plast Reconstr Surg. 2000;105:2287–2313
  6. Inoue Y, Taylor GI. The angiosomes of the forearm: anatomic study and clinical implications. Plast Reconstr Surg. 1996;98:195–210
  7. Taylor GI, Minabe T. The angiosomes of the mammals and other vertebrates. Plast Reconstr Surg. 1992;89:181–215
  8. Taylor GI, Pan WR. Angiosomes of the leg: anatomic study and clinical implications. Plast Reconstr Surg. 1998;102:599–616
  9. Bertelli JA, Catarina S. Neurocutaneous island flaps in upper limb coverage: experience with 44 clinical cases. J Hand Surg. 1997;22A:515–526
  10. Bertelli JA. Neurocutaneous axial island flaps in the forearm: anatomical, experimental and preliminary clinical results. Br J Plast Surg. 1993;46:489–496
  11. Bertelli JA, Pagliei A. The neurocutaneous flap based on the dorsal branches of the ulnar artery and nerve: a new flap for extensive reconstruction of the hand. Plast Reconstr Surg. 1998;101:1537–1543
  12. Taylor GI, Gianoutsos MP, Morris SF. The neurovascular territories of the skin and muscles: anatomic study and clinical implications. Plast Reconstr Surg. 1994;94:1–36
  13. Nakajima H, Imanishi N, Fukuzumi S, et al. Accompanying arteries of the cutaneous veins and cutaneous nerves in the extremities: anatomical study and a concept of the venoadipofascial and/or neuroadipofascial pedicled fasciocutaneous flap. Plast Reconstr Surg. 1998;102:779–791
  14. Nakajima H, Imanishi N, Fukuzumi S, et al. Accompanying arteries of the lesser saphenous vein and sural nerve: anatomic study and its clinical applications. Plast Reconstr Surg. 1999;103:104–120
  15. Taylor GI, Caddy CM, Watterson PA, et al. The venous territories (venosomes) of the human body: experimental study and clinical implications. Plast Reconstr Surg. 1990;86:185–213
  16. Del Pinal F, Taylor GI. The venous drainage of nerves; anatomical study and clinical implications. Br J Plast Surg. 1990;43:511–520
  17. Niranjan NS, Price RD, Govilkar P. Fascial feeder and perforator-based V-Y advancement flaps in the reconstruction of lower limb defects. Br J Plast Surg. 2000;53:679–689
  18. Geh JL, Niranjan NS. Perforator-based fasciocutaneous island flaps for the reconstruction of axillary defects following excision of hidradenitis suppurativa. Br J Plast Surg. 2002;55:124–128

☆ Presented at the 50th Annual Meeting of the Société Française de Chirurgie Plastique, Esthétique et Reconstructrice, Paris, 2005.

PII: S1748-6815(07)00181-7

doi: 10.1016/j.bjps.2007.01.072

Journal of Plastic, Reconstructive & Aesthetic Surgery
Volume 60, Issue 8 , Pages 883-887 , August 2007

Article Tools

* Image Usage & Resolution