A Cadaveric Study on Perforator Anatomy of the Medial Sural Artery Perforator Flap.

IF 0.7 Q4 SURGERY Indian Journal of Plastic Surgery Pub Date : 2024-03-18 eCollection Date: 2024-04-01 DOI:10.1055/s-0044-1782201
Helen Mary Titus, Sarath Radhakrishnapillai Sreedevi, Sabu Chaniveliyil Parameswaran, Lekshmi Malathi
{"title":"A Cadaveric Study on Perforator Anatomy of the Medial Sural Artery Perforator Flap.","authors":"Helen Mary Titus, Sarath Radhakrishnapillai Sreedevi, Sabu Chaniveliyil Parameswaran, Lekshmi Malathi","doi":"10.1055/s-0044-1782201","DOIUrl":null,"url":null,"abstract":"<p><p><b>Background</b>  The medial sural artery perforator (MSAP) flap was described by Cavadas et al in 2001. The aim of this study was to analyze the flap characteristics in the regional population and was planned as a cadaveric dissection study. <b>Methods</b>  Thirty-three legs of fresh cadavers were studied for perforator characteristics, length, and origin of pedicle and skin paddle thickness. Observations were documented and analyzed. <b>Results</b>  Seventeen right legs (51.5%) and sixteen left legs (48.5%) were studied. Twenty-five pedicles originated from popliteal artery (86.2%) and four (13.8%) from the common sural trunk. No perforators were seen in four legs. The mean number of perforators is 2 (0-6). The mean distance of perforator from midpoint of popliteal fossa was 10.7 cm (8-13 cm) and from posterior midline it was 3.2 cm. The mean size of the perforator was 1.1 ± 0.8 mm (0.8-1.5 mm). The mean pedicle length was 9.3 ± 1.3 cm. The mean flap thickness was 4.3 ± 0.7 mm (3.0-5.5 mm). There was no correlation for flap or perforator characteristics with side of leg. <b>Conclusion</b>  This study concludes that MSAP is a good flap in terms of perforator characteristics, pedicle length, and flap thickness, when a medium sized thin flap with long pedicle is needed. The location of perforator on calf varies in different population. Being a perforator flap, anatomical variability is common and should be thought of while choosing this flap.</p>","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"57 2","pages":"140-146"},"PeriodicalIF":0.7000,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11105813/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Plastic Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1055/s-0044-1782201","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/4/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0

Abstract

Background  The medial sural artery perforator (MSAP) flap was described by Cavadas et al in 2001. The aim of this study was to analyze the flap characteristics in the regional population and was planned as a cadaveric dissection study. Methods  Thirty-three legs of fresh cadavers were studied for perforator characteristics, length, and origin of pedicle and skin paddle thickness. Observations were documented and analyzed. Results  Seventeen right legs (51.5%) and sixteen left legs (48.5%) were studied. Twenty-five pedicles originated from popliteal artery (86.2%) and four (13.8%) from the common sural trunk. No perforators were seen in four legs. The mean number of perforators is 2 (0-6). The mean distance of perforator from midpoint of popliteal fossa was 10.7 cm (8-13 cm) and from posterior midline it was 3.2 cm. The mean size of the perforator was 1.1 ± 0.8 mm (0.8-1.5 mm). The mean pedicle length was 9.3 ± 1.3 cm. The mean flap thickness was 4.3 ± 0.7 mm (3.0-5.5 mm). There was no correlation for flap or perforator characteristics with side of leg. Conclusion  This study concludes that MSAP is a good flap in terms of perforator characteristics, pedicle length, and flap thickness, when a medium sized thin flap with long pedicle is needed. The location of perforator on calf varies in different population. Being a perforator flap, anatomical variability is common and should be thought of while choosing this flap.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
关于内侧硬膜外动脉穿孔瓣穿孔解剖的尸体研究。
背景 Cavadas 等人于 2001 年描述了内侧硬膜外动脉穿孔器(MSAP)皮瓣。本研究旨在分析该地区人群的皮瓣特征,并计划进行尸体解剖研究。方法 对新鲜尸体的 33 条腿进行了研究,以了解穿孔特征、长度、皮瓣蒂起源和皮瓣厚度。对观察结果进行记录和分析。结果 研究了 17 条右腿(51.5%)和 16 条左腿(48.5%)。二十五条腓肠肌蒂来自腘动脉(86.2%),四条(13.8%)来自硬膜总干。四条腿未见穿孔器。穿孔的平均数量为 2(0-6)个。穿孔器距离腘窝中点的平均距离为 10.7 厘米(8-13 厘米),距离后中线的平均距离为 3.2 厘米。穿孔器的平均尺寸为 1.1 ± 0.8 毫米(0.8-1.5 毫米)。基底平均长度为 9.3 ± 1.3 厘米。皮瓣平均厚度为 4.3 ± 0.7 毫米(3.0-5.5 毫米)。皮瓣或穿孔器特征与腿侧无相关性。结论 本研究得出结论,当需要一个中等大小的长蒂薄皮瓣时,MSAP 在穿孔器特征、蒂长度和皮瓣厚度方面都是一个很好的皮瓣。穿孔器在小腿上的位置因人而异。作为一种穿孔器皮瓣,解剖变异是常见的,在选择这种皮瓣时应考虑到这一点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
CiteScore
0.80
自引率
12.50%
发文量
64
审稿时长
27 weeks
期刊介绍: Indian Journal of Plastic Surgery (ISSN : 0970-0358) is biannual publication of the Association of Plastic Surgeons of India. Bibliographic listings: The journal is indexed with Bioline International, Caspur, DOAJ, EBSCO Publishing’s Electronic Databases, Expanded Academic ASAP, Genamics JournalSeek, Google Scholar, Health & Wellness Research Center, Health Reference Center Academic, Hinari, Index Copernicus, IndMed, OpenJGate, PubMed, Pubmed Central, Scimago Journal Ranking, SCOLOAR, SCOPUS, SIIC databases, SNEMB, Ulrich’s International Periodical Directory
期刊最新文献
A Decade of Transforming Journey with IJPS. Aesthetic Plastic Surgery in India Is Poised for Exponential Growth and Global Dominance. Correction of Gummy Smile: An Essential Procedure in Facial Aesthetics. Gynecomastia: The 4Dx technique. Students Have Changed; Medical Teachers Should Change Too.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1