Mohammad Alsheshi, Khalid El-Maaytah, Mohammed Abu Ashour, Edmond Ritter, Khaled El-Qawaqzeh
{"title":"Enhancing Viability of Internal Mammary Artery Perforator Flaps Using Delay Phenomenon: Alsheshi Technique.","authors":"Mohammad Alsheshi, Khalid El-Maaytah, Mohammed Abu Ashour, Edmond Ritter, Khaled El-Qawaqzeh","doi":"10.1097/SAP.0000000000004307","DOIUrl":null,"url":null,"abstract":"<p><strong>Abstract: </strong>The introduction of perforator flaps in 1989 opened new possibilities for reconstruction, allowing for primary closure of the donor site and providing superior functional and cosmetic outcomes. This case details the successful application of the delay phenomenon to internal mammary artery perforator flap reconstruction in a left posterior neck third-degree burn victim. This technique enabled us to 1) reliably harvest a long internal mammary artery perforator flap on a single vessel without congestion and 2) maximize aesthetics.</p>","PeriodicalId":8060,"journal":{"name":"Annals of Plastic Surgery","volume":" ","pages":"433-436"},"PeriodicalIF":1.6000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of Plastic Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/SAP.0000000000004307","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/2/17 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Abstract: The introduction of perforator flaps in 1989 opened new possibilities for reconstruction, allowing for primary closure of the donor site and providing superior functional and cosmetic outcomes. This case details the successful application of the delay phenomenon to internal mammary artery perforator flap reconstruction in a left posterior neck third-degree burn victim. This technique enabled us to 1) reliably harvest a long internal mammary artery perforator flap on a single vessel without congestion and 2) maximize aesthetics.
期刊介绍：
The only independent journal devoted to general plastic and reconstructive surgery, Annals of Plastic Surgery serves as a forum for current scientific and clinical advances in the field and a sounding board for ideas and perspectives on its future. The journal publishes peer-reviewed original articles, brief communications, case reports, and notes in all areas of interest to the practicing plastic surgeon. There are also historical and current reviews, descriptions of surgical technique, and lively editorials and letters to the editor.
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