{"title":"头颈部手术中穿孔器皮瓣的过去、现在和未来。","authors":"Luccie M Wo, Hao-I Wei, Fu-Chan Wei","doi":"10.1016/j.coms.2024.07.003","DOIUrl":null,"url":null,"abstract":"<p><p>A perforator is a vessel that travels through muscle and perfuses the skin. Perforator flaps require intramuscular dissection and can be used as pedicled or free flap. With improved understanding of microvasculature, they can be tailored to have multiple skin paddles, multiple components, or shaped to conform to any defect. Reliable perforator flap-based reconstruction is a meticulous microvascular technique, ultimately allowing the surgeon to harvest any flap in a freestyle fashion and transplant to any recipient vessel. New technologies improve the safety and reproducibility of this type of reconstruction.</p>","PeriodicalId":53153,"journal":{"name":"Oral and Maxillofacial Surgery Clinics of North America","volume":null,"pages":null},"PeriodicalIF":1.3000,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Past, Present, and Future of Perforator Flaps in Head and Neck Surgery.\",\"authors\":\"Luccie M Wo, Hao-I Wei, Fu-Chan Wei\",\"doi\":\"10.1016/j.coms.2024.07.003\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>A perforator is a vessel that travels through muscle and perfuses the skin. Perforator flaps require intramuscular dissection and can be used as pedicled or free flap. With improved understanding of microvasculature, they can be tailored to have multiple skin paddles, multiple components, or shaped to conform to any defect. Reliable perforator flap-based reconstruction is a meticulous microvascular technique, ultimately allowing the surgeon to harvest any flap in a freestyle fashion and transplant to any recipient vessel. New technologies improve the safety and reproducibility of this type of reconstruction.</p>\",\"PeriodicalId\":53153,\"journal\":{\"name\":\"Oral and Maxillofacial Surgery Clinics of North America\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2024-08-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Oral and Maxillofacial Surgery Clinics of North America\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.coms.2024.07.003\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Oral and Maxillofacial Surgery Clinics of North America","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.coms.2024.07.003","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
The Past, Present, and Future of Perforator Flaps in Head and Neck Surgery.
A perforator is a vessel that travels through muscle and perfuses the skin. Perforator flaps require intramuscular dissection and can be used as pedicled or free flap. With improved understanding of microvasculature, they can be tailored to have multiple skin paddles, multiple components, or shaped to conform to any defect. Reliable perforator flap-based reconstruction is a meticulous microvascular technique, ultimately allowing the surgeon to harvest any flap in a freestyle fashion and transplant to any recipient vessel. New technologies improve the safety and reproducibility of this type of reconstruction.
期刊介绍:
Published four times a year—February, May, August, and November—Oral and Maxillofacial Surgery Clinics of North America updates you on the latest trends in patient management and the newest advances, as well as provides a sound basis for choosing treatment options. Under the direction of an experienced guest editor, each issue focuses on a single topic in oral and maxillofacial surgery. Topics include reconstructive surgery, implants, dentoalveolar surgery, cleft and craniofacial surgery, craniomaxillofacial trauma surgery, TMJ, and cosmetic surgery.