Abstract
A thin profunda artery perforator flap harvested from the left thigh is shown in this video. Preoperative computed tomographic angiography is used to assess morphology of the perforators and its branches, pedicle length and vertical location of the two branches from the ischial tuberosity. These measurements are translated on to the patient. Locations of both branches are confirmed with a handheld doppler. The authors concluded that preoperative computed tomographic angiography is a useful technique to provide detailed anatomic information on morphology of perforators, course through the septum or muscle above the deep fascia and skin thickness. Computed tomographic angiography allows quick and easy assessment of the whole vascular anatomy of the leg and helps to arrive at the decision about selection of the best flaps based on the characteristics of the defect and on the individual anatomy of the patient.
Highlights
A thin profunda artery perforator flap harvested from the left thigh is shown in this video
The first perforator of the adductor magnus muscle is divided in two branches just above the deep fascia
Flap elevation begins with an incision in the anterior margin of the flap to the superficial fascia layer, preserving the superficial vein
Summary
Flap elevation begins with an incision in the anterior margin of the flap to the superficial fascia layer, preserving the superficial vein. The Thin Profunda Artery Perforator Flap: Customized Design and Harvest Susana Heredero, MD, PhD*; María Isabel Falguera-Uceda, MD; Alba Sanjuan, MD Department of Oral and Maxillofacial Surgery, Hospital Universitario Reina Sofía, Córdoba, Spain A thin profunda artery perforator flap harvested from the left thigh is shown in this video.
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