TY - JOUR
T1 - Closure of upper extremity soft-tissue defects using the new 'supra- crest' fasciocutaneous free flap
AU - Safak, Tunc
AU - Klebuc, Michael J
AU - Kecik, Abdullah
AU - Shenaq, Saleh M.
PY - 1997/4/1
Y1 - 1997/4/1
N2 - A fasciocutaneous island (15 x 10 cm) can be elevated from the inferolateral abdominal wall in a region encompassing the iliac crest and extending to the lower costal margin. This new fasciocutaneous flap was named the 'supra-crest flap,' in accordance with its anatomic location and vascular pattern. The blood supply stems from the direct cutaneous branches of the lumbar arteries (L2-3), which pierce the abdominal musculature approximately 2.0 cm above the iliac crest in the midaxillary line. The arteries and two vena comitantes have an average external diameter of 2.0 mm, and their dissection can be extended deep into the iliac fosa to provide a pedicle 8 or more cm in length. Two cutaneous nerves accompany the lumbar arteries, furnishing the possibility of a sensate flap. These structures have been transferred as a free flap with the donor site concealed by conventional underwear and bathing suits. Additionally, this region could be harvested as an island flap wherein the arc of rotation maybe sufficient to cover defects of the thoracic wall and lumbosacral regions.
AB - A fasciocutaneous island (15 x 10 cm) can be elevated from the inferolateral abdominal wall in a region encompassing the iliac crest and extending to the lower costal margin. This new fasciocutaneous flap was named the 'supra-crest flap,' in accordance with its anatomic location and vascular pattern. The blood supply stems from the direct cutaneous branches of the lumbar arteries (L2-3), which pierce the abdominal musculature approximately 2.0 cm above the iliac crest in the midaxillary line. The arteries and two vena comitantes have an average external diameter of 2.0 mm, and their dissection can be extended deep into the iliac fosa to provide a pedicle 8 or more cm in length. Two cutaneous nerves accompany the lumbar arteries, furnishing the possibility of a sensate flap. These structures have been transferred as a free flap with the donor site concealed by conventional underwear and bathing suits. Additionally, this region could be harvested as an island flap wherein the arc of rotation maybe sufficient to cover defects of the thoracic wall and lumbosacral regions.
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U2 - 10.1097/00006534-199704000-00039
DO - 10.1097/00006534-199704000-00039
M3 - Article
C2 - 9091919
AN - SCOPUS:0030894409
VL - 99
SP - 1154
EP - 1159
JO - Plastic and Reconstructive Surgery
JF - Plastic and Reconstructive Surgery
SN - 0032-1052
IS - 4
ER -