Analysis of the distribution of cutaneous perforators in cutaneous flaps

N. John Yousif*, Zhong Ye, Brad K. Grunert, Arun K. Gosain, Hani S. Matloub, James R. Sanger

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

40 Scopus citations

Abstract

An anatomic and statistical analysis was performed on the distribution of cutaneous perforators that perfuse the scapular, radial forearm, and lateral arm cutaneous flaps. Perforators were categorized as direct, terminal, and intransit, depending upon perforator origin and termination site relative to the source artery. Statistical cluster analysis of perforator distributions was performed to determine the regions in which cutaneous perforators are consistently found. The scapular and radial forearm flaps could be divided into up to three well-perfused segments. The analysis predicted the possibility of dividing the lateral arm flap into as many as seven segments while maintaining perfusion. Clinical applications of this method for preoperative flap design and elevation as well as final results are shown.

Original languageEnglish (US)
Pages (from-to)72-84
Number of pages13
JournalPlastic and Reconstructive Surgery
Volume101
Issue number1
DOIs
StatePublished - Jan 1 1998

ASJC Scopus subject areas

  • Surgery

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