Propeller flaps are local flaps based either on a subcutaneous pedicle, a single perforator, or vessels entering the flap in such a way so as to allow the flap to rotate on their axis. Depending on the kind of pedicle and the anatomical area, the preoperative investigation and the harvesting techniques may vary. An adequate knowledge of skin and subcutaneous tissue perfusion in the different areas of the body is very important to plan a propeller flap to be successful. The surgeon should begin by finding the most suitable perforators in the area surrounding the defect using available technology. The position, size, and shape of the flap are planned about this point. For perforator-pedicled propeller flaps, the procedure starts with an exploration from the margins of the defect or through a dedicated incision to visualize any perforators in the surroundings. The most suitable perforator is selected and isolated, the skin island is replanned, and the flap is harvested and rotated into the defect. The variations in surgical technique for other types of propellers and in specific anatomical areas are also described. Compared with free flaps, propeller flaps have the advantage of a simpler, shorter operation, without the need for a recipient vessel for microanastomosis. Yet, from a technical point of view, an adequate experience in dissecting perforators and the use of magnifying glasses are almost always required.

How to Design and Harvest a Propeller Flap / Pignatti, Marco; Pinto, Valentina; Docherty Skogh, Ann-Charlott; Giorgini, Federico Armando; Cipriani, Riccardo; De Santis, Giorgio; Hallock, Geoffrey G. - In: SEMINARS IN PLASTIC SURGERY. - ISSN 1535-2188. - 34:3(2020), pp. 152-160-160. [10.1055/s-0040-1714271]

How to Design and Harvest a Propeller Flap

Pignatti, Marco;Pinto, Valentina;De Santis, Giorgio;
2020

Abstract

Propeller flaps are local flaps based either on a subcutaneous pedicle, a single perforator, or vessels entering the flap in such a way so as to allow the flap to rotate on their axis. Depending on the kind of pedicle and the anatomical area, the preoperative investigation and the harvesting techniques may vary. An adequate knowledge of skin and subcutaneous tissue perfusion in the different areas of the body is very important to plan a propeller flap to be successful. The surgeon should begin by finding the most suitable perforators in the area surrounding the defect using available technology. The position, size, and shape of the flap are planned about this point. For perforator-pedicled propeller flaps, the procedure starts with an exploration from the margins of the defect or through a dedicated incision to visualize any perforators in the surroundings. The most suitable perforator is selected and isolated, the skin island is replanned, and the flap is harvested and rotated into the defect. The variations in surgical technique for other types of propellers and in specific anatomical areas are also described. Compared with free flaps, propeller flaps have the advantage of a simpler, shorter operation, without the need for a recipient vessel for microanastomosis. Yet, from a technical point of view, an adequate experience in dissecting perforators and the use of magnifying glasses are almost always required.
2020
22-set-2020
34
3
152-160
160
How to Design and Harvest a Propeller Flap / Pignatti, Marco; Pinto, Valentina; Docherty Skogh, Ann-Charlott; Giorgini, Federico Armando; Cipriani, Riccardo; De Santis, Giorgio; Hallock, Geoffrey G. - In: SEMINARS IN PLASTIC SURGERY. - ISSN 1535-2188. - 34:3(2020), pp. 152-160-160. [10.1055/s-0040-1714271]
Pignatti, Marco; Pinto, Valentina; Docherty Skogh, Ann-Charlott; Giorgini, Federico Armando; Cipriani, Riccardo; De Santis, Giorgio; Hallock, Geoffrey G
File in questo prodotto:
File Dimensione Formato  
10-1055-s-0040-1714271_01256-1.jpg

Accesso riservato

Tipologia: Versione pubblicata dall'editore
Dimensione 220.31 kB
Formato JPEG
220.31 kB JPEG   Visualizza/Apri   Richiedi una copia
Pubblicazioni consigliate

Licenza Creative Commons
I metadati presenti in IRIS UNIMORE sono rilasciati con licenza Creative Commons CC0 1.0 Universal, mentre i file delle pubblicazioni sono rilasciati con licenza Attribuzione 4.0 Internazionale (CC BY 4.0), salvo diversa indicazione.
In caso di violazione di copyright, contattare Supporto Iris

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11380/1212217
Citazioni
  • ???jsp.display-item.citation.pmc??? 2
  • Scopus 10
  • ???jsp.display-item.citation.isi??? 8
social impact