Open AccessMosaic Fleur-de-Profunda Artery Perforator Flap for Autologous Breast Reconstruction
Author(s) -
Lynn Bourn,
Radbeh Torabi,
Mark W. Stalder,
Hugo St. Hilaire,
Robert J. Allen,
Stephen J. Delatte,
Tim Matatov,
Radmehr Torabi,
Joseph Zakhary,
Oren Tessler
Publication year - 2019
Publication title -
plastic and reconstructive surgery. global open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.759
H-Index - 28
ISSN - 2169-7574
DOI - 10.1097/gox.0000000000002166
Subject(s) - medicine , breast reconstruction , perforator flaps , surgery , medial compartment of thigh , thigh , abdomen , anatomy , breast cancer , cancer
Summary: Perforator-free flaps, in autologous breast reconstruction, have expanded to exploit tissue available at smaller donor sites while retaining high success and low risk rates. Abdominal based flaps, such as the deep inferior epigastric perforator, remain the most common; however, when the abdomen is not an appropriate donor site, lower extremity flaps are options. The profunda artery perforator has the benefit of hiding unsightly scar in the gluteal crease but has the drawback of poor donor site volume. Our mosaic fleur-de-profunda artery perforator flap technique for breast reconstruction has shown to increase volume with the addition of a vertical limb, include full angiosome of perforators, and exhibit donor site morbidity equivalent to a medial thigh lift.