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Freestyle perforator flaps: an innovative approach to soft tissue reconstruction
Author(s) -
Brunetti Beniamino,
Campa Stefano,
Tenna Stefania,
Pallara Tiziano,
Persichetti Paolo
Publication year - 2015
Publication title -
dermatologic therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.595
H-Index - 68
eISSN - 1529-8019
pISSN - 1396-0296
DOI - 10.1111/dth.12210
Subject(s) - medicine , soft tissue , plastic surgery , basal cell carcinoma , perforator flaps , surgery , skin cancer , reconstructive surgeon , basal cell , sarcoma , reconstructive surgery , cancer , pathology
Resurfacing of soft tissue defects consequent to skin cancer, melanoma, or sarcoma excision in different anatomical districts represents a difficult challenge for the plastic surgeon. Classic reconstructive procedures are frequently charged by unsatisfactory results. The introduction of perforator flaps in the clinical practice represented a revolution in the field of reconstructive plastic surgery. The technique further evolved with the introduction of the freestyle concept, allowing one to harvest a skin flap from any region of the body where an appropriate and detectable D oppler signal is present and to resurface soft tissue defects mobilizing the surrounding tissues, which present similar features compared with the recipient site in terms of color and texture, on a consistent vascular source and in a tension‐free manner. The authors present their personal approach to the reconstruction of soft tissue defects after excision for a basal cell carcinoma involving the medial tibial region.