NDLI: Application of various compositions of thoracodorsal perforator flap for craniofacial contour deformities.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Kim, Jeong-Tae Ng, Siew-Weng Kim, Youn-Hwan
Spatial Coverage	Republic of Korea
Description	Author Affiliation: Kim JT ( Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University, 17, Haengdang-Dong, Seongdong-Gu, Seoul 133-792, Republic of Korea.)
Abstract	BACKGROUND: Craniofacial contour defects are challenging to restore because they may involve multiple tissues and span several aesthetic subunits in a non-contiguous manner. Some of these deformities may be associated with significant dead space in the region of sinus and orbit. The numerous subtle contours of the craniofacial regions must be preserved or restored to achieve a pleasing outcome. PATIENT AND RESULTS: We managed six patients with various craniofacial contour deformities as a result of hemifacial microsomia, infection, post excision of venous malformation, lipodystrophy, craniectomy for chronic frontal sinusitis and infected pneumocephalus. They were reconstructed with thoracodorsal perforator flaps bearing various components, that is, adiposal, adipofascial, dermoadiposal, adipomyofascial and osteomuscular elements. Half of the flaps were in chimaeric form. The largest flap size was 11 × 17 cm. All flaps survived and no patient required secondary contouring procedure, except for cranioplasty in one patient. CONCLUSION: The thoracodorsal perforator flap is very suitable for restoration of craniofacial contour deformities. Its advantages include: (1) ease of customisation of size and thickness, (2) several choices of donor tissue from the lateral thoracic region yielding multiple tissue components, for example, adiposal, adipofascial, dermoadiposal, adipomyofascial and osteomuscular flaps, (3) presence of adjacent perforators in the thoracodorsal system, allowing chimaeric flap configuration, thereby improving adaptation to non-contiguous contour defects, (4) ability to tailor the donor and recipient vessel size match by varying how proximal to harvest along the thoracodorsal vessels, (5) primary closure of donor site and (6) flap harvesting in supine position allowing a two-team approach.
File Format	HTM / HTML
ISSN	17486815
Issue Number	7
Volume Number	64
e-ISSN	18780539
Journal	Journal of Plastic, Reconstructive & Aesthetic Surgery
Language	English
Publisher	Elsevier
Publisher Date	2011-07-01
Publisher Place	Netherlands
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline General Surgery Craniofacial Abnormalities Surgery Pectoralis Muscles Transplantation Reconstructive Surgical Procedures Methods Surgical Flaps Blood Supply Wound Healing Physiology Adipose Tissue Adolescent Adult Cohort Studies Diagnosis Etiology Esthetics Fascia Female Follow-up Studies Graft Rejection Graft Survival Humans Male Middle Aged Postoperative Complications Physiopathology Adverse Effects Republic Of Korea Retrospective Studies Risk Assessment Skin Transplantation Treatment Outcome Young Adult Comparative Study Journal Article Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Surgery

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