Department of Plastic Surgery, Institute of Reconstructive Plastic Surgery, New York University Langone Medical Center, New York 10016, USA.
J Reconstr Microsurg. 2011 Nov;27(9):531-6. doi: 10.1055/s-0031-1285991. Epub 2011 Aug 9.
We present the deep femoral artery perforator (DFAP) flap, a new perforator flap for breast reconstruction, with a detailed description of operative technique and four clinical examples. The DFAP flap allows harvest of tissue from the lower buttock and lateral thigh with similar territory to an in-the-crease inferior gluteal artery perforator (IGAP) flap but based on a different perforator. When present, the DFAP is the largest vessel supplying this territory and is often septocutaneous, facilitating dissection when compared with the IGAP flap. We used preoperative imaging with magnetic resonance angiography to assist in accurate flap planning which also permitted precise determination of perforator origin. In patients with either a contraindication to abdominal wall-based perforator flaps or weight distribution below the waist, the DFAP flap provides an alternative to the IGAP flap with an excellent pedicle and a favorable location on the lateral thigh.
我们提出了深部股动脉穿支（DFAP）皮瓣，这是一种用于乳房重建的新型穿支皮瓣，详细描述了手术技术和四个临床实例。DFAP 皮瓣允许从臀部下部和大腿外侧采集与在折痕处的臀下动脉穿支（IGAP）皮瓣相似的组织，但基于不同的穿支。当存在时，DFAP 是供应该区域的最大血管，通常是分隔皮动脉，与 IGAP 皮瓣相比，更有利于解剖。我们使用术前磁共振血管造影术进行成像，以协助精确的皮瓣规划，还可以准确确定穿支的起源。对于腹壁基于穿支皮瓣存在禁忌或体重分布在腰部以下的患者，DFAP 皮瓣为 IGAP 皮瓣提供了一种替代方案，具有良好的蒂部和大腿外侧的有利位置。
