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'''Loose/Free [[Flaps]]''' are in the domain of [[microsurgery]].
'''Loose/Free [[flaps]]''' are the domain of [[microsurgery]].
* axial flaps: cutaneous, fasciocutaneous, muscular, musculocutaneous
* axial flaps: cutaneous, fasciocutaneous, muscular, musculocutaneous
* loose flap transfer : completely separated from the donor site and sewn with a vascular pedicle to the vessels around the defect → sewn to the destination
* loose flap transfer : completely separated from the donor site and sewn with a vascular pedicle to the vessels around the defect → sewn to the destination
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=== Freely transferred skin flaps ===
=== Freely transferred skin flaps ===
* ''Inguinal Flap'' – aa. et vv. circumflexae ilium superficial.
* ''inguinal flap'' – aa. et vv. circumflexae ilium superficial.
* ''flap from the dorsum'' of the leg – aa. et vv. dors. pedis
* ''flap from the dorsum'' of the leg – aa. et vv. dors. pedis
* ''scapular lobe'' – aa. et vv. circumflexae scapulae
* ''scapular flap'' – aa. et vv. circumflexae scapulae
* ''lobe from the radial side of the forearm ''– aa. et vv. radiales + n. cutaneus antebrachii (preservation of sensitivity)
* ''flap from the radial side of the forearm ''– aa. et vv. radiales + n. cutaneus antebrachii (preservation of sensitivity)


=== Freely transferred muscle and musculocutaneous flaps ===
=== Freely transferred muscle and musculocutaneous flaps ===
* ''flap of the latissimi dorsi + serratus anterior muscle'' – aa. et vv. thoracodorsals
* ''flap of the latissimi dorsi muscle + serratus anterior muscle'' – aa. et vv. thoracodorsales
* ''flap of the recti abdominis muscle'' – aa. et vv. epigastricae inferiores prof.
* ''flap of the recti abdominis muscle'' – aa. et vv. epigastricae inferiores prof.
* ''flap of the gracilis muscle'' – aa. et vv. curcumflexae femoris med.
* ''flap of the gracilis muscle'' – aa. et vv. curcumflexae femoris med.

Latest revision as of 16:48, 15 January 2023

Loose/Free flaps are the domain of microsurgery.

  • axial flaps: cutaneous, fasciocutaneous, muscular, musculocutaneous
  • loose flap transfer : completely separated from the donor site and sewn with a vascular pedicle to the vessels around the defect → sewn to the destination
  • vascular bundle of the flap: artery + 1 / 2 vein

Freely transferred skin flaps[edit | edit source]

  • inguinal flap – aa. et vv. circumflexae ilium superficial.
  • flap from the dorsum of the leg – aa. et vv. dors. pedis
  • scapular flap – aa. et vv. circumflexae scapulae
  • flap from the radial side of the forearm – aa. et vv. radiales + n. cutaneus antebrachii (preservation of sensitivity)

Freely transferred muscle and musculocutaneous flaps[edit | edit source]

  • flap of the latissimi dorsi muscle + serratus anterior muscle – aa. et vv. thoracodorsales
  • flap of the recti abdominis muscle – aa. et vv. epigastricae inferiores prof.
  • flap of the gracilis muscle – aa. et vv. curcumflexae femoris med.
  • flap of the tensor fasciae latae muscle – aa. et vv. circumflexae femoris lat. + n. cutaneus femoris lat.

Freely transferred vascularized bone grafts[edit | edit source]

  • vascularized fibula – aa. et vv. peroneae
  • vascularized bone graft from the iliac blade – aa. et vv. circumflexae ilium prof.


links[edit | edit source]

Related articles[edit | edit source]

References[edit | edit source]

  • MEŠŘÁK, Jan, et al. Introduction to plastic surgery. 1st edition. Prague: Charles University in Prague - Karolinum Publishing House, 2005. 125 pp.  ISBN 80-246-1150-3 .