The anatomical study for the application of profunda artery perforator flap in breast reconstruction
LIU Wen-Yue, MU Lan-Hua, ZHANG Han, CHEN Ru, ZHANG Yan, YAN Xi-Ping
Chinese Journal of Clinical Anatomy ›› 2014, Vol. 32 ›› Issue (4) : 384-386.
The anatomical study for the application of profunda artery perforator flap in breast reconstruction
Objective To provide anatomic basis for the application of profunda artery perforator flap (PAP) in breast reconstruction. Methods Ten fresh human cadaveric thighs underwent a intraarterial injection of a lead oxide or latex preparation and dissected. The pattern of vascular distribution in the posterior thigh region was observed, and data relevant (the number of perforators, diameters of the arteries and veins accompanying, pedicle length) was measured. Results were reported as Mean±SD. Based on the anatomical basis above, Surgical simulation was proceeded. Results The first perforating artery of the profunda femoris artery gave rise to 4 to 9 cutaneous perforators (most myocutaneous ), and most of the dominant perforators which were located in the posteromedial thigh descended from the descending branch of the first perforating artery. The pedicle length was (10.6±2.6) cm, the average external diameter was (2.2±1.0) cm, and the external diameter of concomitant veins were (1.8±0.8)mm and (2.1±1.8)mm. Conclusions Regardless of the vascular variety of PAP flap, the first perforating artery of the profunda femoris artery plays an important role on its blood supply. However, more research need to be conducted to guarantee the safety and accuracy of procedure.
Posterior thigh / PAP / The first perforating artery / Breast reconstruction
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