flap classification
TRANSCRIPT
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Flap classification
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Methods of classification
• Composition– Skin +/- fascia– Muscle (+/- innervation)– Bone– Omentum / viscera– Composite
• Proximity to defect• Method of movement• Vascular anatomy
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Proximity to defect
• Local• Regional• Distant• Free
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Arterial supply of the skin
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Method of movement• Advancement• Transposition• Rotation• Interpolation• Waltzing
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Fascio/cutaneous flaps
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Type AType A
Direct cutaneous Direct cutaneous pediclepedicle
Type BType B
Fasciocutaneous Fasciocutaneous pediclepedicle
Type CType C
Musculocutaneous Musculocutaneous pediclepedicle
Deep external pudendalDeep external pudendal
Digital arteryDigital artery
Dorsal metacarpalDorsal metacarpal
GlutealGluteal
GroinGroin
Lateral thoracicLateral thoracic
PudendalPudendal
SaphenousSaphenous
ScalpScalp
ForeheadForehead
Superficial external Superficial external pudendalpudendal
Superficial inferior epigastricSuperficial inferior epigastric
SuralSural
Temporoparietal fasciaTemporoparietal fascia
ALTALT
Anterior + posterior tibialAnterior + posterior tibial
DeltoidDeltoid
Dorsalis pedisDorsalis pedis
Inferior cubital (antecubital)Inferior cubital (antecubital)
Lateral + medial armLateral + medial arm
Lateral + medial plantarLateral + medial plantar
Lateral + medial thighLateral + medial thigh
PeronealPeroneal
Posterior interosseousPosterior interosseous
Radial + recurrentRadial + recurrent
ScapularScapular
UlnarUlnar
ALTALT
DeptopectoralDeptopectoral
NasolabialNasolabial
Median foreheadMedian forehead
Thoracoepigastric Thoracoepigastric (transverse abdominal)(transverse abdominal)
Transverse backTransverse back
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Musculocutaneous flaps
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I One I One vascular vascular pediclepedicle
II Dominant II Dominant vascular vascular pedicle + pedicle + minor minor pediclepedicle
III Two III Two dominant dominant pediclespedicles
IV IV Segmental Segmental supplysupply
V Dominant V Dominant vascular vascular pedicle + pedicle + secondary secondary segmental segmental pediclespedicles
ColonColon
JejunumJejunum
DCIADCIA
GastrocsGastrocs
TFLTFL
Vastus Vastus lateralislateralis
GracilisGracilis
HamstringsHamstrings
SoleusSoleus
SCMSCM
TrapeziusTrapezius
Omentum Omentum Gluteus Gluteus maximusmaximus
Pec minorPec minor
RectusRectus
Serratus Serratus anterioranterior
TemporalisTemporalis
EDL, EHL, EDL, EHL, FDL, FHLFDL, FHL
Tibialis antTibialis ant
SartoriusSartorius
External External obliqueoblique
FibulaFibula
Lat dorsiLat dorsi
Pec majorPec major