| Paramuscular and paraneural perforators in DIEAP flaps: radiographic findings and clinical application. | |
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MedLine Citation:
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PMID: 19816152 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The computed tomography microangiography revolutionized the planning of abdominal flaps, and enabled us to identify perforators from the deep inferior epigastric system with a medial extramuscular or minimal medial intramuscular trajectory. We define these perforators as paramuscular and paraneural, since their main course is retromuscular and they emerge medial to the medial border of rectus muscle or medial to its motor nerve supply, respectively. Studying the different perforator distributions in the abdomen of 58 patients who underwent breast reconstruction with deep inferior epigastric artery perforator flap, we have recorded that 46.4% of the abdominal walls have a dominant paramuscular/paraneural perforator (25.8% paramuscular and 20.6% paraneural) with an average diameter 1.56 +/- 0.2 mm. Although, the comparison of the rectus muscle morbidity following deep inferior epigastric artery perforator flap dissection based on paramuscular/paraneural and based on other perforator patterns, did not reveal significant differences, paraneural/paramuscular type perforators are not related anatomically to the motor nerves, and the donor site morbidity should be negligible in any operator's hands. |
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Authors:
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Andreas Gravvanis; Dimitris D Dionyssiou; Lekha Chandrasekharan; Ian Francis; Roger W Smith |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Annals of plastic surgery Volume: 63 ISSN: 1536-3708 ISO Abbreviation: Ann Plast Surg Publication Date: 2009 Dec |
Date Detail:
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Created Date: 2009-11-25 Completed Date: 2010-02-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7805336 Medline TA: Ann Plast Surg Country: United States |
Other Details:
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Languages: eng Pagination: 610-5 Citation Subset: IM |
Affiliation:
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Department of Plastic Surgery, Queen Victoria Hospital, Foundation Trust, NHS, West Sussex, United Kingdom. gravvani@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abdominal Wall
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blood supply* Angiography / methods Dissection Humans Mammaplasty Middle Aged Rectus Abdominis / blood supply, innervation Retrospective Studies Surgical Flaps / blood supply* Tomography, X-Ray Computed |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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