Soft Tissue Coverage of the Upper Extremity with Free Thinned Perforator Flaps: Unsolved Mysteries
Mohamed A. Ellabban, MD, MRCS, FEBOPRAS, Suez Canal University, Ismailia, Egypt
Free Perforator flaps become a reliable option for coverage of medium to large size defects of the upper extremity. With technical advancements in perforator flaps, the focus is shifting from flap survival to making the aesthetic flaps. Flap thinning has been recently attempted because bulky flaps are aesthetically unacceptable and result in poor function. Multiple flap thinning methods have been developed, however they have not been widely used because of concerns about compromising circulation of flap thinning. The presentation will address a number of contentious issues surrounding flap thinning procedures and their impact on surgical outcomes.
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