Anatomical comparison among the anterolateral thigh, the parascapular, and the lateral arm flaps

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Citações na Scopus
13
Tipo de produção
article
Data de publicação
2015
Título da Revista
ISSN da Revista
Título do Volume
Editora
WILEY-BLACKWELL
Citação
MICROSURGERY, v.35, n.5, p.387-392, 2015
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
ObjectiveThis study aims to compare the major anatomical aspects among anterolateral thigh, parascapular and lateral arm flaps. MethodsSixty flaps were dissected in 20 human cadavers, comparing their vascular pedicle length, flap thickness and arterial/venous pedicle diameters. ResultsThe vascular pedicle length (from the origin of the vascular pedicle to its entry into the skin flap) of anterolateral thigh flap (13.433.92 cm, lateral circumflex femoral artery) was longer than parascapular (9.07 +/- 1.20 cm, circumflex scapular artery) and lateral arm flap (8.90 +/- 1.65 cm, posterior collateral radial artery) (P<0.001). The thickness of lateral arm flap (6.32 +/- 2.33 mm) was lesser than parascapular (8.59 +/- 2.93 mm) and anterolateral thigh flap (9.30 +/- 3.54 mm) (P<0.001). The arterial/venous pedicle diameters of lateral arm flap (2.37 +/- 0.69 mm / 2.61 +/- 0.74 mm) were lesser than parascapular (3.46 +/- 0.80 mm / 4.07 +/- 0.87 mm) and anterolateral thigh flap (3.26 +/- 0.74 mm / 3.87 +/- 0.70 mm) (P<0.001). ConclusionsThe vascular pedicle length of anterolateral thigh flap was the longest and that lateral arm flap presented a pedicle with the smallest arterial and venous diameters, in addition to being the thinnest flap. (c) 2014 Wiley Periodicals, Inc. Microsurgery 35:387-392, 2015.
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