The progress of the anatomical study of perforator flaps / 中华整形外科杂志

ABSTRACT

Based on literature review and comparative studies, the most useful anatomical method that were convenient for both medical researchers and surgeons were introduced. Practical examples were used to illustrate how to gather and rectify the information of the perforating vessels and to design a perforator flap. In addition, the survival mechanisms of cross-territory perforator flap and modalities that can be used to promote the flap survival were also reviewed. Previous research showed ①The position, diameter, pedicle length, axiality, and vascular territory of a specific perforator were important parameters for observation. ②The traditional cadaveric study and the X-ray examination of post-perfusion cadaveric specimens could provide two-dimensional information about the perforating vessels. CT angiography could provide more accurate information of the perforators. Adjacent structures could be clearly revealed when the data of CT angiography was dealt with the MIMICS software. ③The survival of the cross-territory perforator flap could be enhanced by various different maneuvers. How to reconstruct the new blood circulation system in the multi perforator cross zone flap is a research hotspot and challenges in the study of anatomy. It is necessary to work closely with the surgeons.