{"title":"腋窝穿支皮瓣的解剖和外科基础","authors":"Liliana Scarpinelli, Santiago Goñi","doi":"10.4321/s0376-78922021000300007","DOIUrl":null,"url":null,"abstract":"and inferior external quadrants; 12 of them, rice from axillar artery as direct branches; 6 of them, rice from collateral arteries: 4 from lateral thoracic artery, and 2 from thoracodorsal artery. Using doppler flowmetry in 30 axilas from volunteer people, we found more arteries at internal-inferior and external-superior localizations Finally, in 7 cases operated on with reconstructive surgery, the dissections rea - ched 3-4 cm length; as a result, we could not observe the origin of the vessels. Conclusions . The CPA is very useful in severe scar sequels due to burns in the chest and upper limb. The dome axillary anatomy respects it to a great extent in these patients, functioning as a donor site present in 90% of cases as an advantage over other flaps. Although it is not necessary to dissect to the origin of the perforator, knowing its origin provides greater security since the burned tissue does not respect normal anatomy. Our study provides greater precision in the marking and finding of perforators to accelerate their dissection, obtain a longer pedicle to reach distant areas and replace a larger tissue surface.","PeriodicalId":38735,"journal":{"name":"Cirugia Plastica Ibero-Latinoamericana","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Bases anatomicas y quirúrgicas del colgajo de perforante axilar\",\"authors\":\"Liliana Scarpinelli, Santiago Goñi\",\"doi\":\"10.4321/s0376-78922021000300007\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"and inferior external quadrants; 12 of them, rice from axillar artery as direct branches; 6 of them, rice from collateral arteries: 4 from lateral thoracic artery, and 2 from thoracodorsal artery. Using doppler flowmetry in 30 axilas from volunteer people, we found more arteries at internal-inferior and external-superior localizations Finally, in 7 cases operated on with reconstructive surgery, the dissections rea - ched 3-4 cm length; as a result, we could not observe the origin of the vessels. Conclusions . The CPA is very useful in severe scar sequels due to burns in the chest and upper limb. The dome axillary anatomy respects it to a great extent in these patients, functioning as a donor site present in 90% of cases as an advantage over other flaps. Although it is not necessary to dissect to the origin of the perforator, knowing its origin provides greater security since the burned tissue does not respect normal anatomy. Our study provides greater precision in the marking and finding of perforators to accelerate their dissection, obtain a longer pedicle to reach distant areas and replace a larger tissue surface.\",\"PeriodicalId\":38735,\"journal\":{\"name\":\"Cirugia Plastica Ibero-Latinoamericana\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2021-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Cirugia Plastica Ibero-Latinoamericana\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4321/s0376-78922021000300007\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cirugia Plastica Ibero-Latinoamericana","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4321/s0376-78922021000300007","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
Bases anatomicas y quirúrgicas del colgajo de perforante axilar
and inferior external quadrants; 12 of them, rice from axillar artery as direct branches; 6 of them, rice from collateral arteries: 4 from lateral thoracic artery, and 2 from thoracodorsal artery. Using doppler flowmetry in 30 axilas from volunteer people, we found more arteries at internal-inferior and external-superior localizations Finally, in 7 cases operated on with reconstructive surgery, the dissections rea - ched 3-4 cm length; as a result, we could not observe the origin of the vessels. Conclusions . The CPA is very useful in severe scar sequels due to burns in the chest and upper limb. The dome axillary anatomy respects it to a great extent in these patients, functioning as a donor site present in 90% of cases as an advantage over other flaps. Although it is not necessary to dissect to the origin of the perforator, knowing its origin provides greater security since the burned tissue does not respect normal anatomy. Our study provides greater precision in the marking and finding of perforators to accelerate their dissection, obtain a longer pedicle to reach distant areas and replace a larger tissue surface.
期刊介绍:
Su área de interés científico abarca todo el amplio campo de la Cirugía Plástica, Estética y Reparadora, Quemados, Microcirugía, Cirugía infantil, Cirugía de la mano, Cirugía de la extremidad inferior, Cirugía máxilofacial, Cirugía craneofacial, Cirugía del cambio de sexo, Trasplante e injertos de grasa, Trasplante y reimplante de miembros, Cirugía de reconstrucción oncológica, Cirugía de las malformaciones congénitas, Cirugía del melanoma. Su contenido se publica en forma de artículos originales, casos clínicos, trabajos experimentales y revisiones bibliográficas. Cuenta también con comentarios de especialistas de prestigio reconocido en el área en aquellos artículos de especial interés y el aliciente añadido de conceder al autor capacidad de respuesta a ese comentario, lo que suscita interesantes diálogos y controversias que ayudan a los lectores a despejar dudas y ampliar conocimientos.