The microvascular augmented subdermal vascular network (ma-SVN) flap: Its variations and recent development in using intercostal perforators

Hiko Hyakusoku*, Ritsu Aoki, Masahiro Murakami, Rei Ogawa, Jian H. Gao, David G. Pennington

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

30 Citations (Scopus)

Abstract

In 1994 we reported the use of the microvascular augmented occipito-cervico-dorsal 'super-thin' flap for reconstruction of the cervical region in three cases. Since this preliminary report, we have performed a further 17 flaps, and the usefulness of the flap in the treatment of anterior cervical scar contractures in extensively burned patients has become apparent. Moreover, we have devised flaps with not only a narrow skin pedicle but also myocutaneous or island vascular pedicles. Various augmentation vessels, including myocutaneous perforators of the intercostal spaces in the back and chest, have also been used successfully. Here, we describe the microvascular augmented subdermal vascular network flaps that we have devised.

Original languageEnglish
Pages (from-to)402-411
Number of pages10
JournalBritish Journal of Plastic Surgery
Volume55
Issue number5
DOIs
Publication statusPublished - 2002

Keywords

  • Intercostal perforator
  • Microvascular augmentation
  • Subdermal vascular network flap

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