The Past, Present, and Future of Perforator Flaps in Head and Neck Surgery

Luccie M. Wo, Hao I. Wei, Fu Chan Wei*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

A perforator is a vessel that travels through muscle and perfuses the skin. Perforator flaps require intramuscular dissection and can be used as pedicled or free flap. With improved understanding of microvasculature, they can be tailored to have multiple skin paddles, multiple components, or shaped to conform to any defect. Reliable perforator flap-based reconstruction is a meticulous microvascular technique, ultimately allowing the surgeon to harvest any flap in a freestyle fashion and transplant to any recipient vessel. New technologies improve the safety and reproducibility of this type of reconstruction.

Original languageEnglish
Pages (from-to)425-433
Number of pages9
JournalOral and Maxillofacial Surgery Clinics of North America
Volume36
Issue number4
DOIs
StatePublished - 11 2024
Externally publishedYes

Bibliographical note

Copyright © 2024 Elsevier Inc. All rights reserved.

Keywords

  • ALT flap
  • Hand neck reconstruction
  • Perforator flap
  • Plastic Surgery Procedures/methods
  • Humans
  • Head/surgery
  • Neck/surgery
  • Forecasting
  • Perforator Flap/blood supply

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