Perforator Flaps : Anatomy, Technique, & Clinical Applications, Second Edition

1519 Pages·2013·142.51 MB·English

by  Blondeel

P f
erforator laPs
Anatomy, Technique,
& Clinical Applications
00a_FM Vol 1_Blondeel_r5_i-xxxii.indd 1 8/28/2012 4:51:40 PM
TThhiiss ppaaggee iinntteennttiioonnaallllyy lleefftt bbllaannkk
P f
erfor ator laPs
Anatomy, Technique,
& Clinical Applications
Second edition
edited BY
Phillip n. Blondeel, Md, Phd, FccP
Professor in Plastic Surgery, department of Plastic and Reconstructive Surgery,
University Hospital Gent, Gent, Belgium
Steven F. Morris, Md, MSc, FRcSc
Professor of Surgery, Professor of Anatomy and neurobiology, department of Surgery,
Anatomy and neurobiology, dalhousie University, Halifax, nova Scotia, canada
Geoffrey G. Hallock, Md, FAcS
consultant in Plastic and Reconstructive Surgery, Sacred Heart Hospital
and the Lehigh Valley Hospital, Allentown, Pennsylvania;
St. Luke’s Hospital, Bethlehem, Pennsylvania
Peter c. neligan, MB, FRcS(i), FRcSc, FAcS
Professor, department of Surgery, University of Washington, Seattle, Washington
WitH iLLUStRAtionS BY
Jennifer c. darcy, MS, cMi
Quality Medical Publishing, inc.
St. LoUiS, MiSSoURi
2013
00a_FM Vol 1_Blondeel_r5_i-xxxii.indd 3 8/28/2012 4:51:40 PM
CRC Press
Taylor & Francis Group
6000 Broken Sound Parkway NW, Suite 300
Boca Raton, FL 33487-2742
© 2013 by Taylor & Francis Group, LLC
CRC Press is an imprint of Taylor & Francis Group, an Informa business
No claim to original U.S. Government works
Version Date: 20140402
International Standard Book Number-13: 978-1-4822-4167-9 (eBook - PDF)
This book contains information obtained from authentic and highly regarded sources. While all reasonable efforts have been made to publish reliable
data and information, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made.
The publishers wish to make clear that any views or opinions expressed in this book by individual editors, authors or contributors are personal to them
and do not necessarily reflect the views/opinions of the publishers. The information or guidance contained in this book is intended for use by medical,
scientific or health-care professionals and is provided strictly as a supplement to the medical or other professional’s own judgement, their knowledge of
the patient’s medical history, relevant manufacturer’s instructions and the appropriate best practice guidelines. Because of the rapid advances in medi-
cal science, any information or advice on dosages, procedures or diagnoses should be independently verified. The reader is strongly urge to consult the
relevant national drug formulary and the drug companies’ printed instructions, and their websites, before administering any of the drugs recommended
in this book. This book does not indicate whether a particular treatment is appropriate or suitable for a particular individual. Ultimately it is the sole
responsibility of the medical professional to make his or her own professional judgements, so as to advise and treat patients appropriately. The authors
and publishers have also attempted to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if
permission to publish in this form has not been obtained. If any copyright material has not been acknowledged please write and let us know so we may
rectify in any future reprint.
Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmitted, or utilized in any form by any electronic,
mechanical, or other means, now known or hereafter invented, including photocopying, microfilming, and recording, or in any information storage or
retrieval system, without written permission from the publishers.
For permission to photocopy or use material electronically from this work, please access www.copyright.com (http://www.copyright.com/) or contact
the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400. CCC is a not-for-profit organization that provides
licenses and registration for a variety of users. For organizations that have been granted a photocopy license by the CCC, a separate system of payment
has been arranged.
Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation
without intent to infringe.
Visit the Taylor & Francis Web site at
http://www.taylorandfrancis.com
and the CRC Press Web site at
http://www.crcpress.com
To my mother, Hilde Spruyt; my wife, Karlien;
and my children, Laurence, Jonathan, and Victoria.
Phillip N. Blondeel
To my mother, Lorraine, who has always been enthusiastically supportive;
my wife, Kay, who has been a stable, loving force in my life;
and my wonderful children, Alexander and Leah, who continually amaze me.
Steven F. Morris
Without the impetus and constant persuasion of Karen Berger, this book would not exist. Yet she has
been gentle when compared to my father, Houghton Ross Hallock, the West Point engineer, who made
me understand the discipline necessary to build things. Even this project would have made him proud.
Most important has been my wife, Patty, my high school sweetheart, who continues to tolerate my
transgressions, correct my misspellings, and lets me know when I have been particularly stupid.
She also feeds my Dachshunds when I am not there—too often—a joy of life we share together.
Geoffrey G. Hallock
To my wife, Gabrielle, and my children, Kate and David,
who are unflagging in their love and support.
Peter C. Neligan
00a_FM Vol 1_Blondeel_r5_i-xxxii.indd 5 8/28/2012 4:51:41 PM
TThhiiss ppaaggee iinntteennttiioonnaallllyy lleefftt bbllaannkk
c o n t R i B U t o R S
Reza Ahmadzadeh, MD Claudio Angrigiani, MD
department of Surgery, division of Plastic Surgery, chief, department of Plastic Surgery, Hospital
dalhousie University, Halifax, nova Scotia, canada Santojanni, Buenos Aires, Argentina
Ammar S. Al Dhamin, MBChB, MRCSI Mark W. Ashton, MBBS, MD, FRACS
Fellow Staff, department of Surgery, Senior Research Fellow, the taylor Lab,
division of Plastic Surgery, dalhousie University, Reconstructive Plastic Surgery Research Unit,
Queen elizabeth ii Health Sciences centre, department of Anatomy and neurosciences,
Halifax, nova Scotia, canada University of Melbourne, Parkville, Victoria,
Australia
Faisal M. Al-Mufarrej, MB, BCh
Assistant Professor of Surgery, college of Medicine, Phillip N. Blondeel, MD, PhD, FCCP
Mayo clinic; Fellow, division of Plastic Surgery, Professor in Plastic Surgery, department of Plastic
department of Surgery, Mayo clinic, Rochester, and Reconstructive Surgery, University Hospital
Minnesota Gent, Gent, Belgium
Mohammad M. Al-Qattan Willy Boeckx, MD, PhD
Professor of Plastic Surgery, department of Surgery, Professor, department of Plastic and Reconstructive
King Saud University, Riyadh, Saudi Arabia Surgery, Brugmann Hospital, U.L.B. Free University
of Brussels, Brussels, Belgium
Robert J. Allen, Sr., MD
clinical Professor, institute of Reconstructive Plastic Constance M. Chen, MD, MPH
Surgery, new York University Langone Medical Attending Surgeon, division of Plastic and
center, new York, new York Reconstructive Surgery, Lenox Hill Hospital;
Attending Surgeon, department of Plastic and
Robert Johnson Allen, Jr., MD Reconstructive Surgery, new York eye and ear
Resident, institute of Reconstructive Plastic Surgery, infirmary, new York, new York
new York University Langone Medical center, new
York, new York Hung-Chi Chen, MD, MHA, FACS
Professor, department of Plastic Surgery, china
Patricio Andrades, MD, FACS Medical University Hospital, taichung, taiwan
Associate Professor, division of Plastic Surgery,
department of Surgery, University of chile clinical Ming-Huei Cheng, MD, MBA, FACS
Hospital; Staff Member, department of Maxillofacial Vice President and Professor, department of Plastic
Surgery, Hospital del trabajador de Santiago, and Reconstructive Surgery, chang Gung Memorial
Santiago, chile Hospital, taoyuan, taiwan
vii
00a_FM Vol 1_Blondeel_r5_i-xxxii.indd 7 8/28/2012 4:51:41 PM
viii contributors
Carmen Navarro Coll, MD Geoffrey G. Hallock, MD, FACS
Plastic Surgeon, department of Plastic Surgery, consultant in Plastic and Reconstructive Surgery,
Hospital de la Santa creu i Sant Pau (Universitat Sacred Heart Hospital and the Lehigh Valley
Autonoma de Barcelona), Barcelona, Spain Hospital, Allentown, Pennsylvania; St. Luke’s
Hospital, Bethlehem, Pennsylvania
Ashish Davalbhakta, MBBS, MS Mch(Plast), FRCS
chief consultant, chairman, and Managing John B. Hijjawi, MD, FACS
director, department of Aesthetic Plastic Surgery, Associate Professor, department of Plastic and
Aesthetics Medispa; Assistant Professor, department Reconstructive Surgery, Medical college of
of Plastic Surgery, Bharati Vidyapeeth deemed Wisconsin, Milwaukee, Wisconsin
University; Honorary consultant, Aesthetic Plastic
Surgeon, Ruby Hall clinic, oyster and Pearl Stefan O.P. Hofer, MD, PhD, FRCSC
Hospital, noble Hospital, Pune, Maharastra, india Associate Professor, department of Surgery,
division of Plastic Surgery, University Health
Frederick J. Duffy, Jr., MD network; Associate Professor, department of
Assistant clinical Professor, department of Plastic Surgical oncology, University Health network,
Surgery, University of texas–Southwestern, dallas, toronto, ontario, canada
texas
Charlotte Holm, MD, PhD
Karen Kim Evans, MD clinical Professor of Plastic Surgery, department of
Assistant Professor, department of Plastic Surgery, Plastic and Aesthetic Surgery, AtoS clinic Munich,
Georgetown University Medical center, Munich, Germany
Washington, dc
Joon Pio Hong, MD, PhD, MMM
Misako Fujitsu, MD Professor and department chair, department of
chief, department of Plastic Surgery, Kanmon Plastic Surgery, Asan Medical center, University
Medical center, Shimonoseki, Yamagichi, Japan of Ulsan, Seoul, Korea
Christopher R. Geddes, MD, MSc Philippe Houtmeyers, MD
chief Resident, division of orthopaedic Surgery, Medical doctor, department of Plastic Surgery,
University of toronto, toronto, ontario, canada University Hospital, Ghent University,
Ghent, Belgium
Patrick J. Gullane, CM, MB, FRCSC, FACS,
Hon FRACS, Hon FRCS, Hon FRCSI Jung-Ju Huang, MD
Professor and chair, department of otolaryngology– Assistant Professor, department of Plastic and
Head and neck Surgery, University of toronto; Reconstructive Surgery, chang Gung Memorial
otolaryngologist-in-chief, Wharton chair, Hospital, taoyuan, taiwan
department of otolaryngology–Head and neck
Surgery, University Health network, Hiko Hyakusoku, MD, PhD
toronto, ontario, canada Professor, department of Plastic, Reconstructive,
and Aesthetic Surgery, nippon Medical School,
Amit Gupta, MD, FRCS tokyo, Japan
clinical Associate Professor, department of
orthopedic Surgery, University of Louisville; Seng-Feng Jeng, MD, FACS
director, Louisville Arm and Hand, Professor Surgery, department of Plastic Surgery,
Louisville, Kentucky e-da Hospital, i-Shou University,
Kaohsiung city, taiwan
00a_FM Vol 1_Blondeel_r5_i-xxxii.indd 8 8/28/2012 4:51:41 PM
contributors ix
Shuji Kayano, MD, PhD Maria M. LoTempio, MD
Plastic Surgeon, division of Plastic and Assistant Professor, department of Surgery, Medical
Reconstructive Surgery, national cancer center University of South carolina, charleston, South
Hospital, tokyo, Japan carolina; Assistant Adjunct Professor, department
of Plastic Surgery, new York eye and ear infirmary,
Jeong Tae Kim, MD, PhD new York, new York
Professor, chief of department, department of
Plastic and Reconstructive Surgery, Hanyang Debra A. Lutz, RN
University Medical center, Seoul, Korea division of Plastic Surgery, Sacred Heart Hospital,
Allentown, Pennsylvania
Yoshihiro Kimata, MD, PhD
Professor and chairman, department of Plastic Alejandro Maciel-Miranda, MD
and Reconstructive Surgery, okayama University, Plastic Surgeon, department of Surgery, Anatomy,
Graduate School of Medicine, dentistry and and neurobiology, dalhousie University; Plastic
Pharmaceutical Sciences, okayama city, Surgeon, division of Plastic Surgery, Queen
okayama, Japan elizabeth ii Health Sciences centre, Halifax, nova
Scotia, canada
Naohiro Kimura, MD
director, tsukiji dermatology, Plastic, and Hand Samir Mardini, MD
Surgery clinic, tokyo, Japan Professor of Surgery, Program director, division of
Plastic Surgery, department of Surgery, Mayo clinic,
Isao Koshima, MD Rochester, Minnesota
Professor and chief, department of Plastic
and Reconstructive Surgery, the University of Jaume Masia, MD, PhD
tokyo, tokyo, Japan Professor and chairman, department of Plastic
Surgery, Hospital de la Santa creu i Sant Pau
Joshua L. Levine, MD (Universitat Autonoma de Barcelona),
Surgeon director, department of Surgery, new York Barcelona, Spain
eye and ear infirmary, new York, new York
Musa Mateev, MD, PhD
Anita A. Liem, MD, MRCS(Glasg), FRCSGlasg(Plast) Professor, national Hospital in Kyrgyzstan,
canniesburn Plastic Surgery Unit, Glasgow department of Plastic and Reconstructive
Royal infirmary, Glasgow, United Kingdom; Microsurgery and Hand Surgery, Kyrgyz State
Previous Microsurgical Fellow, department of Medical Academy, Bishkek, Kyrgyzstan
Plastic Surgery, china Medical University Hospital,
taichung, taiwan David W. Mathes, MD, FACS
Associate Professor, department of Surgery,
Chih-Hung Lin, MD University of Washington, Seattle, Washington
Professor and chairman, department of Plastic
Surgery, chang Gung Memorial Hospital, James L. Mayo, MD
taoyuan, taiwan Resident, division of Plastic and Reconstructive
Surgery, department of Surgery, Louisiana
Joan E. Lipa, MD, MSc, FRCSC, FACS State University Health Sciences center,
Associate Professor, department of Surgery, new orleans, Louisiana
University of toronto; Associate Professor, division
of Plastic and Reconstructive Surgery, Sunnybrook
Health Sciences centre, toronto, ontario, canada
00a_FM Vol 1_Blondeel_r5_i-xxxii.indd 9 8/28/2012 4:51:41 PM