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Flap classification


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Flap classification

  1. 1. Flap classification
  2. 2. Methods of classification• Composition – Skin +/- fascia – Muscle (+/- innervation) – Bone – Omentum / viscera – Composite• Proximity to defect• Method of movement• Vascular anatomy
  3. 3. Proximity to defect• Local• Regional• Distant• Free
  4. 4. Arterial supply of the skin
  5. 5. Method of movement• Advancement• Transposition• Rotation• Interpolation• Waltzing
  6. 6. Fascio/cutaneous flaps
  7. 7. Type A Type B Type CDirect cutaneous Fasciocutaneous Musculocutaneouspedicle pedicle pedicleDeep external pudendal ALT ALTDigital artery Anterior + posterior tibial DeptopectoralDorsal metacarpal Deltoid NasolabialGluteal Dorsalis pedis Median foreheadGroin Inferior cubital (antecubital) ThoracoepigastricLateral thoracic Lateral + medial arm (transverse abdominal)Pudendal Lateral + medial plantar Transverse backSaphenous Lateral + medial thighScalp PeronealForehead Posterior interosseousSuperficial external Radial + recurrentpudendal ScapularSuperficial inferior epigastric UlnarSuralTemporoparietal fascia
  8. 8. Musculocutaneous flaps
  9. 9. I One II Dominant III Two IV V Dominantvascular vascular dominant Segmental vascularpedicle pedicle + pedicles supply pedicle + minor secondary pedicle segmental pediclesColon Gracilis Omentum EDL, EHL, FibulaJejunum Hamstrings Gluteus FDL, FHL Lat dorsi maximus Tibialis antDCIA Soleus Pec major Pec minor SartoriusGastrocs SCM Rectus ExternalTFL TrapeziusVastus Serratus oblique anteriorlateralis Temporalis