Title

In an era of perforator flaps, are muscle flaps passé?

Publication/Presentation Date

4-1-2009

Abstract

As is not unusual with technological advances of any kind that invariably grab all the headlines, many previous standards of care, often without due consideration, are arbitrarily spurned as passé. Advocates of muscle perforator flaps vehemently insist this is now the ideal soft-tissue flap, in lieu of the traditional muscle flap, whose heyday of the past few decades is now over. Convincing arguments for the validity of this assumption can be made on the basis of the numerous attributes of muscle perforator flaps. A similar list of absolute as well as relative advantages, however, can still be compiled for "ordinary" muscle flaps. It should also be understood that both muscle and muscle perforator flaps have peculiar detriments as well that cannot be overlooked. The real truth is that both types of flaps have an important niche to fill, and together will permit a better overall solution, depending on the given reconstructive agenda. Are muscle flaps on a downhill course to obsolescence? The answer most simply is--never.

Volume

123

Issue

4

First Page

1357

Last Page

1363

ISSN

1529-4242

Disciplines

Medicine and Health Sciences

PubMedID

19337104

Department(s)

Department of Surgery

Document Type

Article

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