Başkent Üniversitesi Yayınları

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Author: search.filters.author.Mehmet HaberalSubject: search.filters.subject.Acute burns

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    The Role of Pedicled Perforator Flaps in Burn Reconstruction
    (Başkent Üniversitesi, 2021-03) Burak Ozkan; Cem Aydogan; Cagri A. Uysa; Abbas Albayati; Nilgun Markal Ertas; Mehmet Haberal
    ABSTRACT OBJECTIVES: Perforator arteries raised from muscles and intermuscular septum are generally protected in burn injuries. Thus, pedicled perforator flaps are considered more reliable than conventional flaps in burn reconstruction. The role of pedicled perforator flaps changes according to injury timing. In the acute phase of injury (first 21 days), pedicled perforator flaps are used to cover exposed neurovascular and musculoskeletal systems. In the late phase of burn injuries, they are used to correct burn-related complications such as contractures and persistent defects. In this study, we present our experience with pedicled perforator flaps in both the acute and chronic phases of burn injury. MATERIALS AND METHODS: Between 2017 and 2020, our center performed 25 pedicled perforator flap procedures in 20 patients (17 men/3 women) for burn injury reconstruction. Of the 25 total pedicled perforator flaps, 4 were utilized for acute defects and 21 were performed during the late phase of injury. In the acute phase, the main indication was to cover exposed vessels. In the late phase, 16 of the 21 flaps were used to cover defects (burn scar contracture release in axilla, neck, popliteal, and antecubital region), 2 were used to cover pressure ulcers due to prolonged hospitalization, and 2 were used for persistent defects in the extremities. RESULTS: Average age of patients was 34 years (range, 28-62 years). Our success rate with pedicled perforator flaps was 88%, with 2 total losses (1 supraclavicular artery perforator flap, 1 superior epigastric artery perforator flap) and 1 partial necrosis (superior gluteal artery perforator flap) encountered in the late phase in flap with 180-degree rotation arc. CONCLUSIONS: The role of pedicled perforator flaps vary depending on the timing of burn injuries. We found that pedicled perforator flaps were a reliable reconstruction option in both acute and late phases of burn injury.