2/28 Flaps

Question 1

Serratus anterior flap

Answer 1

Type III: lateral thoracic and thoracodorsal

Question 2

Iliac crest osteocutaneous flap

Answer 2

Pedicle - DCIA

resik of abdominal hernia

Question 3

Trapezius flap

Answer 3

Pedicle - transverse cervical a. branches, minor: occipital, dorsal scapular, intercostals
Nerve - spinal accessory (XI)
*transverse cervical is taken during neck dissection

Question 4

Scapular flap

Answer 4

Pedicle - circumflex scapular artery

Question 5

Lateral arm flap

Answer 5

pedicle - radial collateral artery

nerve - posterior brachial cutaneous nerve

Question 6

Flaps that use the lateral circumflex femoral artery

Answer 6

Ascending branch: TFL, Reubens flap

Descending branch: vastus laterals, rectus femoris

Question 7

Flaps that use the medial circumflex femoral artery

Answer 7

gracilis

Question 8

Sartorius flap

Answer 8

Type IV muscle

pedicle: supervicial circumflex iliac, superficial femoral

Question 9

Flaps that use the superficial circumflex iliac aftery

Answer 9

groing flap, proximal sartorius

Question 10

Gracilis flap

Answer 10

Type II muscle
Pedicle: medial circumflex femoral artery, minor: profunda perforators
Nerve: obturator

Question 11

lateral transverse thigh flap (Reubens)

Answer 11

Pedicle: lateral circumflex femoral ascending branch
horizontal variant of the TFL flap
NOT the same as the lateral thigh flap

Question 12

Lateral thigh flap

Answer 12

Pedicle: 1,2,3 perforating branches of profunda
1st perf = troch/ischial
3rd perf = free flap for breasts
Type B FC perf flap
nerve: lateral cutaneous nerve of the thigh

Question 13

Soleus flap

Answer 13

type II
major pedicle: popliteal, PT, peroneal
minor pedicle: PT branches
nerve: tibial

Question 14

Gastroc flap

Answer 14

Type I:

artery: sural artery
nerve: motor = tibial, sensory = sural

Question 15

Free fib

Answer 15

pedicle = peroneal artery betwen the FHL and TP