flaps

Question 1

Pectoralis Major (medial)

Answer 1

Used for Area of body: medial chest
Type: IV
Size: 23x15cm
Vascular: dominant - pectoral branch of thoracromial artery; minor - perforators off internal mammary
nerve: motor - medial pectoral, sensory - anterior intercostal nerves

Question 2

Pectoralis Major (superior)

Answer 2

used for: upper chest, clavicle, neck
Type: IV
Size: 23x15cm
Vascular: dominant - pectoral branch of thoracromial artery; minor - perforators off internal mammary
nerve: motor - medial pectoral, sensory - anterior intercostal nerves

Question 3

VRAM

Answer 3

Used for: Chest, abdomen, pelvis
Type: III
Size: 25x6cm; 45x20cm with skin paddle
Vascular: dominant superior - Superior epigastric; dominant inferior - deep inferior epigastric artery
Nerve: motor and sensor - 7-12 intercostal nerves

Question 4

DIEP

Answer 4

Used for: breast
Perforator flap
Type III
Vascular: dominant pedicle - superior and inferior deep epigastric arteries (length 6-10cm)
Nerve: motor & sensory - 7-12 intercostal nerves

Question 5

TRAM

Answer 5

Used for: breast
Pedicled musculocutaneous flap
Type III
origin&insertion: crest/symphysis of pubis; 5-7 rib cartilage
Vascular: dominant - superior and inferior deep epigastic arteries (6-10cm)
Size: 25x6cm; 45x20cm with skin paddle
Nerve: motor & sensory 7-12 intercostal

Question 6

free TRAM

Answer 6

Used for: breast
Free flap (musculocutaneous)
Type III
origin&insertion: crest/symphysis of pubis; 5-7 rib cartilage
Vascular: dominant - superior and inferior deep epigastic arteries (6-10cm)
Size: 25x6cm; 45x20cm with skin paddle
Nerve: motor & sensory 7-12 intercostal

Question 7

SGAP

Answer 7

used for: breast
Fasciocutaneous
Origin/insertion: PSIS, coccyx, lateral sacrum/ greater troch, IT of fascia lata
vascular: superior and inferior fluteal artery
Nerve: motor inferior gluteal nerve
Sensory: posterior divisions of S1-S3 medially; posterior divisions of L1-3 laterally

Question 8

gracilis

Answer 8

Used for:
Musculocutenous, type II
Size: 30x5x2
Origin/insertion: pubic symphysis; medial tibial condyle
Vascular: dominant - medial circumflex fmoral (7cm), minor - perforators from deep femoral artery or superficial femoral
Nerve: motor - obturator; sensory - anterior femoral cutaneous