Flaps Flashcards
What is a flap?
Tissue that is either transferred or transplanted with intact circulation.
How are muscle flaps classified by Mathes and Nahai?
Type I: single vascular pedicle.
Type II: dominant vascular pedicle(s) and minor vascular pedicle(s).
Type III: two dominant pedicles.
Type IV: segmental vascular pedicles.
Type V: dominant vascular pedicle and secondary segmental vascular pedicles.
What is the vascular supply and classification of the sartorius muscle?
Superficial femoral artery and vein, type IV—segmental.
What type of ultrasonography will most reliably image and locate vascular perforators preoperatively?
Duplex ultrasonography.
What is most likely to improve the survival of the distal portion of a random pattern cutaneous flap?
Surgical delay prior to flap elevation.
What is the vascular supply of the gastrocnemius muscle?
Sural vessels.
The lateral arm flap is supplied by what artery?
Posterior radial collateral artery.
The arterial pedicle to the radial forearm flap arises between what two muscles?
Brachioradialis and flexor carpi radialis.
What are the indications of leech therapy?
Venous congestion.
What method of flap monitoring is most reliable?
Clinical observation.
What flap receives its motor innervation from the obturator nerve?
Gracilis.
What is the dominant vascular supply of the gracilis flap?
Ascending branch of the medial circumflex artery.
The rectus femoris receives its blood supply from what source?
Lateral circumflex femoral artery.
What organism is associated with medicinal leeches?
Aeromonas hydrophila (gram-negative rod).
What artery provides the primary blood supply to a groin flap?
Superficial circumflex iliac artery.
The gluteal thigh flap is supplied by what vessel?
Inferior gluteal artery.
The periosteal perforators of the peroneal artery will be found bordering what aspect of the fibula.
Posteromedial.
The parascapular flap is based on what vessel?
Circumflex scapular artery.
Which nerve provides sensation to the lateral arm flap?
Posterior brachial cutaneous nerve (C5–C6).
The venous outflow of the reverse radial forearm flap depends on what vessel?
Radial venae comitantes.
The fibula flap is based on what vessel?
Peroneal vessels.
The fibula and radial forearm osteocutaneous flap can provide up to what length of bone?
25 and 10 cm, respectively.
What is the dominant vascular supply to the vastus lateralis muscle?
Descending branch of the lateral femoral circumflex artery.
Which muscles comprise the borders of the triangular space?
Triceps (lateral), teres major (inferior border), and teres minor (superior).
What vessel traverses the triangular space?
Circumflex scapular artery.
The gracilis muscle is immediately posterior to what muscle?
Adductor longus muscle.