PRS Quick Hits Flashcards
Mathes & Nahai Type I Flap
Type I- Single Vascular Pedicle
Tongue: Medial and lateral Genioglossus, Hyoglossus, Longitudinalis linguae, Styloglossus, Transversus and verticalis linguae
Hand: Abductor digiti minimi, Abductor pollicis brevis, First dorsal interosseous
Arm: Anconeus
Hip: Deep circumflex iliac artery (DCIA)
Thigh (Lateral): Vastus lateralis, Tensor fascia lata
Leg: Gastrocnemius
+ G.I. (Intestine): Jejunum, Colon
Mathes & Nahai Type II Flap
Type II- Dominant Vascular Pedicle and Minor Vascular Pedicle(s); minor pedicles together are not enough to sustain the whole muscle
Neck/Back: Platysma, Sternocleidomastoid, Trapezius
Arm, Forearm: Brachioradialis, Coracobrachialis, Triceps, Flexor carpi ulnaris, Flexor digitorum brevis
Thigh (Antero-medial, Posterior): Rectus femoris, Vastus medialis, Gracilis, Hamstring (biceps femoris)
Leg: Soleus + Lateral compartment (Peroneus brevis, Peroneus longus)
Foot: Abductor digiti minimi, Abductor hallucis
Mathes & Nahai Type III Flap
Type III- Two Dominant Pedicles
Head: Temporalis, Orbicularis oris
Thorax: Intercostal, Pectoralis minor, Serratus anterior
Abdomen: Rectus abdominis
Buttock: Gluteus maximus
+ G.I.: Omentum
Mathes & Nahai Type IV Flap
Type IV- Segmental Vascular Pedicles
Abdomen: External oblique
Thigh: Sartorius
Leg: Extensor digitorum longus, Extensor hallucis longus, Flexor digitorum longus, Flexor hallucis longus, Tibialis anterior
Mathes & Nahai Type V Flap
Type V- Dominant Vascular Pedicle and Secondary Segmental Vascular Pedicles
Thorax: Pectoralis major, Latissimus dorsi
Abdomen: Internal oblique
+ Leg: Fibula [not muscle]
Tongue Anatomy & Flap
Intrinsic muscles
-Transverse
-Vertical
-Superior longitudinal*
-Inferior longitudinal*
Extrinsic muscles
-Genioglossus*
-Hypoglossus*
-Styloglossus*
-Palatoglossus (X)
*Type I
Vastus lateralis flap
Type I
Gastrocnemius
Type I
Tensor fascia lata
Type I
Trapezius flap
Type II
Gracilis
Type II
Solus
Type II
Vastus medialis
Type II
