Novel Classification of Flaps
Department of Plastic and Reconstructive Surgery, Nippon Medical School
In the field of reconstructive surgery, the flap developed as an outcome of the quest for suitable sites for reconstruction and greater operative safety and quality. Over time, new flaps such as "perforator flaps" were developed, and a need arose for a system to categorize these flaps. We proposed a new flap classification method based on the operative techniques necessary for their use. Initially, we classified all flaps according to whether vascular anastomoses were needed or not in the operation. Flaps that did not require vascular anastomoses were classified as "Non-anastomosed pedicles" (N), and those that did were dubbed "Anastomosed pedicles" (A). In the case of combined flaps, we notated the number of pedicles in the following way: Type N0A1, Type N1A1, etc. Our sequence of notation is: 1. pedicle type; 2. vascular name or tissue name of the pedicle; 3. component of the flap; 4. other important information about the flap. These are compartmentalized using a slash (/).
日医大医会誌 2005; 1(1), 26-32
Classification, perforator flap, super-thim flap, free flap, pedicled flap
Rei Ogawa, Department of Plastic and Reconstructive Surgery, 1-1-5 Sendagi Bunkyo-ku, Tokyo 113-8603, Japan