The Fleur-de-PAP Flap for Bilateral Breast Reconstruction
نویسندگان
چکیده
Perforator flaps have become accepted as an excellent option for autologous breast reconstruction. The deep inferior epigastric perforator (DIEP) flap is the first-line option for perforator-based flaps in most patients due to the available tissue volume, skin quality, and secondary aesthetic benefits.1,2 However, variability in patient anatomy and body habitus create the need for reliable secondary flap options. While several perforator flaps have been used successfully for patients in whom the abdominal donor site is not available, the profunda artery perforator (PAP)flap has emerged in recent years as a popular choice due to its ease of dissection and favorable donor-site aesthetics.3–5 The ability to harvest the PAP flap in the lithotomypositionmakes it amendable to a simultaneous two-team approach—increasing operative efficiency—and the perforasome anatomy permits variation in skin paddle design—with either transverse PAP (tPAP) or vertical PAP (vPAP) flaps available—allowing a “designer” approach based on each patient’s unique anatomy.6 We present the first described case of an immediate bilateral autologous breast reconstruction using the “fleurde-PAP” (FDP) flap design—incorporating tissue from both the tPAP and vPAP skin paddles on a single vascular pedicle. Clinical Report
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