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DOI: 10.1055/a-2620-3297
The Preoperative Planning, Design, and Execution of the Free-style Propeller Flap: A Detailed Descriptions and The Case Series
Propeller flap reconstruction has been performed on various parts of the body. Despite their versatility and reliability, these procedures can be challenging due to numerous obstacles. This article details the technical aspects of designing and performing propeller flap reconstructions, including preoperative, intraoperative, and surgical considerations. Proper preoperative planning and design are crucial for reducing complications and ensuring successful surgery. Over approximately 3 years, 20 consecutive patients underwent propeller flap reconstruction. There were no cases of total flap loss, and the partial flap loss rate was 5% (n = 1). After leech application, two flaps (10%) experienced venous congestion without partial necrosis. Successful reconstruction can be achieved by minimizing errors in these processes. This article is beneficial for surgeons unfamiliar with propeller flaps.
Publication History
Received: 06 October 2024
Accepted after revision: 16 April 2025
Accepted Manuscript online:
26 May 2025
© . The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).
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