The Evolution of Perforator Flaps

ABSTRACT

Perforator flaps have recently become ubiquitous in the field of plastic surgery. To understand and appreciate their unique nature, it is necessary to compare and contrast them with the development of other types of flaps. A complete yet abridged version of the history of flap surgery is presented in this article. Beginning with Sushruta's Indian cheek flap method for nasal reconstruction, a trip through time and space is taken to highlight the milestones leading to the evolution of the perforator flap. Random pattern skin flaps, axial pattern skin flaps, and musculocutaneous flaps are all discussed. Finally, the future of perforator flaps is presented.

KEYWORDS

Perforator flaps - history of flap surgery

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