Useful Flaps for Plastic Surgeons to Know | Journal CME Article-Journal CME Article: Useful Flaps for Plastic Surgeons to Know (Video 2)

Journal CME Article: Useful Flaps for Plastic Surgeons to Know (Video 2)

Video Transcription

Video Summary

The IMAP flap is highly versatile for reconstructing defects in the anterior chest and neck and can be used as a free flap. In this case, it addresses a basal cell carcinoma at the neck's root, where significant excision is required. The IMAP flap is prepared using two internal mammary perforators to ensure adequate vascularization. The procedure involves testing perfusion with either clinical judgment or endosining green. After confirming that the flap can sustain itself on a single perforator, it is rotated into the defect, with checks using a Doppler to ensure optimal blood flow, considering directional preferences.

Keywords

IMAP flap

reconstruction

basal cell carcinoma

vascularization

Doppler