{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T02:34:55Z","timestamp":1777343695632,"version":"3.51.4"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2013,9,13]],"date-time":"2013-09-13T00:00:00Z","timestamp":1379030400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2014,3]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>This study addresses the \u201cpre\u2010expanded perforator flap concept\u201d by demonstrating a case series of relevant reconstructive procedures and evaluate the perforator vessel diameter changes that happen during the pre\u2010expansion procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Fourteen patients were treated with 15 flaps. One patient was treated with two pre\u2010expanded internal mammary artery perforator flaps. In other cases, thoracodorsal, circumflex scapular, lumbar, intercostal, lateral circumflex femoral, and deep inferior epigastric artery perforator flaps were used. Technical details and rate of complications were noted. Evaluations of the flap pedicles were done both by hand held Doppler and by color Doppler ultrasound (CDU).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Flaps successfully served to resurface and release thick and rigid broad scar tissues and contractures in 11 of relevant 12 patients (in one patient with 50% flap loss, adequate contracture release could only be obtained with addition of a secondary split thickness skin graft to the residual flap) and provided a good source of tissue for anterior neck reconstruction of one patient and penis reconstruction of another patient. In six patients, perforator artery diameters were measured by CDU both before and after the expansion process and a significant increase secondary to the pre\u2010expansion procedure was detected (Pre\u2010expansion mean: 0.48 \u00b1 0.08 mm; post\u2010expansion mean: 0.65 \u00b1 0.10 mm; <jats:italic>P<\/jats:italic> &lt; 0.05). Flaps as large as 30 \u00d7 20 cm were harvested. Totally three partial flap necroses were experienced in 15 flap procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Suprafascial pre\u2010expansion of the perforator flaps seems to provide a solution to achieve broader and thinner perforator flaps with larger perforator arteries. \u00a9 2013 Wiley Periodicals, Inc. Microsurgery 34:188\u2013196, 2014.<\/jats:p><\/jats:sec>","DOI":"10.1002\/micr.22184","type":"journal-article","created":{"date-parts":[[2013,9,13]],"date-time":"2013-09-13T06:30:55Z","timestamp":1379053855000},"page":"188-196","source":"Crossref","is-referenced-by-count":24,"title":["Suprafascial pre\u2010expansion of perforator flaps and the effect of pre\u2010expansion on perforator artery diameter"],"prefix":"10.1002","volume":"34","author":[{"given":"Emre","family":"Hocao\u011flu","sequence":"first","affiliation":[{"name":"Istanbul Faculty of Medicine, Department of Plastic Reconstructive and Aesthetic Surgery Istanbul University Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ufuk","family":"Emekl\u0130","sequence":"additional","affiliation":[{"name":"Istanbul Faculty of Medicine, Department of Plastic Reconstructive and Aesthetic Surgery Istanbul University Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Orhan","family":"\u00c7\u0130zmec\u0130","sequence":"additional","affiliation":[{"name":"Istanbul Faculty of Medicine, Department of Plastic Reconstructive and Aesthetic Surgery Istanbul University Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adem","family":"U\u00e7ar","sequence":"additional","affiliation":[{"name":"Istanbul Faculty of Medicine, Department of Radiodiagnostics Istanbul University Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,9,13]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"The Principles and Art of Plastic Surgery","author":"Gillies HD","year":"1957"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0305-4179(03)00197-9"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198882010-00013"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198311000-00018"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199607000-00012"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.20825"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2006.03.052"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.3109\/2000656X.2011.571844"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181a64eb0"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3182865dd7"},{"key":"e_1_2_6_12_1"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.5455\/aces.20120205090034"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e3181e35e38"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22057"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22079"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sap.0000170530.51470.1a"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199404000-00024"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sap.0000112288.25696.fb"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2012.01.002"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e318272a233"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.20809"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmicr.22184","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmicr.22184","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.22184","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T04:21:50Z","timestamp":1696393310000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.22184"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,9,13]]},"references-count":21,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2014,3]]}},"alternative-id":["10.1002\/micr.22184"],"URL":"https:\/\/doi.org\/10.1002\/micr.22184","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"value":"0738-1085","type":"print"},{"value":"1098-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,9,13]]}}}