{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,6]],"date-time":"2025-06-06T23:40:07Z","timestamp":1749253207581,"version":"3.41.0"},"reference-count":23,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Reconstr Microsurg"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n               Background\u2003Modern trends in reconstructive surgery involve the use of free perforator flaps to reduce the donor site morbidity. The course of perforator vessels has a great anatomic variability and demands detailed knowledge of the anatomical relationships and the variability of the course of the perforators. The numerous modifications to perforator nomenclature proposed by various authors resulted in confusion rather than simplification. In our study, we focused on the hypothesis that a septocutaneous perforator traverses from the given source vessel to the deep fascia adherent to but not to within the septum itself.<\/jats:p><jats:p>\n               Methods\u2003Sixty-nine septocutaneous perforators from three different limb donor sites (lateral arm flap, anterolateral thigh flap, and radial forearm free flap) were collected from the gross pathology specimens of 14 fresh cadavers. The gross picture and the cross-sections with the histological cross-sections on different levels were examined to determine the position of the vessel to the septal tissue.<\/jats:p><jats:p>\n               Results\u2003Of the observed 69 septal perforators, 61 (88.5%) perforators were adherent to but not within the septum. The remaining eight (12.5%) perforators passed through the septum. All these eight perforators were found in multiple different cross-section levels (2 of 19 in lateral arm flap, 3 of 27 in anterolateral thigh flap, and 3 of 23 in radial forearm free flap).<\/jats:p><jats:p>\n               Conclusion\u2003Although septocutaneous vessels appear identical macroscopically, microscopically two types of vessels with paraseptal and intraseptal pathways are observed. The majority of these vessels are merely adherent to the septum having a paraseptal pathway, while a minority are within the septum and are \u201ctrue\u201d septocutaneous perforators. It is advisable to dissect with a piece of the septum in order to avoid damage or injury to the perforator.<\/jats:p>","DOI":"10.1055\/a-2435-7531","type":"journal-article","created":{"date-parts":[[2024,10,7]],"date-time":"2024-10-07T23:24:59Z","timestamp":1728343499000},"page":"540-546","source":"Crossref","is-referenced-by-count":0,"title":["On a Hunt for the \u201cTrue\u201d Septocutaneous Perforator: A Histology Cross-Section Study"],"prefix":"10.1055","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5582-2955","authenticated-orcid":false,"given":"Martin","family":"Kubat","sequence":"additional","affiliation":[{"name":"Department of Plastic and Aesthetic Surgery, St. Anne's Faculty Hospital and Medical Faculty of Masaryk University, Brno, Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zdenek","family":"Dvorak","sequence":"additional","affiliation":[{"name":"Department of Plastic and Aesthetic Surgery, St. Anne's Faculty Hospital and Medical Faculty of Masaryk University, Brno, Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dusan","family":"Zoufaly","sequence":"additional","affiliation":[{"name":"First Department of Pathology, St. Anne's Faculty Hospital and Medical Faculty of Masaryk University, Brno, Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marketa","family":"Hermanova","sequence":"additional","affiliation":[{"name":"First Department of Pathology, St. Anne's Faculty Hospital and Medical Faculty of Masaryk University, Brno, Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marek","family":"Joukal","sequence":"additional","affiliation":[{"name":"Department of Anatomy, Medical Faculty of Masaryk University, Brno, Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geoffrey G.","family":"Hallock","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, St. Luke's Hospital, Sacred Heart Campus, Allentown, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,11,5]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"874","DOI":"10.1097\/00006534-200103000-00037","article-title":"Confusion among perforator flaps: what is a true perforator flap?","volume":"107","author":"F C Wei","year":"2001","journal-title":"Plast Reconstr Surg"},{"volume-title":"Perforator Flaps: Anatomy, Technique, & Clinical Applications","year":"2013","author":"P N Blondeel","key":"ref2"},{"issue":"06","key":"ref3","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1016\/0007-1226(89)90075-1","article-title":"Inferior epigastric artery skin flaps without rectus abdominis muscle","volume":"42","author":"I Koshima","year":"1989","journal-title":"Br J Plast 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