第1巻 2005年2月　第1号

■その他（試案）

新しい皮弁分類法の提唱―血管吻合を考慮した新しい皮弁手術手技分類法―
小川　令, 百束　比古
日本医科大学形成外科学

Novel Classification of Flaps
Rei Ogawa and Hiko Hyakusoku
Department of Plastic and Reconstructive Surgery, Nippon Medical School

In the field of reconstructive surgery, the flap developed as an outcome of the quest for suitable sites for reconstruction and greater operative safety and quality. Over time, new flaps such as "perforator flaps" were developed, and a need arose for a system to categorize these flaps. We proposed a new flap classification method based on the operative techniques necessary for their use. Initially, we classified all flaps according to whether vascular anastomoses were needed or not in the operation. Flaps that did not require vascular anastomoses were classified as "Non-anastomosed pedicles" (N), and those that did were dubbed "Anastomosed pedicles" (A). In the case of combined flaps, we notated the number of pedicles in the following way: Type N₀A₁, Type N₁A₁, etc. Our sequence of notation is: 1. pedicle type; 2. vascular name or tissue name of the pedicle; 3. component of the flap; 4. other important information about the flap. These are compartmentalized using a slash (/).

日医大医会誌 2005; 1(1), 26-32

Key words
Classification, perforator flap, super-thim flap, free flap, pedicled flap

Correspondence to
Rei Ogawa, Department of Plastic and Reconstructive Surgery, 1-1-5 Sendagi Bunkyo-ku, Tokyo 113-8603, Japan
E-mail：r.ogawa@nms.ac.jp

受付：2004年8月11日　受理：2004年12月1日