It could also be based proximally or distally on a pedicle or used as a free flap. Cormak and Lamberty also introduced a brand new classification primarily based on clinical functions. Kind A has a fascial plexus, Sort B has a single perforator, and kind C has a number of perforators and a segmental supply artery. For extra info on the classification of all kinds of flaps, see eMedicine article Flaps, Classification. Circulation to a fasciocutaneous flap is based on the prefascial and subfascial plexuses.
There are also arterial plexuses on the subdermal and subcutaneous levels. These plexuses are equipped by regional arteries which will enter the deep fascia by way of an underlying muscle (musculocutaneous), by means of the septum between underlying muscles (septocutaneous), or by way of a direct cutaneous branch. Often, more than one supply of blood provide to a selected area of skin or a particular muscle is current.
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