Abstracts from the European Federation for Societies of Microsurgery and the International Microsurgical Society

✍ Scribed by Simon P. Frostick

• Publisher: John Wiley and Sons
• Year: 1999
• Tongue: English
• Weight: 142 KB
• Volume: 19
• Category: Article
• ISSN: 0738-1085
• DOI: 10.1002/(sici)1098-2752(1999)19:1<43::aid-micr5>3.0.co;2-i

✦ Synopsis

For many years transsexuals (female to male) have been operated in our departments. The limitations of the free sensate osteofasciocutaneous forearm flap and penile implants led us since 1993 to use the free sensate osteofasciocutaneous fibula flap in one-stage total penoid construction (see Fig.). In order to evaluate the usefulness of this kind of flap, we performed in 16 patients (in average ca. 1 year postoperative) the following examinations: clinical and radiological examination and patients questionnaire. It was observed that a great security of the blood supply existed by large skin islands, although these flaps underwent extreme form of application. In all the above patients with a penoid construction, the subjective finding and the clinical examination showed an improved autogenous prosthesis; no significant variations in length, size, and form of the bone; and satisfactory sexual function of the patient. By radiological examination, compact penoid bone structure and moderate donor site morbidity was found. These subjective findings as well as the clinical and radiological results support the numerous advantages of the free sensate osteofasciocutaneous fibula flap for one-stage total penoid construction.