Skin flaps. Medical search. Frequent questions

The Summer School "Local flaps in facial reconstruction after skin cancer surgery" is organized by the Plastic Surgery Unit of the University of Pisa. (unipi.it)
The Summer School is structured in a 5-day course characterized by lectures and hands on training covering all the most useful techniques involved in facial reconstruction after skin cancer excision. (unipi.it)
The use of the muscle-sparing free transverse rectus abdominis myocutaneous (TRAM) and deep inferior epigastric (DIEP) artery and vein flaps in breast reconstruction allows for excellent shape and contour of the breast mound while minimizing donor site morbidities related to abdominal strength and contour. (medscape.com)
A study by Di Pace et al indicated that in immediate unilateral abdominal free flap breast reconstruction, better outcomes are obtained if the flap weighs approximately as much as or more than the mastectomy tissue. (medscape.com)
Delayed Reconstruction of Palatomaxillary Defect Using Fibula Free Flap. (mdpi.com)
Nasal reconstruction originated almost 3000 years ago in India, where large cheek flaps were developed to reconstruct noses. (medscape.com)
In Europe, Italian surgeons used a pedicled flap from the medial surface of the upper arm for nasal reconstruction. (medscape.com)
[ 1 ] Millard, in the 1960s and 1970s, used a characteristic gull-wing design with lateral extensions for alar reconstruction and extended the pedicle incisions below the brow to provide greater flap length. (medscape.com)
Numerous techniques are available for nasal reconstruction, but the forehead flap remains the criterion standard technique for large cutaneous defects. (medscape.com)
It's also often utilized during reconstruction surgery, specifically for patients who have lost skin as a result of cancer-whether breast, nose, skin, or another form of the disease. (hyperbaricmedicalsolutions.com)
Reconstruction with a bi- or trilobed flap is common. (karger.com)
Baker SR: Local Flaps in Facial Reconstruction, ed 2. (karger.com)
Albertini JG, Hansen JP: Trilobed flap reconstruction for distal nasal skin defects. (karger.com)
Zitelli JA: The bilobed flap for nasal reconstruction. (karger.com)
Skaria AM: Rotation flap reconstruction for nasal tip defect after Mohs surgery. (karger.com)
Hussain W, Mortimer N, Salmon P: Optimizing outcomes in trilobed flap reconstruction for nasal tip defects. (karger.com)
Breast reconstruction generally falls into two categories: implant-based reconstruction or flap reconstruction. (moviestarmakeovers.com)
Flap (or autologous) reconstruction uses the patient's own tissue from another part of the body to form a new breast. (moviestarmakeovers.com)
The patient was treated with two signature flaps of the SCARS Center developed for nasal reconstruction. (scarscenter.com)
The rationale for histologic evaluation of the excised skin graft with delayed reconstruction is important. (scarscenter.com)
The reconstruction of this large 3 x 2.6 cm nasal defect was performed with two signature flaps of the SCARS Center as developed by Simon Madorsky, M.D. These flaps permit a single stage reconstruction of nasal defects traditionally treated with multistage regional flaps such as a forehead flap. (scarscenter.com)
Flap techniques can also produce excellent results in facial reconstruction after skin cancer removal (known as Mohs surgery ). (umiamihealth.org)
In 1898, the temporoparietal fascia flap was described nearly simultaneously for reconstruction of the external ear (after a horse bite) and for reconstruction of the lower eyelid. (medscape.com)
[ 1 , 2 , 3 ] Despite these descriptions of its use in head and neck reconstruction, the flap remained an obscure and underused tool until an explosion of new descriptions of its use (as either a pedicled or a microvascular free tissue transfer) resurrected it during the past 2 decades. (medscape.com)
In 1983, Brent et al reported the successful use of the flap as an axial-pattern fascial flap, a random-pattern fascial flap, and a free fascial flap for secondary ear reconstruction. (medscape.com)
We report the excision and reconstruction of multiple synchronous penile shaft syringomas with local scrotal flaps. (medscape.com)
We report a rare case of excision of multiple penile syringomas and reconstruction with scrotal flaps in a 29-year-old man. (medscape.com)
Periorbital tumour reconstruction is very crucial and monitoring of the flap tissue blood flow, composition and function can improve the outcome of the procedure. (lu.se)

Skin flaps are similar to skin grafts, but grafts do not have their own blood supply and rely on the growth of new blood vessels. (ossurgical.com)
Skin flaps are more reliable than grafts because they have their own blood supply. (ossurgical.com)
The difference between skin grafts and skin flaps is that the latter removes tissue-skin, muscle and/or bone-from the donor site with its original blood supply maintained. (hyperbaricmedicalsolutions.com)
As aforementioned, skin grafts are often used to assist with wounds or severe scars. (hyperbaricmedicalsolutions.com)
The main difference between skin grafts and skin flaps, as previously discussed, is that a skin flap is comprised of tissue, and sometimes muscle-these are known as muscle flaps-which has kept its blood supply intact, and been relocated to another area of the body. (hyperbaricmedicalsolutions.com)
Similar to skin grafts, skin flaps can originate from various parts of the body, depending on location and size of the recipient site. (hyperbaricmedicalsolutions.com)
What are Compromised Grafts & Flaps? (ontariohbot.ca)
Tissue grafts and flaps are used to reconstruct wounds from trauma, chronic disease, tumor extirpation, burns, and infection. (ontariohbot.ca)
Hyperbaric oxygen (HBO) has demonstrated utility in the salvage of compromised grafts/flaps. (ontariohbot.ca)
HBO therapy has become a valuable asset in the management of compromised tissue grafts and flaps. (ontariohbot.ca)
Although classified together, grafts and flaps are distinctly different, in that grafts depend on the wound bed for revascularization, whereas flaps have an inherent blood supply. (ontariohbot.ca)
Likewise, clinical studies have found positive responses in multiple types of tissue grafts and flaps, with some cases involving irradiated fields. (ontariohbot.ca)
Skin grafts are used to help more serious, larger and deeper wounds heal, including: Wounds that are too big to heal on their own. (answerfoundry.com)
Skin grafts are often used after serious injuries when some of the body's skin is damaged. (umiamihealth.org)
For full thickness skin grafts, the donor section will often heal much more quickly than the injury and is less painful than a partial thickness skin graft. (umiamihealth.org)
It is one thing to watch feathers grow from chicken-skin grafts on nude mice, quite another to watch your mother undress herself in front of total strangers. (cdc.gov)
Double-layered fascial graft - Another description of the temporoparietal flap when it is harvested with temporalis muscular fascia supplied by the middle temporal artery (This flap can accept cartilage and bone grafts placed in the envelope between the 2 layers of fascia. (medscape.com)

Other warning signs of an infection or failed skin graft include, but are not limited to, continuous pain and fever. (hyperbaricmedicalsolutions.com)

The fibula free flap is well suited to anterior arch defects. (medscape.com)
[ 2 , 3 ] Burget and Menick made further contributions to the design by emphasizing aggressive thinning of the skin paddle, narrowing the pedicle base for easier rotation and length, and modifying defects to follow aesthetic subunits of the nose. (medscape.com)
[ 5 ] Mohs surgical excision remains the procedure of choice for management of infiltrating or complex skin cancers, and it creates nasal defects of different sizes. (medscape.com)
Traumatic causes of nasal defects also occur and may require major repair with a forehead flap. (medscape.com)
The use of axillary and inguinal skin fold flaps to close large tissue defects was initially described in 1995. (clarksvillevetspecialists.com)
They are extremely versatile flaps and can be rotated to close large defects associated with an elbow, stifle, sternum, lateral thoracic wall, abdominal midline, lateral lumbar region, hip, and perineum. (clarksvillevetspecialists.com)
Because the skin fold is unfolded following rotation (i.e. doubling its width) very large defects can often be closed with minimal tension. (clarksvillevetspecialists.com)
The laterally based bi- or trilobed flap for defects of the distal ala or lateral tip of the nose produces mostly tissue protrusion in the nasal groove which is aesthetically unpleasant. (karger.com)
To describe the utility of bilobed and trilobed flaps for alar defects insisting on the design of medially based flaps. (karger.com)
We observed that in most cases the flap based medially respects anatomical subunits better than the laterally based flap for medium-sized defects of the distal ala of the nose. (karger.com)
Skin cancer defects can range in size and frequently need the expertise of a board certified cosmetic surgeon for repair. (ocskincancer.com)
The anatomy of the parascapular flap allows it to be harvested with a large number of other flaps on a single pedicle, allowing for complex and large reconstructions of composite tissue defects. (microsurgeon.org)
Comparison of the application methods and effects of skin flaps in the repair of defects in different parts of the nose according to the concept of aesthetic nosesubunits]. (bvsalud.org)
To analyze the difference of application methods and effects of local flap in small and medium-sized defects of different aesthetic subunits of nose , in order to provide reference for clinical work . (bvsalud.org)
Using Likert scale, the repair methods and effects of local flap for nasal soft tissue defects were evaluated and summarized from three aspects of texture, flatness and scar concealment. (bvsalud.org)
In the small and medium-sized defects of the nose , the use of multiple local flaps can achieve good cosmetic effects and functional recovery. (bvsalud.org)

The latter portion of this procedure ensures the perfusion and drainage, and ultimately the survival, of the flap. (medscape.com)
3. Mücke T, Rau A, Merezas A, Loeffelbein DJ, Wagenpfeil S, Mitchell DA, Wolff KD, Steiner T. Identification of perioperative risk factor by laser-doppler spectroscopy after free flap perfusion in the head and neck: a prospective clinical study. (scielo.br)
Intra- and postoperative monitoring of flap microcirculation may provide useful information for better understanding and following-up the ischemia-reperfusion-related alterations in tissue perfusion 6 6. (scielo.br)
Random-pattern flaps can undergo ischemia usually occurring distally-the area furthest from the source of vascular perfusion-if the flap length exceeds its vascular capabilities. (ontariohbot.ca)
Local skin flaps, like pedicled flaps and free tissue transfer, depend on the maintenance of adequate perfusion to meet the metabolic demands of mobilized tissue. (answerfoundry.com)
The purpose of this study was to assess perfusion in a free skin flap model using contrast-enhanced ultrasound (CEU), and to determine if the extent of perfusion early after venous occlusion predicted long-term flap survival. (uky.edu)
Perfusion was assessed in an autologous abdominal skin flap and adjacent healthy skin in rats using CEU imaging before venous occlusion and following reflow. (uky.edu)
Perfusion assessment was possible in all flaps and quantitative measurements of microvascular blood volume (BV) and blood velocity were expressed as a ratio to that in the healthy skin. (uky.edu)
Qualitative assessment of perfusion by a 'blinded' observer correlated well with quantitative data and predicted flap outcome in all cases. (uky.edu)
We conclude that skin perfusion can be assessed with CEU. (uky.edu)
Perfusion 18 h following a secondary ischemic insult in a free flap accurately predicts subsequent tissue survival in this model. (uky.edu)

Composite flaps used in reconstructive surgery may intra- and postoperatively suffer from hypoperfusion and/or ischemia-reperfusion influencing wound healing. (scielo.br)
This piece of donor tissue is used in reconstructive surgery by being set into the recipient site (injured area onto which a flap or graft is placed). (umiamihealth.org)

A walking-stalk skin flap or waltzing tube pedicle is a reconstructive technique in which the skin and soft tissue to be used for the flap is formed into a tubular pedicle and moved from the source to the target site by anchoring at both ends, periodically severing one end and anchoring it closer to the flap target site. (wikipedia.org)
[ 4 ] The midline forehead flap is based on a narrow pedicle centered on the medial brow area, often capturing the proximal supratrochlear artery. (medscape.com)
An advantage of placing the skin paddle in the midline rather than paramedian is that the pedicle is slightly longer and the donor site scar is in a more aesthetic midline position. (medscape.com)
Pedicled flaps can experience mechanical obstruction to blood flow, including pedicle kinking or twisting. (ontariohbot.ca)
If the flap is elevated deep to the this muscular fascia, the dissection can become confusing and especially difficult around the pedicle where the fascia surrounds the triangular space. (microsurgeon.org)
The superior flap includes the triangular space within its border so the pedicle vessel is captured in the flap. (microsurgeon.org)
This point is identified by a thickening of the flap with a more sturdy attachment to the subcutaneous fat, and often the vascular pedicle become visible as it pierces the fascia. (microsurgeon.org)

Kleintjes WG: Forehead anatomy: arterial variations and venous link of the midline forehead flap. (karger.com)

Closure is by suture of the flap apex only, creating scaring that resembles a natural umbilicus. (nih.gov)
Moreover, skin closure options will be reviewed including updates on the latest materials used and the new technologies involved in wound closure. (unipi.it)
Kazanjian advanced the development of the forehead flap by advocating primary closure of the forehead donor site. (medscape.com)
The patient presented for scar revision 8 months after Mohs excision of BCC of the nose and closure with an ear skin graft, performed elsewhere. (scarscenter.com)

The decision-making process will be critically explained to the student and the techniques of flap planning, flap harvesting and donor site morbidity will be discussed. (unipi.it)
After having a procedure that leaves a large wound, a doctor may suggest placing a piece of skin taken from another site on your body (donor site) and placing it over the wound (recipient site) to promote successful healing. (ossurgical.com)
Once the anesthesia has set it, the doctor will use a tool to cut the donor skin flap, including accompanying fat, vessels and muscle. (ossurgical.com)
Flaps, on the other hand, are units of tissue that carry their own inherent blood supply from the donor to the recipient site. (ontariohbot.ca)
Sometimes, the flap includes skin and fatty tissue only, but a flap may also include muscle from the donor site (the area from which the flap is taken). (umiamihealth.org)
This type of graft involves pitching and cutting skin away from the donor section. (umiamihealth.org)
A full thickness skin graft is riskier, in terms of the body accepting the skin, yet it leaves only a scar line on the donor section, similar to a Cesarean section scar. (umiamihealth.org)
This is a more common type of skin graft in which the surgeon removes a thin layer of healthy skin from another part of the body (the donor section), similar to peeling a potato. (umiamihealth.org)
Local (pedicled) flap: Tissue is freed and rotated or moved in some manner from a nearby area to cover the defect, yet remains attached to the body at its base and has blood vessels that enter the flap from the donor site. (umiamihealth.org)

A higher incidence of postoperative seroma (fluid collection under skin) in people undergoing breast and axillary (under-arm) surgery for breast cancer is responsible for longer hospital stays, frequent repeat aspiration procedures, increased cost of breast disease, delays in the provision of adjunctive treatments and consequently potentially reduced overall all-cause survival. (cochrane.org)
0 05) By demonstrating improved survival when a thrombolytic agent is used in conjunction with an oxygen free radical scavenger, these findings may have implications in the treatment of clinically failing free flaps. (mssm.edu)
It can increase the likelihood and effective size of composite graft survival, improve skin graft outcomes, and enhance flap survival. (ontariohbot.ca)
HBO, however, can enhance flap survival when tissue damage persists despite no correctable etiology being found during surgical re-exploration. (ontariohbot.ca)
Objective: To determine whether the argon tunable dye laser, used in a noncutting, hemocoagulative mode, improves skin flap survival as effectively as a surgical delay procedure. (umn.edu)
The outcome variable was percentage of skin flap survival. (umn.edu)
With new imaging techniques it may be possible to measure the tumor margin before surgery, and monitor blood flow and flap survival, improving reconstructions after tumor surgery. (lu.se)

Refinements in mandibular reconstructions have led to the use of the free fibular flap, which results in improved appearance and function of the neomandible (see the image below). (medscape.com)
This flap has a specific indication and precise advantage compared to other reconstructions, especially to the laterally based multilobed flaps in this specific indication. (karger.com)
[ 5 ] In 1993, Cheney et al described 21 cases using the flap for a variety of reconstructions in the head and neck. (medscape.com)

Skaria AM: The interposed nasalis myocutaneous island flap for lesions of the ala and lateral tip of the nose. (karger.com)
A regional flap is similar to an island flap, but it is used when a much larger section of tissue is required to repair a skin cancer defect. (ocskincancer.com)
The lateral extended nasal island flap (LENI flap) was advanced 1.8 cm medially to close the inferior portion of the defect. (scarscenter.com)
The superior extended nasal myocutaneous island flap (SENMI flap) was advanced 1.5 cm to close the remainder of the defect. (scarscenter.com)

Fibrin glue (FG) instillation under skin flaps after surgery produces a 'fibrin clot', sealing leaky lymph vessels, which leads to reduced seroma formation and related comorbidities. (cochrane.org)
Effect of short-term ischemia on microcirculation and wound healing of adipocutaneous flaps in the rat 1 1 Research performed at Department of Operative Techniques and Surgical Research, Institute of Surgery, Faculty of Medicine, University of Debrecen, Hungary. (scielo.br)
Review: Ischaemia-reperfusion injury in flap surgery. (scielo.br)
This article explores the history of forehead flap surgery, contemporary concepts in flap design, surgical steps, and potential complications. (medscape.com)
After surgery, the patient should wear a dressing for one to two weeks and avoid any exercises that may stretch the skin. (ossurgical.com)
Upon returning home after undergoing skin graft surgery, patients should take certain precautions. (hyperbaricmedicalsolutions.com)
What is the texture of a flap in skin cancer surgery? (answerfoundry.com)
A comprehensive discussion of the physiology of the skin as it applies to surgery is essentially one of vascular supply. (answerfoundry.com)
Mar 2, 2022Skin flap surgery is done to treat large wounds that cannot be closed by skin grafting. (answerfoundry.com)
Skin flap surgery uses skin flaps, which are skin and tissue near the wound, to cover the wound. (answerfoundry.com)
Flap surgery involves a piece of tissue that still receives blood supply because it's attached to the body by a major artery and vein or at its base. (umiamihealth.org)
If you have suffered tissue loss over any area of your body, you may be a candidate for flap surgery. (umiamihealth.org)
However, flaps used for reconstructive plastic surgery can be broken down into two main categories. (umiamihealth.org)

When clear margins were confirmed 1 week later, the defect was reconstructed with two myocutaneous island flaps. (scarscenter.com)

Focus on proper skin cancer resection with adequate margins will be followed by the evaluation of multiple reconstructive options. (unipi.it)
When skin cancer is removed it can leave an area of the face or body in disrepair. (ocskincancer.com)
The wound present after skin cancer removal is referred to as a defect. (ocskincancer.com)
Have you been diagnosed with skin cancer on the nose? (ocskincancer.com)
SCARS Center specialists work with local dermatologists to offer the most cosmetically sensitive results for skin cancer on the face, ears, eyes, or nose. (ocskincancer.com)
A skin biopsy can help your health care provider diagnose or rule out problems such as skin cancer or psoriasis . (medlineplus.gov)
This type of biopsy is often done when a skin cancer is suspected, or a rash that seems to be limited to the top layer of skin. (medlineplus.gov)
This type of biopsy is most commonly done when a kind of skin cancer called melanoma is suspected. (medlineplus.gov)
If a skin lesion is benign (not cancer), you may not need any further treatment. (medlineplus.gov)
[ 6 ] For information on all types of skin cancer, visit Medscape's Skin Cancer Resource Center . (medscape.com)
Programs have found many innovative ways to help prevent skin cancer in their communities. (cdc.gov)
Vermont has one of the nation's highest rates of new cases of melanoma, the deadliest form of skin cancer. (cdc.gov)
The new sunscreen dispensers are one way to help prevent more skin cancers and save more lives," said George Andoscia, acting program manager for Rhode Island's Comprehensive Cancer Control Program. (cdc.gov)
Hazard alert: skin cancer. (cdc.gov)
Over time, exposure to UV radiation permanently damages your skin and can cause skin cancer. (cdc.gov)
Skin cancer is the most common type of cancer. (cdc.gov)
In 2018, it is estimated that more than 90,000 people will be diagnosed with and 9,000 will die from melanoma, the deadliest form of skin cancer. (cdc.gov)
Fortunately, skin cancer is easy to prevent! (cdc.gov)
Skin cancer that is detected early is easier to treat and more likely to be cured. (cdc.gov)
Anyone can get skin cancer, regardless of their skin tone. (cdc.gov)
A common misconception is that people with darker skin tones will not get skin cancer. (cdc.gov)
While skin cancer is more common in people with fairer skin, it often goes unnoticed in people with darker skin until it is at a more serious stage. (cdc.gov)
In certain cases of skin cancer excision, removal skin transplants are used. (lu.se)

The skin folds have four attachments to the body: medial and lateral attachments to the limbs and dorsal and ventral attachments to the abdomen or thorax. (clarksvillevetspecialists.com)
The bi- and trilobed flaps are useful for defect repair between the lateral nasal tip and the distal ala. (karger.com)
I suggest that the bi- and trilobed flaps for repair of the lateral tip/distal ala should more often be medially based. (karger.com)
Because the suture is looped through the skin lateral to the wound (rather than over the wound), tension is transferred away from the wound edges to the looped lateral skin. (msdmanuals.com)

7. Suzuki S, Miyachi Y, Niwa Y, Isshiki N. Significance of reactive oxygen species in distal flap necrosis and its salvage with liposomal SOD. (scielo.br)
2. The flap was dissected superiorly until the middle of the muscle, approximately 1 cm distal to the entry point of the spinal accessory nerve into the muscle (Figure 1). (who.int)

Skinfold flaps receive their blood supply from the subdermal plexus and are not considered axial pattern flaps. (clarksvillevetspecialists.com)

At its most basic level, a flap is a portion of tissue that can be dissected, elevated, and inset into a nonanatomic position as a consequence of its vascular supply and outflow. (medscape.com)
Free tissue transfer is defined as the vascular dissection and detachment of an isolated and specific region of the body (eg, skin, fat, muscle, bone) and transfer of said tissue to another region of the body, with anastomosis of the divided artery and vein to a separate artery and vein located at the site of the defect. (medscape.com)
Despite careful surgical planning and execution, reconstructive failure can occur due to poor wound beds, radiation, random flap necrosis, vascular insufficiency, or ischemia-reperfusion (IR). (ontariohbot.ca)
The physiology of skin flaps is described, with a focus on the vascular supply and biomechanics of skin flaps. (answerfoundry.com)
[ 6 ] Today, the temporoparietal flaps remain the only single-layered fascia flap that can be used as a pedicled vascular flap in the head and neck. (medscape.com)
Temporoparietal flaps can drape into concavities and over convexities, such as those present in the external ear, and they are highly vascular and resistant to infection. (medscape.com)

Mechanical damage during flap preparation and positioning, bending and torquation of pedicle's vessels, thrombosis, edema, inflammation, all may lead to complication, resulting in flap necrosis 5 5. (scielo.br)

Zoumalan RA, Hazan C, Levine VJ, Shah AR: Analysis of vector alignment with the Zitelli bilobed flap for nasal defect repair: a comparison of flap dynamics in human cadavers. (karger.com)
Skaria AM: Birhombic flap, a modified bilobed flap, for repair of nasal defect. (karger.com)

The flap is kept alive by the blood supplied by its own blood vessels. (answerfoundry.com)
Blood vessels in the flap that were cut usually connect with the blood vessels in the wound area. (answerfoundry.com)

In Ischemia-Reperfusion (I/R) group before repositioning and suturing the flap pedicles were clamped for 60 minutes. (scielo.br)
Klarik Z, Tamas R, Toth E, Kiss F, Kovacs EL, Jäckel M, Furka I, Nemeth N. Intra and postoperative evaluations of microcirculation and micro-rheological parameters in a rat model of musculocutaneous flap ischemia-reperfusion. (scielo.br)

Skin graft and flap surgeries are two procedures that involve relocating a portion of a patient's tissue to another area of the body, to either help a wound heal or cover a scar. (hyperbaricmedicalsolutions.com)
The cornea forms a miniscule scar at the edge of the LASIK flap, which holds the flap in place, but the flap itself does not bond to the underlying cornea. (answerfoundry.com)
Patient presents for correction of the atrophic erythematous skin graft scar. (scarscenter.com)
patients with different skin flap repair methods , the satisfaction of patients with Z-plasty and Dufourmentel skin flap was higher than that of other skin flap repair methods (F=4.38, P=0.002), and the satisfaction of patients with Dufourmentel skin flap was the highest in the degree of scar concealment (F=2.57, P=0.038). (bvsalud.org)

As antibiotics had not yet been invented when this procedure was developed, wrapping the flap in a tube was important because the risk of infection was reduced. (wikipedia.org)
A skin flap procedure is usually performed under general anesthesia, meaning the patient will comfortably sleep through the procedure. (ossurgical.com)
People whose skin has been damaged as a result of a burn, infection or ulcer may undergo this procedure. (hyperbaricmedicalsolutions.com)
Prior to a skin grafting procedure, patients are given preparation instructions by their surgeon. (hyperbaricmedicalsolutions.com)
Once a patient returns home, generally a day or two after the skin graft procedure, it is imperative that certain precautions be taken. (hyperbaricmedicalsolutions.com)
The first group had no delay procedure, the second had the standard surgical delay, and the third group was lased at the periphery of the flap 2 weeks before raising the acute flap. (umn.edu)
This procedure will leave a small indented area in your skin. (medlineplus.gov)
Penile syringomas were excised and reconstructed with scrotal flaps in a single-stage procedure. (medscape.com)

Due to the weight and very unique finish of Curious Skin envelopes, we recommend they are printed by conventional methods or on a high end laser only. (lcipaper.com)

It is made up of all layers of the skin and some fatty tissue. (answerfoundry.com)
This type of biopsy is most commonly done to help diagnose skin ulcers or diseases that involve the tissue below the skin, such as the fatty tissue. (medlineplus.gov)

The incidence of nonmelanotic skin cancers is rising, with the estimation being that more than 3 million Americans per year are affected by these disorders. (medscape.com)
This is sometimes seen in very invasive or advanced skin cancers on the nose. (ocskincancer.com)

It may also be done to repair surgical or traumatic scars to improve skin appearance. (answerfoundry.com)
Design: A physiologic, controlled trial was completed with three groups: acute control skin flaps, surgical delay skin flaps, and experimental laser delay skin flaps. (umn.edu)
Surgical removal of the damaged skin is followed by skin grafting. (umiamihealth.org)

Epidermal cytotoxicity of topically-applied chemical mixtures in perfused porcine skin. (ncsu.edu)
Cutaneous toxicity of benzidine dye Direct Red 28 applied as a mechanistically-defined chemical mixture (MDCM) in perfused porcine skin. (ncsu.edu)
The effect of altered media flow and glucose concentration on sulfur-mustard toxicity in the isolated perfused porcine skin flap. (ncsu.edu)
The isolated perfused porcine skin flap. (ncsu.edu)

The piece of skin, along with accompanying fat, vessels and occasionally muscle, called a skin flap, retains its own blood supply through a major artery or vein at its base. (ossurgical.com)

Regional flaps will vary in size and difficulty, depending on the area being repaired, but, in general, these flaps can be done in several stages, meaning the patient will undergo multiple surgeries to achieve the best cosmetic outcome. (ocskincancer.com)
There are as many types of flap surgeries as there are many types of injuries that may require the use of a flap. (umiamihealth.org)

The anatomy, physiology and biomechanics of the facial skin and muscles will be addressed and followed by OR experience to evaluate and understand patients' variability. (unipi.it)
Wound healing and physiology of skin flaps. (scielo.br)

The superior aspect of the flap is centered over the triangular space, where the circumflex scapular artery nourishes the parascapular flap after it travels through the triangular space. (microsurgeon.org)
The parascapular flap is supplied by a descending branch of the circumflex scapular artery. (microsurgeon.org)

We aimed to follow-up the effect of ischemia on adipocutaneous flaps' wound healing and microcirculation. (scielo.br)
Histologically normal wound healing process was seen, except for some I/R flaps, where hypertrophized mammary glands were found. (scielo.br)
Short-term ischemia could influence flap microcirculation and wound healing, and may result in hypertrophized mammary glands. (scielo.br)
Wound healing is an intricate process where the skin repairs itself after injury. (answerfoundry.com)

Once structural grafting is placed, its covering must be durable and of similar thickness and texture to native nasal skin and it must have its own blood supply. (medscape.com)
A split-thickness graft doesn't transport as much skin, in terms of depth, compared to a full-thickness graft. (hyperbaricmedicalsolutions.com)
Jun 24, 2021Full thickness flaps happen most often when the skin is thin and fragile, and are most common for older people. (answerfoundry.com)
Full thickness skin flaps should not be trimmed off by you, and they should be treated by a doctor. (answerfoundry.com)
A partial thickness skin flap can occur on an area of thick skin, such as the palm. (answerfoundry.com)

A more accurate description of the layers of the scalp demonstrating the relationship of the temporoparietal fascia to the overlying skin and subcutaneous tissue and the deeper muscular fascia. (medscape.com)

Complexity may range from a random pattern skin flap based on a subdermal plexus to a fascio-osteocutaneous free flap supplied by a known arterial perforator. (medscape.com)

The umbilicus is opened by creating 4 isosceles triangular skin flaps. (nih.gov)
The 4-triangular-skin-flap approach is useful for umbilical diseases and laparoscopic umbilical port access. (nih.gov)
The flap is outlined so the apex of the flap lies over the triangular space. (microsurgeon.org)
The flap is elevated from inferior to superior, superficial to the deep muscular fascia until the triangular space is approached. (microsurgeon.org)
As the fascia adjacent to the triangular space is reached, the fascia is entered and elevated with the flap. (microsurgeon.org)

In my experience, the blood supply is extremely robust as long as the dissection plane during undermining of the flaps is at the level of the deep subcutaneous tissues. (clarksvillevetspecialists.com)
The first layer consists of the skin and subcutaneous tissue. (medscape.com)
10. The wound was closed in the subcutaneous tissue and skin. (who.int)

All flaps may be threatened by arterial insufficiency, venous congestion, and complete arterial or venous occlusion. (ontariohbot.ca)
Proximal flap BV 18 h after venous occlusion was significantly greater in those that survived (n = 4) vs. those that became necrotic (n = 6) (BV ratio 0.8 ± 0.1 vs. 0.2 ± 0.1, p = 0.0001). (uky.edu)

Why not use more the medially based bi- or trilobed flap? (karger.com)

In anesthetized rats groin flaps were formed bilaterally. (scielo.br)

The latissimus and teres major muscles are important landmarks since flap dissection proceeds from inferior to superior and these are identified early in the dissection. (microsurgeon.org)

The operator should select the appropriate flap repair method according to the characteristics of different aesthetic subunits of the nose . (bvsalud.org)

By comparison, compromised flaps can suffer from both ischemic and reperfusion injury, which can also be attenuated by HBOT to maximize viability. (ontariohbot.ca)

The aim of the Summer School is to give participants the detailed knowledge and expertise needed to achieve the best results in the full range of reconstructive procedures involving local flaps of the face. (unipi.it)
For more information on various flap procedures, see Flaps . (medscape.com)

Viability of various composite flaps is a key factor of the successful reconstructive operation. (scielo.br)

This article provides a framework to facilitate the planning, execution, and monitoring of free flaps. (medscape.com)
Numerous clinical situations exist in which the use of a free flap is justified and beneficial. (medscape.com)
Free tissue transfer, in which a flap is divided and transferred to a distant recipient bed with microsurgical reanastomosis, is susceptible to IR injury. (ontariohbot.ca)
This is called a free flap. (answerfoundry.com)

Anatomy11

Organisms2

Diseases16

Chemicals and Drugs4

Analytical, Diagnostic and Therapeutic Techniques and Equipment30

Psychiatry and Psychology1

Phenomena and Processes11

Disciplines and Occupations1

Technology, Industry, Agriculture1

Humanities1

Health Care3

Reconstruction28

Grafts17

Failed skin graft1

Defects16

Perfusion11

Reconstructive surgery2

Pedicle7

Midline forehead flap1

Closure4

Donor9

Survival7

Reconstructions3

Island flap4

Surgery13

Myocutaneous1

Cancer23

Lateral4

Distal2

Axial pattern1

Vascular6

Necrosis1

Defect2

Blood vessels2

Ischemia-reperfusion2

Scar4

Procedure8

Methods1

Fatty tissue2

Cancers2

Surgical3

Porcine skin4

Vein1

Surgeries2

Physiology2

Artery2

Wound Healing4

Thickness5

Scalp1

Subdermal plexus1

Triangular5

Subcutaneous3

Venous2

Medially1

Rats1

Dissection1

Subunits1

Ischemic1

Procedures2

Composite1

Free4