TY - JOUR. T1 - Vascular endothelial growth factor expression in pig latissimus dorsi myocutaneous flaps after ischemia reperfusion injury. AU - Erdmann, Detlev. AU - Sweis, Ranya. AU - Wong, Michael S.. AU - Niklason, Laura E.. AU - Du Laney, Tracey V.. AU - Levin, L. Scott. AU - Klitzman, Bruce. AU - Olbrich, Kevin C.. PY - 2003/2/1. Y1 - 2003/2/1. N2 - Exogenous administration of vascular endothelial growth factor (VEGF) improves long-term viability of myocutaneous flaps. However, endogenous expression of this substance in flaps following ischemia-reperfusion injury has not been reported previously. Endogenous production of VEGF was measured in myocutaneous pig latissimus dorsi flaps after ischemia-reperfusion injury. Latissimus dorsi myocutaneous flaps (15 × 10 cm) were simultaneously elevated bilaterally in six Yorkshire-type male pigs (25 kg). Before elevation, three flap zones (5 × 10 cm) were marked according to their distance from the vascular pedicle. After isolation of the vascular ...

ABSTRACT: BACKGROUND: The hand is exposed to various types of trauma, the majority of which involve multiple tissues which needs to be repaired in the most perfect way. The distally based radial forearm flap is one of the commonly used flaps for reconstruction of hand defects. AIM OF THE STUDY: The aim is to test the applicability and the versatility of the distally based radial forearm flap in complex soft tissue reconstruction of the hand. METHODS: Nine patients were treated using distally-based radial forearm flaps. There were seven males and two females, mean age was 21 year. Reconstructed sites involved the thumb, the first web, the palm and dorsum of the hand. Neurofasciocutaneous flap was transferred in one case, adipofascial flap in one case, all the remaining flaps were fasciocutaneous island flaps. RESULTS: All the flaps survived completely. There were two donor sites complications, but no major functional disturbances. No patient had symptoms of cold intolerance or other

Equine limb wounds often heal slowly by epithelialization, and large scars are a frequent end result. In some ways, they resemble the wound associated with human tibial injuries. The literature indicates that previous investigators have failed to transfer free skin flaps successfully in the horse. In this paper, we review our experimental work with the deep circumflex iliac flap in the horse. Dissections of 20 cadavers confirmed the anatomical consistency of the flap. Four flaps survived well when elevated as island flaps, but five orthotopic and nine heterotopic free flap transfers all failed. The cause of failure is still unknown, but our experiments suggested that the horse must be highly susceptible to ischemic reperfusion injury.. ...

Nicotinamide enhances skin flap survival.: The effects of nicotinamide in an abdominal island pedicle skin flap were examined. A 7 x 7 cm island pedicle skin fl

OBJECT: The purpose of the paper is to review the results of free latissimus dorsi transfer for scalp and cranium reconstruction in case of large defects with exposed brain tissue, deperiosted cranial bone, and dura that cannot be reconstructed with local flaps or skin grafts. METHODS: Free latissimus dorsi transfer was carried out in an interdisciplinary approach involving neurosurgery and plastic surgery in seven patients with subtotal and total scalp defects (two reconstruction after tumor removal, two reconstructions after longstanding osteitis, 2x tissue break down after irradiation, 1x defect reconstruction after high voltage injury). There were three male and four female patients. The age ranged from 36 to 72 years. Reconstruction was carried out with a muscle flap (1x) or a myo-cutaneous flap (6x) in combination with a split thickness skin mesh (1:1.5) graft, done in a single-stage procedure. In a retrospective clinical study the following criteria were evaluated: 1) flap healing, 2) ...

TY - JOUR. T1 - Venous drainage of the distally based lesser saphenous-sural veno- neuroadipofascial pedicled fasciocutaneous flap. T2 - A radiographic perfusion study. AU - Imanishi, Nobuaki. AU - Nakajima, Hideo. AU - Fukuzumi, Satoshi. AU - Aiso, Sadakazu. PY - 1999/2/1. Y1 - 1999/2/1. N2 - The drainage pathway of the distally based lesser saphenous-sural veno- neuroadipofascial pedicled fasciocutaneous flap using accompanying arteries of the lesser saphenous vein and sural nerve as nutrient vessels of the flap was radiographically investigated using five fresh cadavers. Small long veins existed along the lesser saphenous vein, and they were considered to be concomitant veins of the accompanying arteries of the lesser saphenous veins. They anastomosed with the lesser saphenous vein in some places and played a role in bypassing valves in the lesser saphenous vein.. AB - The drainage pathway of the distally based lesser saphenous-sural veno- neuroadipofascial pedicled fasciocutaneous flap using ...

TY - JOUR. T1 - Pedicled Flaps Versus Free Flaps for Back Reconstruction. AU - Komagoe, Sho. AU - Watanabe, Toshiyuki. AU - Komatsu, Seiji. AU - Kimata, Yoshihiro. PY - 2018/12/1. Y1 - 2018/12/1. N2 - Background Back reconstructions using a flap are relatively rare, and clinical reports on such reconstructions are few. We analyzed whether a pedicled flap or free flap was best for treating back defects and established a simplified algorithm for flap selection. Methods We retrospectively analyzed the cases of 22 patients who underwent flap reconstructions for the back between July 2000 and August 2016. We extracted data on the operative time, defect size, patients height and body weight, and reoperation, and each defect size was calculated as a percentage in relation to the body surface area (BSA). We compared these values between both flap types using univariate analysis. In addition, reconstructions using pedicled flaps were classified as single pedicled flap and combination pedicled flap ...

Synonyms for pedicle flap operation in Free Thesaurus. Antonyms for pedicle flap operation. 83 synonyms for operation: undertaking, process, affair, organization, proceeding, procedure, coordination, oper8n, manoeuvre, campaign, movement, exercise.... What are synonyms for pedicle flap operation?

View details of top reversed radial forearm flap hospitals in Gurgaon. Get guidance from medical experts to select best reversed radial forearm flap hospital in Gurgaon

Expertise, Disease and Conditions: Acne, Baseball Injuries, Bells Palsy, Birthmarks, Blepharoplasty, Bone Tumors, Botulinum Toxin Injections, Cerebrospinal Fluid (CSF) Leaks, Cleft Lip, Cleft Palate, Cosmetic Dermatology, Cosmetic Surgery, Deviated Septum, Endoscopic Frontal Sinus Surgery, Endoscopic Resection of Nasal Tumors, Endoscopic Skull Base Surgery, Esthesioneuroblastoma, Eyelid and Orbital Trauma, Eyelid Malposition, Eyelid Reconstruction, Eyelid Surgery, Facelift, Facial Lesions, Facial Nerve Disorders, Facial Plastic Surgery, Facial Reanimation, Facial Reconstruction, Facial Scar Revision, Facial Surgery, Fibrous Dysplasia, Free Muscle Transfer, Gracillis Muscle Transfer, Hypoglossal Nerve Transfer, Maxillofacial Surgery, Microtia, Microvascular Free Flap Surgery, Microvascular Free Tissue Transfer, Microvascular Surgery, Neck Lift, Nerve Grafting, Nerve Injury, Orbital Trauma, Orbital Tumors, Otolaryngology, Paranasal Sinus Tumors, Parasellar Tumors, Parotid Cancer, Rhinoplasty, ...

Expertise, Disease and Conditions: Acne, Baseball Injuries, Bells Palsy, Birthmarks, Blepharoplasty, Bone Tumors, Botulinum Toxin Injections, Cerebrospinal Fluid (CSF) Leaks, Cleft Lip, Cleft Palate, Cosmetic Dermatology, Cosmetic Surgery, Deviated Septum, Endoscopic Frontal Sinus Surgery, Endoscopic Resection of Nasal Tumors, Endoscopic Skull Base Surgery, Esthesioneuroblastoma, Eyelid and Orbital Trauma, Eyelid Malposition, Eyelid Reconstruction, Eyelid Surgery, Facelift, Facial Lesions, Facial Nerve Disorders, Facial Plastic Surgery, Facial Reanimation, Facial Reconstruction, Facial Scar Revision, Facial Surgery, Fibrous Dysplasia, Free Muscle Transfer, Gracillis Muscle Transfer, Hypoglossal Nerve Transfer, Maxillofacial Surgery, Microtia, Microvascular Free Flap Surgery, Microvascular Free Tissue Transfer, Microvascular Surgery, Neck Lift, Nerve Grafting, Nerve Injury, Orbital Trauma, Orbital Tumors, Otolaryngology, Paranasal Sinus Tumors, Parasellar Tumors, Parotid Cancer, Rhinoplasty, ...

Head Neck. QMP product Functional and oncologic results are similar with no contraindication to the SIPF. Three types of local flaps will be described: rotation, advancement, and transposition flaps. Dedivitis RA (2017) The pectoralis major musculocutaneous flap in head and neck cancer reconstruction lob Surg, 2017 doi: 10.1761/S.100012 Volume 3(2): 3-3 widespread use of microvascular flaps, PMMF is still considered the main reconstructive option for head and neck cancer in many centers. KW - radial forearm free flap. BACKGROUND: Local and locoregional flaps are very useful in reconstruction of head and neck defects. However, the SAI flap has limitations in length and, because it is a rotational flap, is less capable of reconstructing some … Till the 1960s, local or regional flap was used for replacement of head and neck soft tissue. This flap is easy to harvest and versatile. In 2007, under a new publisher, Dr. Jackson published the second edition of … LOCAL FLAPS IN HEAD AND NECK RECONSTRUCTION --

BACKGROUND:Reconstruction of the extensor mechanism after resection of the proximal tibia is challenging, and several methods are available. A medial gastrocnemius flap commonly is used, although it may be associated with an extensor lag. This problem also is encountered, although perhaps to a lesser extent, with other techniques for reconstruction of the extensor apparatus. It is not known how such lag develops with time and how it correlates with functional outcome.QUESTIONS/PURPOSES:We therefore (1) assessed patellar height with time, (2) correlated patellar height with function using the Musculoskeletal Tumor Society (MSTS) score, and (3) correlated patellar height with range of motion (ROM) after medial gastrocnemius flap reconstruction.METHODS:Sixteen patients underwent tumor endoprosthesis implantation and extensor apparatus reconstruction between 1997 and 2009 using a medial gastrocnemius flap after sarcoma resection of the proximal tibia. These patients represented 100% of the ...

Hypothesis and specific aims Intraoperative brachytherapy (IOBT) placed following extirpative surgery for head and neck cancer is able to supply tumoricidal doses of radiation within a limited volume. Both pedicle and microvascular free flaps can provide vascularized tissue to cover the radioactive seeds in an effort to reconstruct the patients anatomy and protect the surgical wound. The aims of this study were, first, to better characterize the overall wound healing complications experienced by patients undergoing reconstruction in the setting of IOBT following tumor ablation, as well as to identify risk factors predicting complications and the need for re-operation. Secondly, we sought to distinguish complication rates between pedicle flap and free flap groups used for resurfacing of IOBT implants to help clarify the ideal reconstructive procedure. We hypothesized that there would be a high but manageable complication rate overall, and that pedicle flaps would experience fewer complications because

Tissue transfer flaps are a method of moving tissue from a donor location to a recipient location. In the case of a free tissue transfer flaps, the blood vessels to the transferred tissues are detached and then re-attached to different arteries & veins at the recipient site. The process of reconstructive surgery using tissue transfer flaps allows for improved results in terms of functionality, aesthetic appearance, and psychological well-being in patients requiring reconstructive surgery after cancer resection or trauma. The process of reconstructive surgery using tissue transfer flaps is not without complications. These complications may include acute arterial or venous occlusion, as well as the development of late complications such as fat necrosis and flap atrophy.. The purpose of this pilot study is to determine if a novel, unique, portable, non-contact optical imaging device developed at the Beckman Laser Institute called Modulated Imaging (MI) can detect changes in a flaps optical ...

A flap procedure uses your own tissue to form the shape of a breast. There are 2 kinds of flap procedures: the TRAM flap and the LD flap.

A flap procedure uses your own tissue to form the shape of a breast. There are 2 kinds of flap procedures: the TRAM flap and the LD flap.

A flap procedure uses your own tissue to form the shape of a breast. There are 2 kinds of flap procedures: the TRAM flap and the LD flap.

A flap procedure uses your own tissue to form the shape of a breast. There are 2 kinds of flap procedures: the TRAM flap and the LD flap.

A flap procedure uses your own tissue to form the shape of a breast. There are 2 kinds of flap procedures: the TRAM flap and the LD flap.

A flap procedure uses your own tissue to form the shape of a breast. There are 2 kinds of flap procedures: the TRAM flap and the LD flap.

Complication after the fat graft(A) A 60-year-old woman, who initially underwent latissimus dorsi myocutaneous flap reconstruction, was noted to have fat necros

Radial forearm flap is the most common type of FTM phalloplasty. The donor site is relatively hairless, provides erogenous sensation, and allows urethral reconstruction in a single stage.

We wish to congratulate Saint-Cyr et al. on their recent publication The Extended Anterolateral Thigh Flap: Anatomical Basis and Clinical Experience.1 From their cadaveric studies, the importance of large-diameter suprafascial linking vessels between angiotomes2 was highlighted. In addition, they reported a series of 12 patients who successfully underwent free extended anterolateral thigh flap reconstructions (without flap necrosis-partial or total). We read the article with great interest, noting the striking resemblance between Figure 1 illustrating their investigative principles and the design of keystone island flaps we use to close groin defects (Fig. 1): a totally serendipitous event. The publication by Saint-Cyr et al. provides the anatomical basis for our keystone island flap design in upper thigh reconstructions. The aim of this letter is to present our clinical verification for their marvellous investigative work.. Keystone island flaps are perforator-based, fasciocutaneous island ...

Copyright © 2018 by the American Society of Plastic Surgeons. Background: Soft-tissue complications often dictate the success of limb salvage and the overall outcome of open fractures. Based on prior work at the R Adams Cowley Shock Trauma Center, the authors hypothesize that wounds larger than 200 cm2 are associated with a greater likelihood of both flap-related reoperation and wound complications among patients requiring soft-tissue reconstruction with a rotational flap or free tissue transfer. Methods: This study was a secondary analysis of Fluid Lavage in Open Wounds trial data that included all patients who received a rotational or free tissue flap transfer for an open fracture. The primary outcome was flap-related reoperation within 12 months of injury. The secondary outcome was wound complication, which included events treated operatively or nonoperatively. Multivariable logistic regression was used to assess the association between wound size and outcomes, adjusting for confounders. Results:

|i|Purpose|/i|. To investigate the surgical outcomes of Viscoat® assisted inverted internal limiting membrane (ILM) flap technique for large macular holes (MHs) associated with high myopia.|i| Design|/i|. Prospective, interventional case series.|i| Methods|/i|. Fifteen eyes of 15 patients with high myopia underwent vitrectomy and Viscoat assisted inverted ILM flap technique to treat MH without RD. Patients were followed up over 6 months. The main outcome measures were MH closure evaluated by optical coherence tomography (OCT) and best-corrected visual acuities (BCVAs).|i| Result|/i|. MH closure was observed in all eyes (100%) following the initial surgery. Type 1 closure was observed in 13 eyes (86.7%); type 2 closure was observed in the remaining 2 eyes (13.3%). Compared to the preoperative baseline, the mean BCVA (logarithm of the minimum angle of resolution) improved significantly at 3 months and 6 months after surgery (|svg xmlns:xlink=http://www.w3.org/1999/xlink xmlns=http://www.w3.org/2000

Rotation flaps are a type of subdermal plexus flap. Survival of subdermal plexus flaps depends on the deep or subdermal plexus entering the base of the flap, which in turn are supplied by the terminal branches of the direct cutaneous vessels. Subdermal plexus flaps are raised from areas adjacent to the wound and, in the case of rotation flaps, are rotated into the wound defect. ...

Results: Following a 3-reviewer independent screening process, 10 eligible studies (1 randomized-controlled trial, 9 retrospective studies) involving 479 patients (186 flaps, 293 primary closures) met inclusion criteria. Eight studies described rectus abdominus myocutanous (RAM) flaps, 2 studies used gracillis flaps, and one study reported on a mixed cohort of both. Pooled odds ratio forest plots of assessed surgical site occurrences were created from meta-analysis. Total perineal complications were twice as likely to occur with primary closure compared to myocutaneous flap closure (OR= 2.05; p=0.001). Major perineal complications approached statistical significance, being more than twice as likely to occur with primary closure compared to flap closure (OR=2.22; p=0.05). There were no statistical differences between primary and flap closure in regards to minor perineal complications, abdominal wall complications, length of stay, or reoperation rate ...

10. Song, R., Gao, Y., Song, Y., et al.: The forearm flap. Clin. Plast. Surg. 9:21-26, 1982. 11. Soutar, D.S., Scheker, L.R., Tanner, N.S.B., and McGregor, I.A.: The radial forearm flap: A versatile method for intraoral reconstruction. Br. J. Plast. Surg. 36:1, 1983. 12. Soutar, D.S., and McGregor, I.A.: The radial forearm flap in intraoral reconstruction. The experience of 60 consecutive cases. Plast. Reconstr. Surg. 78:1, 1986. 13. Boorman, J.G., and Green, M.F.: A split Chinese forearm flap for simultaneous oral lining and skin cover. Br. J. Plast. Surg. 39:179, 1986. 14. Noeva, G., Brusen, P., and Kohler, L.: Reconstruction of heel and sole defects by free flaps. Plast. Reconstr. Surg. 78:345, 1986. 15. Chang, T., and Hwang, W.: Forearm flap in one-stage reconstruction of the penis. Plast. Reconstr. Surg. 74:251, 1984. 16. Gelberman, R.H., Blasingame, J.P., Fronek, A., and Dimick, M.P.: Forearm arterial injuries. J. Hand Surg. 4:401, 1979. 17. McGregor, A.D.: The free radial forearm flap-The ...

Background: Toe-to-thumb transfer has become the gold standard for thumb reconstruction, but in badly mutilated hands, additional soft tissue coverage may be required or a suitable recipient artery may not be available. There are only 3 case reports describing the successful use of a reverse radial forearm flap for coverage of a soft tissue defect around the thumb as well as providing arterial inflow for a toe transfer, performed either simultaneously or secondarily. Methods: A single surgeons experience of all toe-to-hand transfers performed in conjunction with a reverse radial forearm flap between 1995 and 2014 was reviewed, including patient demographics, type of toe transfer and vascular pedicle, whether immediate or secondary, follow-up, and complications ...

Double bipedicled fasciocutaneous flap for reconstruction of an extensive upper extremity defect: A case report., Martain PJ Loonen, Jessica Konopka

Introduction. Skin flaps necrosis is a matter of great concern to the Plastic Surgeons. In order to reduce the risk of it, many experimental studies have been carried out, specially in the field of oxidative stress and antioxidants. Oxidative stress is a phenomenon that occurs after elevation of ischemic flaps, with excessive production of free radicals and damage to the cells. Antioxidants are substances that reduce or block the deleterious effects of these radicals1, 2. Uric acid is an endogen antioxidant and represents part of the tissues natural defense against oxidative stress. It is an important antioxidant in the serum, representing a final product in the metabolism of the purines and acts as a potent free radical scavenger, inhibiting lipid peroxidation3. Malondialdehyde (MDA) is a product of lipid peroxidation, helpful in studies that deal with oxidative stress, serving as a quantifier of the aggression suffered by the tissues4.This study determined the levels of both uric acid and MDA ...

A flap procecure uses your own tissue to form the shape of a breast. There are two kinds of flap procedures: the TRAM flap and the LD flap.

For MSO members, login to post your job or position you desire. If you have any questions, contact [email protected].. The Department of Otolaryngology-Head and Neck Surgery at Boston University School of Medicine (BUSM) and Boston Medical Center (BMC) is seeking candidates for the position of Director of the Division of Head and Neck Surgery. The Division of Head and Neck Surgery at BMC/BUSM is one of the busiest head and neck services in New England with approximately 300 cases and 50 microvascular free flap reconstructions performed annually.. Qualified candidates will be board certified otolaryngologists with fellowship training in advanced head and neck surgical oncology. Candidates should preferably have at least five years of clinical experience and have been involved in developing a Head and Neck service. The director will be responsible for growing the division and overseeing the daily operations of the head and neck service. In addition to being an outstanding clinician, candidates should ...

An extensive traumatic soft tissue defect combined with significant bone loss of proximal phalanx of the thumb requires adequate surgical treatment with bridging the bone defect when the immediate reconstruction of missing soft tissues seems to be an optimal solution.. Except of primarily contaminated wounds, osseous reconstruction may be performed also primarily after adequate debridement. However, in cases with inadequate skin coverage, primary bone grafting is not recommended4. Composite tissue transfers including well-vascularized bone segment as pedicled or free flap have been described1-3. However, the use of early bone transfer may be associated with a relatively higher risk of infection4. We believe that the risk of infectious complications in recipient site with a potential need of bone fragment removal should be considered in relation with the donor site morbidity. From this point of view, removal of the prefabricated spacers has therefore smaller consequences for the patient, because ...

Reconstruction of soft tissue defects in the foot remains a challenge due to its specialized tissue for weightbearing and ambulation. Considering the principle of replacing like with like, adjacent soft tissues would be a best option for a donor site. Although several kinds of reverse-flow island flaps for the lower leg have been well described, intrinsic foot reverse flow flaps have been rarely reported. We describe 3 kinds of reverse-flow intrinsic fasciocutaneous flaps (RIFFs) for foot reconstruction. From September 2012 to August 2015, a retrospective study was done on case notes of all patients who had a RIFF for coverage of soft tissue defects within the foot following trauma or tumor ablation ...

TY - JOUR. T1 - Extent and role of urogastrone in the adaptive response of rat intestine to patching of a surgical defect in the ileum. AU - Saxena, S. K.. AU - Thompson, J. S.. AU - Joshi, S. S.. AU - Sharp, J. G.. PY - 1993. Y1 - 1993. N2 - Crypt cell production rate, morphometric changes and uptake of radiolabeled human urogastrone (125I rhUG) were evaluated in intestinal tissues of the rat at 2, 4, 8, and 12 days following patching of a surgical defect in the ileum with adjacent cecum. The terminal ileum was incised along its antimesenteric border and the margin of the opened ileum was sutured onto the serosal surface of the cecum. At autopsy, the animals were injected intraperitoneally with 1 μg/g body weight of the metaphase arrest agent, vincristine sulfate, and 50 μCI of 125I-rhUG (specific activity 1.7 μCi/μg) to quantify the crypt cell production rate and uptake of radiolabeled urogastrone, respectively. The results indicated that the crypt cell production rate was increased ...

Background The prognosis of humeral sarcomas has improved greatly in the past 20 years. As a result, the challenges for orthopedic oncologists include long-term handicap and local morbidity.

Understanding cell behavior inside three-dimensional (3D) microenvironments with controlled spatial patterning of physical and biochemical factors could provide insight into the basic biology of tissue engraftment, vascular anastomosis, and revascularization. A simple layer by layer projection microstereolithography (PμSL) method was utilized to investigate the effects of a nonporous and porous bioinert barrier on myocutaneous flap engraftment and revascularization. A cranial-based, peninsular-shaped myocutaneous flap was surgically created on the dorsum of C57Bl6 mice. Porous (SP) and nonporous (S) silicone implants were tailored to precise flap dimensions and inserted between the flap and recipient bed prior to sutured wound closure. Porous implant myocutaneous flaps became engrafted to the recipient site with complete viability. In contrast, distal cutaneous necrosis and resultant flap dehiscence was evident by day 10 in nonporous implant flap mice. Laser speckle contrast imaging

IntroductionThis essay aims to look at how prefabrication has affected house building. In order to do this, the essay shall cover the arguments for and against prefabrication. To achieve this, various aspects shall be covered in finding out how prefabr...

Looking for island flap? Find out information about island flap. 1. Aviation a movable surface fixed to the trailing edge of an aircraft wing that increases lift during takeoff and drag during landing 2. Surgery a piece... Explanation of island flap

Comparison of gracilis and rectus abdominis myocutaneous flap neovaginal reconstruction performed during radical pelvic surgery: flap-specific morbidity.

Objectives: The free radial forearm flap has replaced the pedicled pectoralis major myocutaneous flap and it has become the workhorse flap used by many head and neck reconstructive surgeons for soft tissue reconstructions. Cost implications of radial forearm flap reconstruction within the context of the overall health care in a particular system need to be investigated particularly before it is labelled as costly only. Design and Setting: Forty patients who underwent immediate free radial forearm flap reconstruction for oral or oropharyngeal soft tissue defects were matched with patients who underwent pectoralis major myocutaneous flap reconstruction for similar defects. The 2 years of which the overall management costs according to the hospital perspective were calculated were divided into four periods: operative period, the postoperative phase, follow-up during first year and follow-up during second year after discharge. Results: The total costs within the first 2 years were comparable at ...

TY - JOUR. T1 - Use of a mechanical microvascular anastomotic device in head and neck free tissue transfer. AU - Shindo, Maisie L.. AU - Costantino, Peter D.. AU - Nalbone, Vincent P.. AU - Rice, Dale H.. AU - Sinha, Uttam K.. PY - 1996/5. Y1 - 1996/5. N2 - Background: The use of mechanical microvascular anastomotic systems for free tissue transfer has previously been reported. Currently, a commercially available coupling device (3M Healthcare, St Paul, Minn) is widely used for various microvascular free flaps. However, to our knowledge, there are no reports in the literature describing the efficacy of this particular device in regard to free tissue transfer in head and neck reconstruction. Objective: To describe the surgical technique, limitations, and guidelines for application of this system tot vascular anastomosis in head and neck free tissue transfer. Design: The microvascular anastomotic device was used in 79 head and neck free flaps: radial forearm (n=28), rectus abdominis (n=27), fibula ...

TY - JOUR. T1 - Management of massive mastectomy skin flap necrosis following autologous breast reconstruction. AU - Patel, Ketan M.. AU - Hill, Lauren M.. AU - Gatti, Margaret E.. AU - Nahabedian, Maurice Y.. PY - 2012/8/1. Y1 - 2012/8/1. N2 - Background: The optimal management of severe mastectomy skin flap necrosis continues to remain a challenge. Following autologous reconstruction, small or minor areas of ischemia/tissue necrosis can result in multiple office visits, increased expenses due to dressing supplies and nursing care, and revisional operations. The purpose of this study is to describe outcomes of a common management strategy for surgeons when confronted with a patient with extensive mastectomy skin flap necrosis. Methods: Between 1997 and 2010, autologous breast reconstructions were performed in 805 women and 1076 breasts. Of these, 12 patients (15 breasts) were identified who met the criteria for massive skin flap loss (,30%). Patient photographs and wound measurements were used ...

The aim of this study was to evaluate the efficacy of the extended radial forearm free flap in reconstructing complex defects of the nose and anterior skull base in patients in whom traditional regional flaps are unavailable. The article presents the case of a 75-year-old male patient, who underwent five previous surgeries of the nasal pyramid starting in 1982, currently suffering from multi-focal recurrence of squamous cell cancer, infiltrating the anterior skull base. The patient underwent a total rhinectomy and ethmoidectomy. Through the extended radial forearm free flap, the defect was both aesthetically an functionally filled, without any complications. The extended radial forearm free flap represents an excellent alternative in the reconstruction of the anterior skull base and nose when regional flaps are unavailable or refused. It should be included in the armamentarium of the reconstructive surgeon.. ...

Abdominal flaps The abdominal flap for breast reconstruction is the TRAM flap (Transverse Rectus Abdominis Myocutaneous flap) or its technically distinct variants of microvascular perforator flaps like the DIEP/SIEA flaps. In a TRAM procedure, a portion of the abdomen tissue group, including skin, adipose tissues, minor muscles and connective tissues, is taken from the patients abdomen and transplanted onto the breast site. Both TRAM and DIEP/SIEA use the abdominal tissue between the umbilicus and the pubis. The DIEP flap and free-TRAM flap require advanced microsurgical technique and are less common as a result. Both can provide enough tissue to reconstruct large breasts. These procedures are preferred by some breast cancer patients because they result in an abdominoplasty (tummy tuck), and allow the breast to be reconstructed with ones own tissues instead of a foreign implant. TRAM flap procedures may weaken the abdominal wall and torso strength, but are tolerated well in most patients. To ...

In this study, we observed a low recurrence rate (2.72%) for an anchored conjunctival rotation flap technique in primary pterygium surgery. Furthermore, no recurrence was observed during the follow-up period (mean of 17.97 months) when nylon sutures were used.. The recurrence rate after pterygium surgery is related to several factors, such as age, race, the clinical features of the pterygium, surgical experience, suture material, glue material, and the use of adjunctive agents, such as mitomycin C [12-15]. Because standardizing all parameters is implausible, a clear comparison of recurrence rates between studies are difficult. However, it is noteworthy that the recurrence rate for the anchored conjunctival rotation flap technique was relatively low compared to that of primary pterygium excision using conjunctival autograft (4.55~ 20%), which was recently reported for the same area and population [14, 16-18].. The key features of the anchored conjunctival rotation flap technique are as follows. ...

Looking for online definition of pedicle flap in the Medical Dictionary? pedicle flap explanation free. What is pedicle flap? Meaning of pedicle flap medical term. What does pedicle flap mean?

Detailed step by step desription of Pectoralis major myocutaneous pedicle flap for Lateral mandible, mucosa, with or without tongue (smaller than 1/3) located in our module on Mandible

TY - JOUR. T1 - Comparison of hatchet-shaped tensor fascia lata flap and pedicle anterior lateral thigh flap for treatment of trochanteric sores: A retrospective analysis of 48 patients. AU - Li, Chun-Chang. AU - Chang, Shun-Cheng. AU - Fu, Ju-Peng. AU - Tzeng, Yuan-Sheng. AU - Wang, Chih-Hsin. AU - Chen, Tim-Mo. AU - Chen, Shyi-Gen. N1 - 被引用次數：1 Export Date: 21 March 2016 CODEN: APCSD 通訊地址: Chen, S.-G.; Division of Plastic Surgery, Department of Surgery, Tri-Service General Hospital, No. 325, Cheng-Kung Rd, Sec 2, Taipei 114, Taiwan; 電子郵件： [email protected] 參考文獻: Nahai, F., Silverton, J.S., Hill, H.L., The tensor fasciae lata musculocutaneous flap (1978) Ann Plast Surg., 1, pp. 372-379; Paletta, C.E., Freedman, B., Shehadi, S.I., The V-Y tensor fasciae latae musculocutaneous flap (1989) Plast Reconstr Surg., 83, pp. 852-857; Erconen, A.R., Apaydin, I., Emiroglu, M., Island V-Y tensor fasciae latae fasciocutaneous flap for the coverage of trochanteric ...

TY - JOUR. T1 - Antibiotic prophylaxis in patients undergoing head and neck free flap reconstruction. AU - Mitchell, Ryan M.. AU - Mendez, Eduardo. AU - Schmitt, Nicole C.. AU - Bhrany, Amit D.. AU - Futran, Neal D.. PY - 2015/12. Y1 - 2015/12. N2 - IMPORTANCE Evidence supports short courses of perioperative antibiotics for patients receiving minor head and neck procedures. Few studies have addressed antibiotic prophylaxis for patients undergoing free flap reconstruction of head and neck defects. OBJECTIVE To determine ideal antibiotic prophylaxis in patients undergoing head and neck free flap reconstruction. DESIGN, SETTING, AND PARTICIPANTS Retrospective cohort study of 427 adults receiving free flap reconstruction of head and neck defects at 2 affiliated tertiary care academic hospitals between January 1, 2006, and January 28, 2013. EXPOSURES Prophylactic antibiotic type and duration were recorded from patient records. MAIN OUTCOMES AND MEASURES Outcome datawere abstracted from patients ...

An anatomical understanding of the pectoralis muscle and its vasculature is of paramount importance to the surgeon. The muscle originates along the medial aspect of the clavicle, manubrium, sternum, and the cartilages of ribs 2 to 6. The fibers of the pectoralis major muscle form a large triangular muscle which travels obliquely to insert on the greater tubercle of the humerus. The pectoralis muscle functions by providing adduction and internal rotation of the arm.. The pectoralis muscle is a type V muscle according to the Mathis and Nahai classification.2 This means that the muscle has one dominant pedicle and several segmental pedicles. The main arterial supply to the pectoralis muscle is the thoracoacromial artery which is a branch of the second portion of the axillary artery. The pectoralis muscle also receives perfusion from the lateral thoracic artery to supply the lateral aspect of the muscle. Perforating branches from the internal mammary artery supply the medial aspect of the muscle and ...

A latissimus dorsi flap brings skin, fat, and muscle from the back to recreate the breast. Most women do not have sufficient back tissue to create a breast, so this approach often requires the placement of an implant as well.

A right pectoralis major myocutaneous flap was raised and crossed over the midline to cover an exposed clavicle. This again illustrates the versatility of the pectoralis myocutaneous flap.

Patients with high-voltage electrical injuries had very high rates of infection, morbidity, and limb amputation. The results of early and late flap coverage in these patients were prospectively compared. The patients were divided into two groups, early flap group (≤3 weeks) and late flap group (|3 weeks), according to the length of time from injury to wound coverage with flap. Age, sex, demographic data, time taken for flap coverage, time taken for pedicle division, time taken to discharge, wound infection, range of motion in joints, amputation, mortality, and outcome were gathered in a special questionnaire. This study included 55 patients, 31 within the early flap group and 24 within the late flap group. Of the 55 patients, 94.6% were male; mean (SD) of age was 29.04 (10.11) and of TBSA was 13.8 (10.07). Length of stay was significantly longer in the late flap group. The rates of infection and amputation were lower in the early flap group. There was no correlation between the type and the number of

2016 Annual Meeting: Immediate Pedicled Gracilis Flap in Radial Forearm Flap Phalloplasty for Transgender Male Patients to Reduce Urinary Fistula

NESPS 2017 Abstracts: DOES INCREASED CAPRINI SCORE PREDICT A HIGHER RATE OF FLAP FAILURE IN FREE TISSUE TRANSFER TO THE LOWER EXTREMITY?

In the investigators previous study of 51 breast reconstructions (32 patients), we compared three different assessments of vascular perfusion of tissue; clinical judgment, fluorescein dye angiography (FDA) and laser-assisted indocyanine green dye angiography (ICG). Because tissue with poor perfusion becomes necrotic and can compromise the success of breast reconstruction, it is important that tissue with poor perfusion be removed at the time of the reconstructive surgery. However, it is also important to remove the least amount of potentially necrotic tissue as possible so that the breast reconstruction is not compromised by lack of skin. Therefore finding the best way to assess potentially necrotic tissue is a vital clinical question. In the initial study the 3 different assessment methods which were made at the time of surgery were compared to the subsequent development of necrotic tissue.. In the initial study, clinical judgment was the basis for determining the tissue removed because it had ...

Read Superomedially based upper eyelid musculocutaneous flap for closure of medial canthal defects, European Journal of Plastic Surgery on DeepDyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips.

BACKGROUND: Within the field of plastic surgery, free tissue transfer is common practice for knee and lower leg defects. Usually, after such free flap reconstruction, patients undergo a dangling protocol in the postoperative phase. A dangling protocol is designed to gradually subject the free flap to increased venous pressure resulting from gravitational forces. Worldwide there are multiple variations of dangling protocols. However, there is no evidence available in the literature that supports the use of a dangling protocol. METHODS: This is a multicenter randomized controlled trial that includes patients with a free flap lower leg reconstruction. The primary outcome is to assess whether a no-dangling protocol is not inferior to a dangling protocol, in terms of proportion of partial flap loss, 6 months after surgery. Secondary objectives are to identify differences in major and minor complications, length of stay, and costs, and to objectify blood gaseous changes during dangling. Furthermore, ...

2016 Joint Meeting Abstracts: A Novel Experimental Rat Skin Flap Model That Distinguish Between Venous Congestion and Arterial Ischemia: the Reverse U-Shaped Bipedicled Superficial Inferior Epigastric Artery Flap

Introduction: The most commonly used techniques for reconstruction of the upper digestive tract after laryngopharyngectomy are gastric pull-up or microvascular surgery using jejunum or free skin flaps. The pectoralis major myocutaneous flap has proven to be helpful only after limited resection. However, Fabian [Ref. 1] introduced the myocutaneous flap for reconstruction of the anterior and the lateral walls of the hypopharynx, while the prevertebral fascia was covered by a free skin graft. Spriano et al. modified the method by leaving the prevertebral fascia uncovered [Ref. 2]. It was the aim of our study to evaluate the proposal of Spriano et al... Methods: The hypopharyngeal tumors of 4 male patients (42-57 years old) were resected by laryngopharyngectomy, including upper parts of the esophagus. The reconstruction was performed according to the proposal of Spriano et al., leaving the prevertebral fascia uncovered.. Results: All patients recovered quickly. The gastric tube was removed after ...

A new review looks at the types of free tissue transfer used in the reconstruction of lower limb injuries in children. What are the available options?

Introduction: Management of the periprosthetic soft tissues may be a challenge in patients undergoing treatment for an infected total knee arthroplasty (TKA) implant. Particularly in patients who have undergone multiple revision procedures, the compromised soft tissues may progress to complicated soft-tissue defects, which predispose patients to treatment failure or limb loss. Coverage of the soft-tissue defect with a rotational muscle flap may be required in these difficult patient scenarios. This video reports a single institution's experience using rotational muscle flaps for coverage of soft-tissue defects in patients undergoing treatment for an infected TKA implant. Methods: Between 2007 and 2017, rotational flaps were used to manage full-thickness anterior soft-tissue deficiency in 16 patients undergoing treatment for an infected TKA implant. The mean follow-up was 1.88 years (range, 0.1 to 6.1 years). The study group included 7 men and 9 women, with a mean age of 67.2 years (range, 44 to 87

TY - JOUR. T1 - Anterolateral thigh osteomyocutaneous femur (ALTO) flap reconstruction for composite mandible and near total tongue defect utilizing a retrograde intramedullary femoral nail stabilization technique. T2 - Report of a first case. AU - Novinger, Leah J.. AU - Cannady, Steven B.. AU - Wurtz, Lawrence D.. AU - Sim, Michael W.. AU - Moore, Michael G.. AU - Mantravadi, Avinash V.. AU - Shipchandler, Taha Z.. PY - 2020/6. Y1 - 2020/6. N2 - The anterior lateral thigh osteomyocutaneous free flap (ALTO) offers the advantage of reconstructing large bony and soft tissue defects. We report a novel approach for femur stabilization via retrograde intramedullary nail placement in a patient with a near total tongue and large mandibular defect who underwent ALTO reconstruction that saves operating room time and decreases risk of post-operative fracture.. AB - The anterior lateral thigh osteomyocutaneous free flap (ALTO) offers the advantage of reconstructing large bony and soft tissue defects. We ...

What happens during breast reconstruction surgery?. Step 1 - Anesthesia. Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.. Step 2 - Flap techniques reposition a womans own muscle, fat and skin to create or cover the breast mound.. Sometimes a mastectomy or radiation therapy will leave insufficient tissue on the chest wall to cover and support a breast implant. The use of a breast implant for reconstruction almost always requires either a flap technique or tissue expansion.. A TRAM flap uses donor muscle, fat and skin from a womans abdomen to reconstruct the breast. The flap may either remain attached to the original blood supply and be tunneled up through the chest wall, or be completely detached, and formed into a breast mound.. Alternatively, your surgeon may choose the DIEP or SGAP flap techniques which do not use muscle but transport tissue to the ...

The eyelid is divided into two lamellae, the anterior skin-muscle and the posterior tarso conjunctival lamella [3], [5]. The orbicularis muscle is divided into pretarsal, preseptal, and orbital orbicularis depending on the structure immediately posterior to it. Posteriorly, the tarsus is plate of dense connective tissue that occupies the inferior aspect of the upper eyelid [6]. The upper eyelid crease is formed by insertion of the fascial extensions of the levator aponeurosis, through the orbicularis muscle, to the skin. The upper eyelid crease runs parallel to the eyelid margin [5]. There are various types of flaps available in the management of upper eyelid defects, which include sliding flaps, advancement flaps, island flaps, and transposition flaps [3], [4]. The advancement flap is a modality of skin defect closure via mobilization of tissue along a linear direction [7]. In the advancement flap, the surrounding skin is fashioned, raised, and advanced on its own long axis to close the ...

PubMedID: 23255281 | Free flap reconstruction of oral composite defect complicated by intraoperative cardiac arrest: a case report. | Microsurgery | 3/1/2013

A tendency towards implant-based breast reconstruction continues to rise (17). In a study by Yi et al. (18), a total of 1810 breast cancer patients who underwent SSM (n=799, 44.1%) or conventional mastectomy (n=1011, 55.9%) were compared. The local, regional, systemic recurrence rates and DFS between two groups did not differ significantly, so they concluded that SSM is an acceptable option for patients who are candidates for IBR. Furthermore, in their meta-analysis, Lanitis et al. (19) found a 5.7% LR rate in SSM vs. 4% LR in non-SSM. This meta-analysis of 7 observational studies (825 SSM and 2518 non-SSM patients with no significant difference in stage or invasive cancers) also showed comparable survival rates between SSM and non-SSM (8.3% vs. 12.1%; OR= 0.63; 95% CI, 0.43-0.92). Similar to previous studies, our results also showed low LR rate as 1.8% as detected in one case with luminal B tumour after SSM along with systemic recurrence in our series. There was no LR in the NSM group. Recent ...

Free Flap Reconstruction of the Extremities in Patients Who are ≥65 Years Old: A Single-Center Retrospective 1-to-1 Matched Analysis

bone flap - MedHelps bone flap Center for Information, Symptoms, Resources, Treatments and Tools for bone flap. Find bone flap information, treatments for bone flap and bone flap symptoms.

This is Part 5 of a 6-part series focusing on CPT coding of breast procedures. This series will address several of the more confusing topics. Part 5 focuses on the coding of different types of autologous tissue breast reconstruction procedures.

Program Description. Overview: Fellowship training takes place in a high-volume quaternary health care facility and includes head and neck oncologic surgery, transoral laser microsurgery for head and neck cancer, transoral robotic-assisted surgery for head and neck cancer, reconstructive head and neck rehabilitative surgery, including microvascular free flap reconstructive surgery and exposure to multidisciplinary head and neck cancer care.. Fellows participate in all aspects of patient care and are expected to function independently in routine surgical cases including preoperative and postoperative care of patients. In addition to the clinical experience, fellows in the Advanced Head and Neck Oncologic and Reconstructive Surgery Fellowship participate in didactic activities and have an average of 1 day/week of protected time to pursue basic science and translational research in a variety of labs.. Objectives: The Advanced Head and Neck Oncologic and Reconstructive Surgery fellowship at Mayo ...

Zurück zum Zitat Van Koperen PJMDPD, Bemelman WAMDPD, Gerhards MFMDPD, Janssen LWMMDPD, van Tets WFMDPD, van Dalsen ADMD et al (2011) The anal fistula plug treatment compared with the mucosal advancement flap for cryptoglandular high transsphincteric perianal fistula: a double-blinded multicenter randomized trial. Dis Colon Rectum 54(4):387-393 CrossRefPubMed Van Koperen PJMDPD, Bemelman WAMDPD, Gerhards MFMDPD, Janssen LWMMDPD, van Tets WFMDPD, van Dalsen ADMD et al (2011) The anal fistula plug treatment compared with the mucosal advancement flap for cryptoglandular high transsphincteric perianal fistula: a double-blinded multicenter randomized trial. Dis Colon Rectum 54(4):387-393 CrossRefPubMed ...

The radial forearm consists of thin, pliable skin that can be molded in three dimensions and transferred as a sensate flap, making it ideal for most head and neck reconstructions. Loss of tissue resulting from cancer ablation or debridement of infected tissues or secondary to trauma provides the reconstructive surgeon with various challenges.

From DIEP Flap and TUG Flap procedures to lesser-known SHAEP and Stacked Flaps, we offer a range of natural tissue reconstruction and breast sensation restoration options. Whether youre interested in direct-to-implant or expander implant reconstruction, we are experienced in both prepectoral and subpectoral approaches. We perform a wide range of procedures, like conversion to prepectoral implants, flap revision, fat grafting, and surgery on the opposite breast, to improve your breast reconstruction. We offer surgical and non-surgical options, like 3-D tattoo, that allow our surgeons to create a natural appearing nipple as the final touch for your breast reconstruction. We help our patients understand the types of mastectomies available and how genetic information, like BRCA gene mutations, can factor into your decisions. We pioneered a unique and reliable abdominal wall reconstruction procedure to repair TRAM flap related hernias and contour deformities. We offer procedures to help prevent as ...

Introduction/Aim Ischemia Reperfusion injury is a poorly understood entity with wide-ranging clinical implications touching on most fields of clinical medicine. Using skin flap and hind limb models of injury in the mouse we attempt to reduce ischemia reperfusion injury by targeting different parts of the ischemia reperfusion injury pathway. Methods Dorsal lateral thoracic artery island skin flaps (3.5x1.5 cm) were elevated in C57BL/6 mice and rendered ischemic for 10 hours by placing a 7 mm microclamp on the vascular pedicle followed by 7 days of reperfusion. Hind-limb ischemia (was achieved with orthodontic rubber bands applied above the greater trochanter of male C57BL/6 mice using a McGivney Haemorrhoid Ligator. Limbs underwent ischemia for two hours followed by 24 hours reperfusion prior to euthanasia. Animals were treated with intravenous Poloxamer 188 and P8 IgM-binding protein to assess their effect on ischemiareperfusion injury. Results Administration of P188 prior to ischemia gave an ...

Postoperative complications in patients undergoing autologous breast reconstruction should be kept at the lowest possible level. Optimization of autologous breast reconstruction, especially techniques that can identify tissue perfusion and ischemia, will greatly benefit the patients and consequently society. Hence, the aim of this study was to evaluate the complication rates for autologous pedicle flap breast reconstructions, with and without the use of ICG-angiography. A single-institution retrospective review of mastectomy patients was performed. A total of 230 cases who underwent immediate or delayed, unilateral or bilateral pedicle autologous flap breast reconstruction between January 2013 and September 2016 was reviewed. Complication rates in the ICG-angiography and clinical assessment group were evaluated and compared. A total of 191 cases were identified of which 77 were evaluated with ICG-angiography, and 114 were evaluated clinically. There was no significant difference in overall ...

Breast reconstruction following tumor removal with an expander or allo prosthesis (costs for program #137905) ✔ University Hospital Münster ✔ Department of Gynecology and Obstetrics ✔ BookingHealth.com