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  • donor site
  • An elliptical defect at the donor site remains after the flap is rotated to fill the rhomboid defect. (medscape.com)
  • Place the line of maximal flap tension, also called the line of closure of the donor site, in a line of maximum extensibility of the face. (medscape.com)
  • The forehead flap is known as the best donor site for repairing nasal defects because of its size, superior vascularity, skin color, texture and thickness. (wikipedia.org)
  • In surgical praxis, the abdomen is the primary donor-site for harvesting the tissues to create the free flap, because that region of the woman's body usually contain's sufficient (redundant) adipocyte fat and skin -tissues that are biologically compatible and aesthetically adequate for the construction of a substitute breast. (wikipedia.org)
  • Disadvantages Besides a long scar to the abdomen, the surgical sacrifice of the rectus abdominis muscle can result in a higher risk of medical complications of the abdominal donor-site, such as hernia, and consequent intestinal protrusion (bulging), and pain. (wikipedia.org)
  • tissue
  • The flap and surrounding tissue are undermined in the subdermal plane after creating the rhombus defect. (medscape.com)
  • Surgical repair may not always be necessary but if surgical repair is carried out, the Mathieu technique modification may offer better anatomic delineation of the urethra and will provide an extra layer of tissue to cover the reconstructed urethra. (frontiersin.org)
  • At our institution, the use of vascularized, free-tissue transfer has replaced pedicled flaps as the preferred modality for reconstructing complex cranial base defects involving resection of dura, brain, or multiple major structures adjacent to skull base, including the orbit, palate, mandible, skin, and other structures. (pubmedcentralcanada.ca)
  • Free flaps provide reliable, well-vascularized soft tissue to seal the dura, obliterate dead space, cover exposed cranial bone, and provide cutaneous coverage for skin or mucosa. (pubmedcentralcanada.ca)
  • To solve the problem of the short median forehead flap, its design was modified so that central forehead tissue could be transferred on a unilateral paramedian blood supply. (wikipedia.org)
  • Limited alar defects can be resurfaced using a nasolabial flap, however, the amount of tissue available from the nasolabial area is limited and the flap is thicker, less vascular, and hair bearing in males. (wikipedia.org)
  • Electrocoagulation (electrodesiccation) is performed over the raw surgical ulcer to denature a layer of the dermis and the curette is used again over the surgical ulcer to remove denatured dermis down to living tissue. (wikipedia.org)
  • Therefore, reconstructive surgeons have developed a variety of surgical techniques to conceal the soft tissue defects by using tissue transfers, better known as flaps. (wikipedia.org)
  • Once the TRAM free flap is transposed to the woman's chest, the epigastric blood vessels are anastomosed (connected) to the internal thoracic vein to maintain the tissue viability of the reconstructed breast. (wikipedia.org)
  • because it possesses a robust blood supply, there is a low risk of tissue necrosis, either of the flap or of the adipocyte fat, and the reconstructed breast can tolerate oncologic radiotherapy. (wikipedia.org)
  • surgeons
  • It is therefore recommended that surgeons use this flap method for removal of impacted third molars to enhance post-operative patient comfort. (up.ac.za)
  • Patients who underwent PPF surgery were selected from the 2012 American College of Surgeons National Surgical Quality Improvement Program Pediatric (NSQIP-PEDS) database. (ovid.com)
  • citation needed] In the late 1990s, with the huge popularity of surgical rejuvenation and concomitant increase of cosmetic surgery procedures worldwide, more substances, along with biocompatible materials commonly used in other medical applications for years, became available to surgeons for use in augmenting thinning or misshapen lips into more plump and attractive features. (wikipedia.org)
  • In time, the 5th-century BC Indian rhinoplasty technique-featuring a free-flap graft-was rediscovered by Western medicine in the 18th century, during the Third Anglo-Mysore War (1789-1792) of colonial annexation, by the British against Tipu Sultan, when the East India Company surgeons Thomas Cruso and James Findlay witnessed Indian rhinoplasty procedures at the British Residency in Poona. (wikipedia.org)
  • Thoracic
  • The flap allows for 1) passive drainage of the pleural space and 2) negative pressure to develop in the thoracic cavity due to it being easier for air to escape than to enter the chest. (wikipedia.org)
  • Sushruta
  • The physician Sushruta and his medical students developed and applied plastic surgical techniques for reconstructing noses, genitalia, earlobes, et cetera, that were amputated as religious, criminal, or military punishment. (wikipedia.org)
  • bone
  • If a tooth is buried in the bone, a surgical or trans alveolar approach may be required, which involves cutting the gum away and removal of the bone which is holding the tooth in with a surgical drill. (wikipedia.org)
  • A craniotomy is a surgical operation in which a bone flap is temporarily removed from the skull to access the brain. (wikipedia.org)
  • The bone flap is then replaced using titanium plates and screws or another form of fixation (wire, suture, etc. (wikipedia.org)
  • skin
  • Three important aesthetic and/or functional considerations must be balanced in the flap design: (1) using relaxed skin tension lines, (2) preserving the integrity of neighboring landmarks, and (3) observing aesthetic subunits. (medscape.com)
  • As originally described by Dr. Eloessar, the procedure started with cutting a 2 inch wide, U-shaped flap of skin on the side of the chest wall underneath the axilla and scapula. (wikipedia.org)
  • The finger-like skin flap was then inserted into the cavity made in the chest wall and sown into the inner pleural lining of the chest. (wikipedia.org)
  • Whereas a flap that is vascularised by a perforator traversing only through muscle to supply the underlying skin is called a muscle perforator. (wikipedia.org)
  • The secondary donor-sites for harvesting adipocyte and skin tissues to create a free flap are the regions of: (i) the gluteus maximus muscles, (ii) the medial thigh, (iii) the buttocks, and (iv) the waist of the woman's body. (wikipedia.org)
  • vessels
  • The vessels that supply blood to the flap are isolated perforator(s) derived from a deep vascular system through the underlying muscle or intermuscular septa. (wikipedia.org)
  • Regarding the nomenclature of these flaps, the authors stated the following: "A perforator flap should be named after the nutrient artery or vessels and not after the underlying muscle. (wikipedia.org)
  • surgery
  • Lip augmentation is a type of cosmetic surgery or non-surgical procedure that aims to alter the appearance of the lips by increasing their fullness through enlargement using fillers. (wikipedia.org)
  • treatments
  • Prior to the development of the Eloessar flap in the 1930s, the main surgical treatments for chronic tuberculous empyema were an open thoracotomy or chest tube drainage. (wikipedia.org)
  • Treatments for the plastic repair of a broken nose are first mentioned in the Edwin Smith Papyrus, a transcription of an Ancient Egyptian medical text, the oldest known surgical treatise, dated to the Old Kingdom from 3000 to 2500 BC. (wikipedia.org)
  • skull
  • The complex anatomy of the vital structures in this area makes surgical resection of tumors involving the skull base extremely difficult. (pubmedcentralcanada.ca)
  • Craniotomy is distinguished from craniectomy (in which the skull flap is not immediately replaced, allowing the brain to swell, thus reducing intracranial pressure) and from trepanation, the creation of a burr hole through the cranium in to the dura mater. (wikipedia.org)
  • vessel
  • If there is a potential to harvest multiple perforator flaps from one vessel, the name of each flap is based on its anatomical region or muscle. (wikipedia.org)
  • defect
  • All angles are 60°, which means that every side of both the defect and the flap is equal in length. (medscape.com)
  • With rhomboid defect angles of less than 60°, the Dufourmentel flap is narrower than a Limberg flap. (medscape.com)
  • 6 years later Duckett and Keating described the congenital defect in detail and put forth the "pyramid procedure" as a surgical treatment for the patient with MIP ( 2 ). (frontiersin.org)
  • First, the turning point of the flap can be moved down, so that the base of the flap is closer to the nasal defect and a shorter flap can be used to reach the nasal defect. (wikipedia.org)
  • physician
  • Features that favor carotid stenting include non-atherosclerotic cause of the stenosis (fibrodysplasia, radiation, early post-surgical stenosis or flap) an experienced center and experienced physician performing the procedure. (wikipedia.org)
  • repair
  • Surgical repair is complicated by a wide distal urethra which may be injured if not properly identified. (frontiersin.org)
  • Depending on severity, therapies may range from topical or oral anti-inflammatories to irrigation and surgical repair. (wikipedia.org)