• 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)
  • In Italy, Gasparo Tagliacozzi (1546-1599), professor of surgery and anatomy at the University of Bologna, published Curtorum Chirurgia Per Insitionem (The Surgery of Defects by Implantations, 1597), a technico-procedural manual for the surgical repair and reconstruction of facial wounds in soldiers. (wikipedia.org)
  • In Germany, rhinoplastic technique was refined by surgeons such as the Berlin University professor of surgery Karl Ferdinand von Gräfe (1787-1840), who published Rhinoplastik (Rebuilding the Nose, 1818) wherein he described 55 historical plastic surgery procedures, and his technically innovative free-graft nasal reconstruction (with a tissue-flap harvested from the patient's arm), and surgical approaches to eyelid, cleft lip, and cleft palate corrections. (wikipedia.org)
  • Mucosal reconstruction was performed using a contralateral chondromucosal septal flap, ipsilateral mucosa, or cutaneous malar somersault flap. (rbcp.org.br)
  • Patients who underwent mucosa reconstruction with mucosal flaps reported normal breathing, unlike those who underwent reconstruction with a dermal-fat somersault flap and reported air flow obstruction. (rbcp.org.br)
  • We performed immediate breast reconstruction using a deep inferior epigastric perforator (DIEP) flap anastomosed to the internal mammary vessels after a skin-sparing mastectomy with sentinel lymph node biopsy. (bvsalud.org)
  • The surgery exceeded the estimated time because, after anastomosis, severe congestion was observed in the flap and because of the need to perform re-anastomosis and the reconstruction of the internal mammary vein twice. (bvsalud.org)
  • The surgical team eventually re-performed the breast reconstruction using a contralateral pedicled transverse rectus abdominis myocutaneous (TRAM) flap. (bvsalud.org)
  • The transnasal bilobed flap is a simple and effective for medial canthal reconstruction and provides in one-time reconstruction and preserves the local anatomy. (heighpubs.org)
  • This video depicts the microvascular anastomosis of the deep inferior epigastric artery and vein to the internal mammary artery and vein in an anterograde fashion for a delayed bilateral deep inferior epigastric perforator (DIEP) flap reconstruction in a 53-year-old female patient status post bilateral mastectomy for breast cancer. (csurgeries.com)
  • Introduction: The DIEP flap is an autologous form of breast reconstruction following mastectomy. (csurgeries.com)
  • Indications/Contraindications: DIEP flap breast reconstruction is recommended in patients who wish to achieve breast reconstruction with autologous tissue and have suitable abdominal donor tissue. (csurgeries.com)
  • 2 The Deep Inferior Epigastric Perforator (DIEP) flap has now become the most common autologous approach to breast reconstruction. (csurgeries.com)
  • It is the flap of choice for autologous breast reconstruction because it combines a long pedicle with a relatively straightforward dissection, minimal donor site morbidity, and improves the donor site contour. (csurgeries.com)
  • Microvascular anastomosis is the critical step of DIEP flap breast reconstruction. (csurgeries.com)
  • Autologous reconstruction is typically favored in patients who have undergone mastectomy flap radiation. (csurgeries.com)
  • Then, contralateral anterolateral thigh (ALT) free flap reconstruction of the defect was conducted. (handmicro.org)
  • Dr. Tran then continued her education and further honed her surgical skills in Plastic and Reconstructive Surgery at Tulane University, where she trained under one of the pioneers of DIEP (deep inferior epigastric perforator) flap breast reconstruction. (drtranplasticsurgery.com)
  • Between October 2006 and July 2013, we identified 19 patients who underwent palatal reconstruction using a palatal mucoperiosteal island flap after tumor excision. (e-acfs.org)
  • The palatal mucoperiosteal island flap is a good reconstruction modality for palatal defects if used under appropriate indications. (e-acfs.org)
  • The palatal reconstruction with a mucoperiosteal island flap was first described by Gullane and Arena [ 3 ] in 1977. (e-acfs.org)
  • We identified 19 patients who underwent palatal reconstruction between October 2006 and July 2013 using either unilateral or bilateral palatal mucoperiosteal island flaps after tumor excision at the Severance Hospital (Seoul, Korea). (e-acfs.org)
  • The objective of this study was to evaluate the postoperative complications in patients who underwent immediate and late breast reconstruction with a transverse rectus abdominis myocutaneous (TRAM) flap and statistically correlate these complications with the use of radiotherapy (RT). (rbcp.org.br)
  • Immediate left breast reconstruction was performed with an inferior pedicle island flap. (medscape.com)
  • Immediate reconstruction of a nipple-areola complex lumpectomy defect with a L-shaped medial inferior based skin paddle flap and contralateral reduction mammoplasty provides an excellent cosmetic outcome in patients with large, ptotic breasts and central defects following oncologic tumor resection. (medscape.com)
  • [ 5 ] Many techniques for nipple reconstruction have been well described, such as purse string closure local flaps, or tattooing. (medscape.com)
  • With surgical advancements in oncoplastic breast surgery, minimally invasive breast surgery and breast reconstruction, patients can now look forward to better cosmetic outcomes and quality of life. (snec.com.sg)
  • An international expert in complex reconstruction, microsurgery, flaps and regenerative medicine, Dr. Charles E. Butler is Tenured Professor of Plastic Surgery and the Charles B. Barker Endowed Chair in Surgery at the University of Texas MD Anderson Cancer Center. (mdanderson.org)
  • Perforator flaps is now a very versatile tool for the reconstruction of challenging tissue defects. (njps.org)
  • 20. "LIFT" for Mastectomy Flap Types: Latissimus dorsi, Inferior pedicle, Free TRAM, Transverse rectus abdominis myocutaneous. (welovelmc.com)
  • A study was conducted on the effect of autonomization surgical techniques on monopediculated transverse rectus abdominis mycutaneous flaps in female rats. (rbcp.org.br)
  • The autonomization surgical technique that divided the cranial portion of rectus abdominis muscles bilaterally and cauterized both upper deep epigastric vessels used on group C animals was more effective in reducing the area of necrosis of the flap studied, and did not result in histological changes in the fragments examined. (rbcp.org.br)
  • The left image shows an obstructed kidney with an intrarenal pelvis with dotted lines delineating the areas of the surgical resection. (medscape.com)
  • We hypothesized that adding stereotactic body radiation therapy (SBRT) to anti-PD-1 would be safe prior to definitive surgical resection and would enhance pathological response compared with historical cohorts of patients with locoregionally advanced HNSCC treated with checkpoint inhibitor alone. (bmj.com)
  • Eligible patients were treated with neoadjuvant SBRT at a total dose of either 40 Gy in 5 fractions or 24 Gy in 3 fractions, delivered in a 1-week timespan, with or without nivolumab, prior to definitive surgical resection. (bmj.com)
  • Although the development of microsurgical techniques, skull base approaches, improved imaging, and stereotactic radiosurgery have all contributed to decreasing morbidity rates over the past few decades, resection of petroclival meningiomas remains a formidable surgical challenge to even the most experienced skull base surgeons. (neurosurgicalatlas.com)
  • Oncological surgical resection, safety, function and aesthetics are now viewed as integral components of comprehensive breast surgical care. (snec.com.sg)
  • In contrast to previous methods involving cortical resection and flap elevation, the concept of a minimally invasive corticotomy is to activate the inflammatory cascade in the cortical bone by creating an osteoporotic environment conducive to accelerating OTM. (turkjorthod.org)
  • In general, the ideal treatment of a benign meningioma is surgical resection if possible. (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)
  • 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)
  • The area of necrosis in relation to the total flap healing area was assessed by using a sheet of standard graph paper, a fine point Pilot ® pen and a transparent cast. (rbcp.org.br)
  • In spite of the improvements in microsurgical techniques, failures due to absent revascularization or reinnervation of the transplanted muscle or infections causing flap necrosis are observed. (unipr.it)
  • wound infection in 2 (12.5) and flap necrosis in 1 patient (6.3). (bvsalud.org)
  • [ 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)
  • 6 A volume replacement procedure is performed in laterally placed tumours where the patient declines contralateral surgery. (scielo.org.za)
  • Animals in Group A (control) were submitted to the flap procedure proposed for the study, consisting of an incision, removal of the fragment in area 3 and detachment of the flap up to the lower abdomen, followed by on site suture. (rbcp.org.br)
  • A gracilis muscle free flap procedure is a highly specialized surgery in which a small portion of a patient's inner thigh muscle is transplanted into the face. (facialparalysisinstitute.com)
  • Along with the muscle itself, a gracilis free flap procedure involves transplanting the associated blood supply and nerve into a patient's face. (facialparalysisinstitute.com)
  • The decision to undergo a gracilis free flap procedure should be considered if a patient is coping with facial paralysis that lingers for two or more years after onset. (facialparalysisinstitute.com)
  • Following a gracilis free flap procedure or any other facial paralysis treatment, Dr. Azizzadeh monitors his patient's results. (facialparalysisinstitute.com)
  • Since an amputation is an enormous burden for diabetes patients, the optimal selection of a surgical procedure and its skillful execution are imperative for possible foot salvage [ 3 ]. (handmicro.org)
  • Because the patient was determined to save his foot, we examined the vascular conditions of both lower extremities by three-dimensional computed tomographic (CT) angiography and hand-held audible Doppler ultrasound before deciding on the main surgical procedure. (handmicro.org)
  • We propose a second surgical procedure based on the gracilis muscle transplant reinnervated by the masseteric nerve as a solution for these cases. (unipr.it)
  • CONCLUSIONS: This technique is a one-step procedure characterized by reliable flap harvesting, low donor site morbidity and good activity of the masseteric nerve. (unipr.it)
  • The most commonly performed phalloplasty procedure in postpubertal patients is the microvascular transfer radial forearm flap. (medscape.com)
  • The guiding ideas for surgical repair depend upon the important osteofibrous sheath lesion present on the time of surgical procedure. (dnahelix.com)
  • Surgical repair consisted of preputial island flap in 22 patients (43.1) followed by a peri-meatal based flap (Mathieu procedure) in 16 patients (31.4). (bvsalud.org)
  • This entails excision of the primary tumour with a 1 cm macroscopic margin and filling the defect with extramammary autologous tissue utilising an intercostal artery perforator flap (ICAP). (scielo.org.za)
  • The objective of this study was to evaluate the usefulness of palatal mucoperiosteal island flap in covering a palatal defect after tumor excision. (e-acfs.org)
  • Many techniques including the tongue flap, buccal mucosal flap, forehead flap, the temporalis, the mucoperiosteal island flap, and the fasciocutaneous free flap have been introduced to reconstruct oral defects [ 1 , 2 , 3 ]. (e-acfs.org)
  • In 1977, a palatal island flap, 14 which was an epithelized connective tissue flap, was described. (allenpress.com)
  • Volume replacement techniques, such as the latissimus dorsi myocutaneous flap and the AICAP flap, are preferable in patients with smaller, nonptotic breasts, [ 1 , 7-9 ] whereas patients with large ptotic breast are favorable for volume displacement techniques. (medscape.com)
  • Cartilaginous support was performed with septal and conchal cartilage grafts and cutaneous coverage with a frontal paramedian flap. (rbcp.org.br)
  • Thus, whenever possible, the skin should be replaced with skin of similar color and texture such as that from frontal flaps, mucosa, septal flaps, and cartilaginous support with septal, conchal, or costal flaps or grafts 2 . (rbcp.org.br)
  • Existing therapeutic strategies include direct suture, free skin grafts and skin flaps [7]. (heighpubs.org)
  • Neurotization of the flaps was achieved with cadaveric nerve grafts. (csurgeries.com)
  • 10 , 11 Seibert Class III defects may be addressed by surgical techniques that involve the use of a combination of soft and hard tissue grafts. (allenpress.com)
  • Three intraoperative complications occurred (one segmental transverse colectomy for mesenteric injury, one converted to omental free flap, and one requiring micro anastomosis). (neurosurgery.directory)
  • Treatment usually includes surgical excision, often with radiation therapy, and with or without adjuvant chemotherapy, endocrine therapy, or both. (msdmanuals.com)
  • Surgical oncology performed a left lumpectomy with nipple-areola complex excision and a sentinel lymph node biopsy. (medscape.com)
  • Conclusion: This report demonstrates how to perform the critical microvascular anastomotic and coaptation steps for a neurotized DIEP flap. (csurgeries.com)
  • Nemcovsky et al preconized the use of a split-thickness 15 and full-thickness 16 rotated palatal flap for primary closure after immediate implant placement. (allenpress.com)
  • 5,6,7,8 Some studies have also reported periodontal problems, such as increased tooth mobility and bone dehiscence, immediately following full-thickness flap elevation. (turkjorthod.org)
  • Secondary healing, on the other hand, occurs in areas which are not covered by normally epithelialized tissue due to intentional (extraction sockets, apically repositioned flaps) or accidental (wounds with full thickness loss of substance) exposure, or due to an insufficient amount of lining tissue to be used for coverage. (medsci.org)
  • Follow-up evaluation demonstrates viable omental flaps and improved cerebral vascularization. (neurosurgery.directory)
  • Implant site preparation timing was measured from flap elevation until implant inclusion. (units.it)
  • The average surgical times of implant sites preparation were: 10 (± 1.4) minutes for the test sites, and 7.00 (± 1.7) minutes for the control sites. (units.it)
  • The aim of the present paper is to highlight both the main clinical findings of surgical wound healing, especially in periodontal and implant dentistry, and the wound healing monitoring procedures which should be followed. (medsci.org)
  • Kazanjian advanced the development of the forehead flap by advocating primary closure of the forehead donor site. (medscape.com)
  • Additionally, a brown splint was placed underneath both legs to keep the hip and knees flexed to ensure donor-site closure when using an abdominal-based flap. (bvsalud.org)
  • In addition, rotated pedicle flaps have been used for the purpose of soft tissue closure of grafted extraction sockets 17 and closure of alveolar defects after bone grafting. (allenpress.com)
  • Advantages of the use of the vascularized interpositional periosteal-connective tissue (VIP-CT) graft are excellent blood supply, less morbidity, primary closure of donor and recipient bed, and patient acceptance due to donor and recipient site involving a single surgical site. (allenpress.com)
  • Furthermore, the term tertiary intention is used to define delayed healing which occurs in both types of healing after an infected wound is left open for days until the infection disappears and is completely covered by surgical closure of the overlying tissue 1 , 2 . (medsci.org)
  • Vacuum-assisted closure and muscle flaps are proven methods for the treatment of sternomediastinitis. (sts.org)
  • After abdominal flap dissection and recipient internal mammary vessel harvest, the contralateral abdominal DIEP flaps are anastomosed with recipient vessels and nerves. (csurgeries.com)
  • Results: Bilateral abdominal DIEP flaps were anastomosed to the contralateral internal mammary arterial and venous counterparts. (csurgeries.com)
  • Twelve patients (27%) developed surgical site infection (SSI), eight of which were classified as deep SSI with wound breakdown. (scielo.org.za)
  • Method: 20 patients showing Miller's class I and class II type of localized gingival recession on the contralateral sides were selected and assigned randomly into experimental site A (free rotated papillary autograft combined with coronally advanced flap) and experimental site B (coronally advanced flap. (journalcra.com)
  • Dr. Tran then went on to UC San Diego School of Medicine, where she was inspired by the mentors and patients she met during her clinical rotations to pursue postgraduate training in the reconstructive surgical care of breast cancer patients. (drtranplasticsurgery.com)
  • We compared the surgical outcomes of both types of surgeries (with implants and with expanders) in patients who underwent postoperative radiotherapy and those who did not. (rbcp.org.br)
  • In patients with Moyamoya disease , cerebral revascularization using a pedicled omental flap has proven to be a viable option following direct revascularization procedures. (neurosurgery.directory)
  • herein we describe outcomes from a 10-year experience of laparoscopic harvesting of pedicled omental flap for cerebral revascularization in Moyamoya patients. (neurosurgery.directory)
  • Among the 18 operated patients, considering the surgical result, 17 (94.4%) had excellent or good results and one (5.5%) had wound dehiscence, which was considered a bad result. (rbcp.org.br)
  • Objective:The purpose of this study was to examine patient outcomes and the risk of recurrence of mucous cysts affecting the distal interphalangeal (DIP) joint in the absence of osteophytectomy using the described flap technique.Methods:A retrospective review of 143 records of patients who were treated for mucous cysts of the DIP joint by a single surgeon. (usuhs.edu)
  • Inclusion criteria included the absence of an osteophytectomy during treatment using the described dorsally based flap technique and a minimum of 12 months of follow-up.Results:A total of 143 mucous cysts affecting the DIP joint of 131 patients with an average age of 65.3 years were included. (usuhs.edu)
  • Good surgical management is the cornerstone of breast cancer treatment and the restoration of self for patients. (snec.com.sg)
  • Preventive interventions such as normalization of glucose levels and hemoglobin concentration, surgical breast reduction, and screening for and prophylactic treatment of methicillin-resistant Staphylococcus aureus, especially in high-risk patients, are to be considered. (sts.org)
  • Testes were viable in 59(64.8) patients offered bilateral orchidopexy and gangrenous in 32(35.2) that had orchi- dectomy with contralateral orchidopexy. (bvsalud.org)
  • Composite flaps used in reconstructive surgery may intra- and postoperatively suffer from hypoperfusion and/or ischemia-reperfusion influencing wound healing. (scielo.br)
  • This article explores the history of forehead flap surgery, contemporary concepts in flap design, surgical steps, and potential complications. (medscape.com)
  • 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)
  • Dr. von Gräfe's protégé, the medical and surgical polymath Johann Friedrich Dieffenbach (1794-1847), who was among the first surgeons to anaesthetize the patient before performing the nose surgery, published Die Operative Chirurgie (Operative Surgery, 1845), which became a foundational medical and plastic surgical text (see strabismus, torticollis). (wikipedia.org)
  • With a gracilis free flap surgery, the nerve that moves the gracilis muscle (obturator nerve) must be connected to a new nerve supply in a patient's face. (facialparalysisinstitute.com)
  • Telephone follow-up and patient self-assessment scales can also be used the days following surgery to monitor the most common surgical complications such as pain, swelling, bleeding, and bruising. (medsci.org)
  • The beauty of the tool lies in the minimization of morbidity in comparison to conventional pedicled flaps surgery. (njps.org)
  • Due to poor development of free flap surgery, we are encouraging surgeons − old and new − to pick up the skill. (njps.org)
  • This study aimed to present a surgical restorative protocol, including periodontal surgery of gingival recontouring with osteotomy and rehabilitation with porcelain crowns to improve esthetics and function in a patient with over-exposed gingival smile and short clinical crowns. (bvsalud.org)
  • Contralateral abdominal DIEP flaps were simultaneously harvested. (csurgeries.com)
  • Advantages of using a vascularized palatal pedicle flap are its acceptable vascularization, excellent thickness and tissue bulk, and easy accessibility. (allenpress.com)
  • Our technique involved a deepithelialized L-shaped medial inferior based flap with removal of lateral breast tissue after central lumpectomy with a contralateral Wise-pattern mastopexy with inferior pedicle for symmetry. (medscape.com)
  • The defect was reconstructed using a transnasal bilobed flap. (heighpubs.org)
  • The primary lobe is then elevated, rotated and positioned in the defect to confirm that the size of the flap approximates of the defect. (heighpubs.org)
  • As a result, a large soft-tissue defect on the third and fourth toe region was successfully covered by a contralateral anterolateral thigh free flap. (handmicro.org)
  • Many options are available to cover a palatal defect, including local or free flaps. (e-acfs.org)
  • Either unilateral or bilateral palatal island flaps were used depending on the size of defect. (e-acfs.org)
  • After complete extirpation of tumor lesion, the flap was designed to be much bigger than the defect itself depending on operator's experience, and the hard palate was infiltrated using 1% Xylocaine with epinephrine 1:100,000 in a subperiosteal plane. (e-acfs.org)
  • [ 11 ] All these techniques involve a deepithelialized flap, with creation of a circular skin island to replace the NAC defect. (medscape.com)
  • 9 The selection of a surgical treatment depends on the type of anatomical defect and prosthetic treatment. (allenpress.com)
  • Volume displacement oBCS or reshaping procedures that transpose a dermoglandular flap of breast tissue into the defect site (e.g., mastopexy and mammoplasty) (Figure 2) . (snec.com.sg)
  • First intention bone healing occurs in correctly repositioned and perfectly stabilized fractures, while secondary intention healing occurs when a bone defect has to be spontaneously filled, as in extraction sockets or in other post-surgical residual bone cavities or gaps 3 . (medsci.org)
  • This is the next available option to free flap transfer as long a perforator vessel can be identified in a skin tissue just large enough to cover a defect. (njps.org)
  • As cardiac interventions became more complex, these incisions were often extended across the sternum into the contralateral pleural cavities (so-called clamshell incision). (sts.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)
  • The surgical medial canthus is much larger than the anatomical medial canthus, and extends vertically into the sub-brow region, medially to the side of the nose and close to the midline, and inferiorly onto the cheek [4,5]. (heighpubs.org)
  • We describe the usefulness of the transnasal bilobed flap for medial canthal sreconstruction, and highlight some key features, which are illustrated in this case. (heighpubs.org)
  • A reconstrução da mucosa foi feita com retalho septal condromucoso contralateral, mucoso ipsilateral ou retalho cutâneo malar em cambalhota. (rbcp.org.br)
  • The two lobes of the skin flap are then planned and outlined adjacent to the lesion. (heighpubs.org)
  • The complex anatomy of the adjacent temporal bone creates a surgical lesion that is surrounded by vulnerable structures and difficult to expose. (neurosurgicalatlas.com)
  • Neurotization of the flap was performed by coaptation of the 4th intercostal nerve to a sensory nerve of the abdominal flap via cadaveric nerve graft. (csurgeries.com)
  • 5 With new developments in the surgical management of breast carcinoma, oncoplastic procedures, particularly therapeutic mammoplasty, have become an attractive option. (scielo.org.za)
  • With the advent of endoscopic surgical procedures, ureterocalicostomy is also used to manage failed endourological procedures or complications caused by them. (medscape.com)
  • Peripelvic fibrosis with long proximal ureteral strictures is usually the result of a failed pyeloplasty or other surgical procedures, stone disease, inflammatory processes, or trauma. (medscape.com)
  • Background: The purpose of the present study was to evaluate the clinical efficacy of free rotated papilla autograft technique combined with coronally advanced flap and coronally advanced flap alone on other side using the microsurgical techniques in root coverage procedures and to compare the efficacy of these two surgical therapeutic modalities in the treatment of localized gingival recession. (journalcra.com)
  • Objective-- The National Healthcare Safety Network classifies breast operations as clean procedures with an expected 1-2% surgical site infection (SSI) incidence. (cdc.gov)
  • Wound healing monitoring is an important concern in all surgical procedures since it allows to identify signs or/and symptoms possibly related to surgical complications. (medsci.org)
  • However, no indications have been comprehensively reported on how wound healing monitoring should be performed after specific surgical procedures. (medsci.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 and physiology of skin flaps. (scielo.br)
  • Prior to the surgical attempt, endovascular intervention, balloon angioplasty was performed to restore blood flow for better wound healing. (handmicro.org)
  • These cells were implanted into the surgical wound dermis in the suprapubic region before skin synthesis. (rbcp.org.br)
  • Clinical features of surgical soft tissue wound healing in dentistry have been rarely discussed in the international literature. (medsci.org)
  • After en bloc debridement, the distal phalanges of the third and fourth toes were fixed with Kirschner wire. (handmicro.org)
  • As they grow, petroclival meningiomas displace the brainstem posteriorly and toward the contralateral side, becoming intimately involved with the distal basilar artery, its branches, and perforators. (neurosurgicalatlas.com)
  • 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)
  • The ETOA with superior-lateral orbital rim (SLOR) osteotomy can achieve surgical freedom of vertical as well as horizontal movement. (thejns.org)
  • A light microscopy histological study was performed on the fragments removed from the contra lateral end of the vascular pedicle of the flap. (rbcp.org.br)
  • Surgical strategy for communicating tumors in lateral skull base: pre-sigmoid sinus or retro-sigmoid sinus or combined approach? (thieme-connect.de)
  • 7. The lateral edge of the cut muscle was sutured to the contralateral SCM muscle. (who.int)
  • Vercellotti and Podesta 6 introduced corticotomy assisted by piezosurgical device in conjunction with mucoperiosteal flap elevation. (turkjorthod.org)
  • [ 7 ] that is based on a suprapubic skin flap as initially described by Bettocchi et al. (medscape.com)
  • The forehead flap has been used for many centuries and remains a workhorse flap for major nasal resurfacing. (medscape.com)
  • In the late 18th century, JC Carpue found a description of this Indian technique, giving rise to the modern era of nasal resurfacing with the use of a pedicled forehead flap. (medscape.com)
  • Traumatic causes of nasal defects also occur and may require major repair with a forehead flap. (medscape.com)
  • Although, these corticotomies that effectively accelerate orthodontic tooth movement (OTM) are inherently invasive due to the requirement for significant flap elevation. (turkjorthod.org)
  • Precise elevation of the osteoperiosteal flap ensures adequate protection of the raw bony surfaces. (dnahelix.com)
  • An omental flap based on the right gastroepiploic artery was created and intraoperative fluorescence imaging using indocyanine green was used to assess the viability of the flap and to guide lengthening of the pedicle. (neurosurgery.directory)
  • Piezoelectric instruments, which allow for more favorable osseous repair and regeneration, have several advantages: a reduction in intraoperative bleeding and surgical trauma, leading to improved visibility and reduced operating time, resulting in less morbidity for the patient. (turkjorthod.org)
  • Moreover, the Prussian Jacques Joseph (1865-1934) published Nasenplastik und sonstige Gesichtsplastik (Rhinoplasty and other Facial Plastic Surgeries, 1928), which described refined surgical techniques for performing nose-reduction rhinoplasty via internal incisions. (wikipedia.org)
  • The flap was tunneled subcutaneously using skip incisions. (neurosurgery.directory)
  • As the field of breast surgical oncology has evolved, surgeons have largely abandoned extensive disfiguring resections as standard therapy. (snec.com.sg)
  • A suitable bilobed flap is marked on the skin (Figure 2A) before the subcutaneous injection of bupivacaine 05% with 1:200.000 epinephrine and then apply firm pressure for 5 minutes. (heighpubs.org)
  • Extensor carpi ulnaris problems on the wrist: Classification, surgical therapy and outcomes. (dnahelix.com)
  • A seventh century Indian medical document, the Sushruta Samita, describes a technique using a flap from the forehead for nasal restoration. (medscape.com)
  • This technique invariably requires symmetrisation of the contralateral breast. (scielo.org.za)
  • In one of the referenced studies, what additional imaging technique was used to assess the viability of the omental flap? (neurosurgery.directory)
  • 6, 21 The last treatment can be achieved using the The canines are reported to be the most prevalent open or closed flap traction technique, 19 with the impacted teeth in the anterior region, occurring latter reported to give clinical outcome similar to in 2.0-6.0% of the global population, 4, 6-10 that obtained during natural eruption. (bvsalud.org)
  • 1 Several methods have been proposed to achieve accelerated orthodontic tooth movement, including physical or mechanical stimulation, medications, and surgical techniques. (turkjorthod.org)
  • Clinical observation with an active search for early signs of sternal infection and instability in conjunction with CT imaging and, if necessary, aggressive surgical treatment, are key elements for success. (sts.org)
  • 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)
  • The goal of a gracilis free flap treatment consultation is to determine the best course of action to help a patient address his or her facial paralysis symptoms. (facialparalysisinstitute.com)
  • It serves as a model that can be applied to numerous surgical settings in free vascularized tissue transfer. (csurgeries.com)
  • If a flap is completely detached, it may become free within the joint, forming one or more "joint mice", which may migrate to any joint recesses, though more particularly in the caudal recess or in the bicipital groove of the shoulder joint. (vin.com)
  • Laser Doppler (LD) fluxmetry and temperature probes were applied on the cranial, central and caudal flap regions before/after preparation and ischemia, re-suturing, and on the 1st-3rd-5th-7th-14th postoperative days, before the final examinations and biopsies for histology. (scielo.br)
  • The Ebers Papyrus (c. 1550 BC), an Ancient Egyptian medical papyrus, describes rhinoplasty as the plastic surgical operation for reconstructing a nose destroyed by rhinectomy. (wikipedia.org)
  • Rhinoplasty techniques are described in the ancient Indian text Sushruta samhita by Sushruta, where a nose is reconstructed by using a flap of skin from the cheek. (wikipedia.org)
  • and how to use autologous skin flaps to repair damaged cheeks, eyebrows, lips, and nose, to restore the patient's normal visage. (wikipedia.org)
  • The flap is made from the dorsum and contralateral aspect of the nose, taken across horizontally oriented relaxed skin tension lines [8]. (heighpubs.org)
  • The flap boundaries are cut, dissected and mobilized with blunt scissors beneath the flap and across the dorsum of the nose. (heighpubs.org)
  • Also the inherent property of ease of rotation through 180° gives it excellent versatility in repair of defects that would have been difficult with conventional pedicled flaps. (njps.org)
  • Perforator flaps are indispensable tools in managing complex defects. (njps.org)