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Acta Chirurgiae Plasticae

L Streit, L Dražan, P Hýža, I Stupka, M Paciorek, J Rosický, J Veselý
The reconstruction of complex craniofacial and orbital defects should satisfactorily restore functional and aesthetic integrity. Autologous reconstruction of nasal, periorbital and auricular facial subunits as a whole using a locoregional or a free flap is very challenging and the results are not sometimes ideal. With advanced technologies that are currently available it is possible to plan and produce authentic facial prosthesis that can satisfactory substitute these facial subunits. We demonstrate an alternative reconstructive concept for complex craniofacial defects based on a free flap combined with a facial prosthesis for the replacement of periorbital or auricular facial subunits...
2016: Acta Chirurgiae Plasticae
L Streit, L Dražan, P Novák, M Schneiderová, Z Dvořák, K Teplá, J Veselý
A variety of surgical techniques has been used to correct hypoplastic breast malformations and deformities, including tissue expanders, breast implants, custom chest wall implants, mammary gland remodelling, as well as locoregional or free flap. Case series of successful breast reconstruction using lipomodelling technique in one patient with severe Polands syndrome and two patients with tuberous breasts are reported together with literature review. No surgical complications were observed and ultrasound examination did not reveal any pathology in breast tissue other than oil pseudocysts postoperatively...
2016: Acta Chirurgiae Plasticae
P Hýža, J Veselý, L Streit, D Schwarz, T Kubek, F Catalano, G A G Lombardo
BACKGROUND: The abdominal tissue is an ideal source for autologous breast reconstruction. We propose a new approach for intramuscular dissection of a DIEP flap in this paper. METHODS: A total of 84 women underwent breast reconstruction after mastectomy. From this group, 49 patients were treated with traditional DIEP flap of which 21 had unilateral procedure and 28 had bilateral procedure. This new type of dissection was performed in 35 women, with unilateral approach in 14 cases and bilateral approach in 21 cases...
2016: Acta Chirurgiae Plasticae
L Dražan, G A G Lombardo
BACKGROUND: The preoperative perforator mapping is an important step in autologous breast reconstruction, making the flap raising safer, more predictable and time-saving. Although the Doppler exam has proven to be less accurate in locating perforators compared with colour duplex sonography and CTA, it will probably remain of importance in clinical practice. The aim of this paper is to share some advices on how to perform a Doppler exam in preoperative evaluation of a DIEAp flap, increasing its reliability in location of the perforators...
2016: Acta Chirurgiae Plasticae
I Němec
In case of an upper eyelid injury with loss of tissue, it is very important to perform reconstruction to restore protection of the cornea and bulbus. Depending on the size and location of the defect the most suitable reconstructive technique is chosen. This case report presents a patient with a partial loss of the upper eyelid. The defect was reconstructed with a transposition skin flap to cover the ear cartilage graft. The missing conjunctiva was partially reconstructed by its mobilization from the fornix, and a part of the defect was left to heal by spontaneous epithelisation...
2016: Acta Chirurgiae Plasticae
Jan Mešt'ák
No abstract text is available yet for this article.
2015: Acta Chirurgiae Plasticae
Alena Schmoranzová
No abstract text is available yet for this article.
2015: Acta Chirurgiae Plasticae
Marija Trop
No abstract text is available yet for this article.
2015: Acta Chirurgiae Plasticae
L Streit, T Mrázek, J Veselý
Osseous reconstruction of the thumb following traumatic bone loss can be approached through a variety of techniques. The use of a silicone spacer with secondary bone grafting is a valid therapeutic option. In case of combined injuries, simultaneous immediate reconstruction of missing soft tissues over the spacer by well-vascularised skin cover is essential. Dorsoradial forearm flap has recently been described as distally based cutaneous pedicled flap on the dorsoradial artery, a constant branch of the radial artery...
2015: Acta Chirurgiae Plasticae
Bohumil Zálesák
No abstract text is available yet for this article.
2015: Acta Chirurgiae Plasticae
Aleš Fibír
No abstract text is available yet for this article.
2015: Acta Chirurgiae Plasticae
P Hyza, G A G Lombardo, T Kubek, Z Jelinkova, J Vesely, R Perrotta
The deep inferior epigastric artery perforator (DIEAp) flap is becoming a widely used method of autologous breast reconstruction. Despite the huge use of the DIEAp flap in reconstructive field, an evidenced based approach in perforator selection has not yet been developed. Unfortunately there is no clear evidence about the relation between the number and dimension of the perforator vessel and the prediction of flap survival in a living model. An old technique like the vascular delay could be extremely useful as a lifeboat procedure when the vascularization of the flap after the dissection is inadequate...
2015: Acta Chirurgiae Plasticae
Molitor M, Meš'ták O, Popelka P, Vítová L, Matejovská J, Kalinová L, Hromádková V, Mešt'ák J
Non-compliance with the production process and use of non-certified materials du- ring production of PIP implants opened an extensive debate regarding regulation and control mechanisms during their production, but the question of health safety of breast implants in general was also reopened. Production of breast implants is subject to various control mechanisms in each country and it is necessary to unify and coordinate such mechanisms. PIP implants were on the market for more than 15 years and in this period the production process and used materials were being changed purposely and without control, which resulted in production of implants with poor quality capsule filled with non-certified silicon gel...
2015: Acta Chirurgiae Plasticae
P Hyza, L Streit, Z Dvorak, G A G Lombardo, T Mrazek, J Vesely
BACKGROUND: Replantation is a complicated procedure in avulsion injuries in majority of the cases. When replantation of an avulsed thumb is not feasible, it is mandatory to find an appropriate reconstruction choice as soon as possible due to the importance of the thumb function in the dynamics of the handgrip. MATERIALS AND METHODS: Three patients with skin avulsion injury underwent immediate reconstruction by twisted lateral arm flap in our department since 2004...
2015: Acta Chirurgiae Plasticae
G A G Lombardo, P Hyza, A Stivala, S Tamburino, J Vesely, R E Perrotta
The rat's femoral artery is definitely the most frequently used model in microsurgical training for its easy dissection. Our model, consisting in the creation of several anastomoses in a row, helps the novice surgeon to assess his microsurgical level and to improve his capacity. Indeed, this leads to an amplification of the trainee surgeon's mistakes, which add up to each other as the anastomoses are performed. We propose a simple method to evaluate the surgeon microsurgical skills during the training.
2015: Acta Chirurgiae Plasticae
P Hyza, L Streit, E D V M Gopfert, Z Dvorak, I Stupka, D Schwarz, T Kubek, G A G Lombardo
BACKGROUND: The effect of magnesium sulphate on mechanically provoked vasospasm of the flap pedicle on porcine model was not studied yet. Positive effect of magnesium sulphate on vasospasm was proved in previous studies on rat. METHODS: The bilateral pedicled flaps based on the caudal superficial epigastric arteries were raised on 8 pigs. Flaps on the right side were the treatment group; flaps on the left side were the control group. The vasospasm was provoked by the tension applied on the pedicle in the axial direction using 160g weight...
2015: Acta Chirurgiae Plasticae
J Měšťák, O Cerná, L Kalinová, O Měšťák, A Krajcová
Authors report a case of unexpected postoperative bleeding after an aesthetic rhinoplasty that was due to previously undiagnosed asymptomatic haemophilia.
2014: Acta Chirurgiae Plasticae
L Streit, Z Dvořák, O Novák, S Stiborová, J Veselý
Replantation of amputated fingertip is a technical challenge to the microsurgeons. The success rate depends directly on the availability and the size of preserved vessels and on the degree of their damage. In distal digital amputations, veins are usually not easily recovered or even absent, and thus high number of replantation procedures fails because of the venous congestion. The use of medicinal leeches is a treatment option for venous congestion of replanted fingers. A case report of a 4-year-old patient after fingertip replantation without venous anastomosis when temporary venous drainage was provided by an application of medicinal leeches is reported together with literature review...
2014: Acta Chirurgiae Plasticae
M Tvrdek, J Kozák
The authors present a case report of a patient with anophthalmia in whom retroauriculo-temporal flap (Washio flap) was used for reconstruction of eyelids. This flap, which is mostly used for reconstructions of nasal defects, was not used in this way according to available literature.
2014: Acta Chirurgiae Plasticae
M Molitor, O Měšťák, L Kalinová, A Krajcová, J Měšťák
Breast implants are medical devices used for augmentation of the breast, to reconstruct the breast after mastectomy and to correct breast asymmetry. The breast prostheses are likely the most frequently used medical implants. The evolution of modern silicone breast implants was not straightforward and is characterised with a lot of medical, forensic and public attention. Currently it is sufficiently established that implants are safe and can be used for breast reconstruction and aesthetic augmentation. Prosthesis can rupture and produce local symptoms but there is no evidence that silicone breast implants can be of any health hazards for the patients...
2014: Acta Chirurgiae Plasticae
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