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muscle flaps

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https://www.readbyqxmd.com/read/29655872/-contribution-of-the-scrotal-flap-for-the-coverage-of-ischial-and-perineal-pressure-ulcers
#1
M Vantomme, R Viard, R Aimard, P-L Vincent, J-P Comparin, D Voulliaume
INTRODUCTION: The ischiatric pressure sore is a common pathology in rehabilitated spinal cord injured people, despite careful prevention. Medical treatment by discharge and directed healing is not always sufficient and surgery using local musculocutaneous flaps is often essential. Unfortunately, recidivism is frequent and the availability of local flaps is limited. The scrotal flap is an excellent complement to classic flaps, gluteal flaps or hamstrings. It can be used alone or in addition to another musculocutaneous flap, in first or second intention...
April 11, 2018: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/29652764/our-surgical-repair-for-macrostomia-with-two-novel-small-triangular-flaps-long-term-follow-up-and-results
#2
Jumpei Tsumoto, Keisuke Imai, Takeshi Masuoka, Daisuke Sakahara, Koji Kawamoto, Songsu Kang, Masayuki Komune
BACKGROUND: The surgical methods for repairing congenital macrostomia should be carefully selected from both functional and aesthetic points of view. The surgical correction of macrostomia results in normal orbicularis oris function and symmetry of the repaired lip. Herein, we report our novel technique and the results obtained, assessed retrospectively. METHODS: Twelve primary cases of macrostomia underwent surgical repair between 1996 and 2013. The age at operation ranged from 3 to 78 months...
March 28, 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29652763/-forearm-based-turnover-muscle-flaps-for-elbow-soft-tissue-reconstruction-a-comparison-of-regional-coverage-based-on-distal-flap-perfusion
#3
Yash J Avashia, Ronnie L Shammas, Luke P Poveromo, Travis J Dekker, Jacob W Brubacher, Marc J Richard, David S Ruch, Suhail K Mithani
BACKGROUND: Elbow wounds pose a reconstructive challenge. Prior studies have described the vascular anatomy of both the brachioradialis (BR) and flexor carpi ulnaris (FCU) muscle flaps. The goal of this study was to describe the distal flap perfusion of the flexor carpi radialis (FCR), with a direct comparison of the BR, FCU, and FCR muscle flaps for coverage around the elbow. METHODS: Six fresh-frozen upper extremity specimens were dissected for BR, FCR, and FCU flaps...
March 28, 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29651553/fistulectomy-with-primary-sphincter-reconstruction
#4
Steffen Seyfried, Dieter Bussen, Andreas Joos, Christian Galata, Christel Weiss, Alexander Herold
AIM: Despite modern medical techniques, anatomically proximal (high) anal fistulas are still a challenge in colorectal surgery. In previous years, the standard of care was complete fistulectomy with a high rate of continence disorders. Over the past 20 to 30 years, sphincter-saving procedures have gained wide acceptance. They represent the technique used in these cases. Additionally, many patients received indefinite treatment, namely the placement of a seton to maintain surgical drainage...
April 12, 2018: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/29651387/synchronous-soleus-and-reverse-sural-flap-for-large-soft-tissue-defect-reconstruction-of-leg
#5
Seyed Esmail Hassanpour, Masoud Yavari, Amir Reza Motabar
BACKGROUND: Extended Soft tissue defect of leg including middle and distal parts always has been a challenge for many plastic surgeons and also a frustrated problem for patients and families. To introduce the use of the soleus muscle and reverse sural flaps as synchronous surgical treatment alternative of the leg bone exposure with large soft tissue defect, this study was conducted. METHODS: The medical records of patients undergoing transposition of the soleus muscle for treating exposed bone in the leg and simultaneous sural flap were retrospectively analyzed from January 2009 to July 2014, while gathering information on the used muscle was to cover the lesion...
January 2018: World Journal of Plastic Surgery
https://www.readbyqxmd.com/read/29649061/anatomical-consideration-for-the-safe-elevation-of-the-deep-circumflex-iliac-artery-in-the-flap-surgery
#6
Kang-Jae Shin, Shin-Hyo Lee, Ki-Seok Koh, Wu-Chul Song
BACKGROUND: Deep circumflex iliac artery (DCIA) osteocutaneous flap transfer was frequently applied to large defects in the maxillary and mandible regions, but the utilization rate has gradually decreased due to the complicated anatomy of the DCIA. This study investigated the comprehensive anatomy of the DCIA in relation to flap surgery with the aim of providing navigational guidelines for safe DCIA harvesting. METHODS: Sixty-two sides of the hemiabdominal wall were dissected in fixed Korean cadavers...
March 29, 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29644315/limb-salvage-and-reconstruction-following-a-zebra-attack
#7
Jacob T Carlson, James C Yuen, Matthew R Smeds
Animal bites are fairly rare events but can cause devastating traumatic injuries to the victim. In addition to the soft tissue, vascular, and orthopedic trauma inflicted by these occurrences, bite injuries also have the potential to introduce an inoculum of microbes, which may progress to an infection if not treated properly and expeditiously. We present the case of a healthy male who sustained multiple bite wounds from a domestic zebra to his left upper extremity. This attack caused severe damage, including devascularization of the arm at the brachial artery, disruption of the distal biceps and brachialis, stripping of the forearm nerves, and shearing of the overlying soft tissue...
June 2017: Trauma Case Reports
https://www.readbyqxmd.com/read/29644103/morphometric-study-of-the-semitendinosus-muscle-and-its-neurovascular-pedicles-in-south-indian-cadavers
#8
Rajanigandha Vadgaonkar, Manoor Dass Prameela, Bukkambudhi Virupakshamurthy Murlimanju, Mamatha Tonse, Chettiar Ganesh Kumar, Amit Massand, Vandana Blossom, Latha Venkatraya Prabhu
The purpose of this study was to determine the length of the semitendinosus muscle belly and its tendon in South Indian population and to study the topography and diameter of its neurovascular pedicles. The study included 46 formalin fixed human cadaveric lower limbs. The length of the semitendinosus muscle belly and its tendon were measured. The neurovascular pedicles of the semitendinosus muscle were identified and counted. The diameter of the neurovascular pedicle was measured just before its entrance into the semitendinosus muscle...
March 2018: Anatomy & Cell Biology
https://www.readbyqxmd.com/read/29642922/an-anterolateral-thigh-chimeric-flap-for-dynamic-facial-and-esthetic-reconstruction-after-oncological-surgery-in-the-maxillofacial-region-a-case-report
#9
Zoltán Lóderer, Tamás Vereb, Róbert Paczona, Ágnes Janovszky, József Piffkó
BACKGROUND: The surgical management of malignant tumors in the head and neck region often leads to functional and esthetic defects that impair the quality of life of the patients. Reconstruction can be solved with prostheses in these cases, but various types of microsurgical free flaps can provide a better clinical outcome. CASE PRESENTATION: In this case report, the tumor and parts of the involved facial muscles and nerve were excised surgically from a 42-year-old patient after a third relapse of basal cell carcinoma in the left midface...
April 11, 2018: Head & Face Medicine
https://www.readbyqxmd.com/read/29625866/mixed-facial-reanimation-technique-to-treat-paralysis-in-medium-term-cases
#10
Federico Biglioli, Federico Bolognesi, Fabiana Allevi, Dimitri Rabbiosi, Silvia Cupello, Antonino Previtera, Alessandro Lozza, Valeria M A Battista, Claudio Marchetti
Recent facial paralyses, in which fibrillations of the mimetic muscles are still detectable by electromyography (EMG), allow facial reanimation based on giving new neural stimuli to musculature. However, if more time has elapsed, mimetic muscles can undergo irreversible atrophy, and providing a new neural stimulus is simply not effective. In these cases function is provided by transferring free flaps into the face or transposing masticatory muscles to reinstitute major movements, such as eyelid closure and smiling...
March 14, 2018: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/29624731/a-novel-microsurgical-rodent-model-for-the-transplantation-of-engineered-cardiac-muscle-flap
#11
Richard Tee, Wayne Allan Morrison, Rodney J Dilley
BACKGROUND: The survival of engineered cardiac muscle 'grafts' to the epicardium is limited by vascularization post-transplantation in rat models. In this article, we describe the methodology of a novel rat model that allows for the transplantation of an engineered cardiac muscle flap (ECMF) onto the epicardium. MATERIALS AND METHODS: A total of 40 rats were used. Twenty-four neonatal rats were used to harvest cardiomyocytes. At week 1, ECMF were generated by seeding cardiomyocytes into the arteriovenous loop (AVL) tissue engineering chamber implanted into the right groin of adult rats (n = 8)...
April 6, 2018: Microsurgery
https://www.readbyqxmd.com/read/29620551/practical-applications-of-delayed-immediate-autologous-breast-reconstruction-a-flexible-and-safe-operative-strategy
#12
Gloria R Sue, Arhana Chattopadhyay, Chao Long, Eva Huis 't Veld, Gordon K Lee
BACKGROUND: Timing is an important consideration in patients undergoing mastectomy for breast cancer. While immediate reconstruction results in superior aesthetic outcomes, the need for postmastectomy radiation can often only be ascertained after review of surgical pathology. Delayed-immediate autologous reconstruction (DIAR) is a reconstructive approach that consists of mastectomy with tissue expander placement in the first stage and flap-based breast reconstruction in the second stage...
April 3, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29616172/pork-belly-a-simulation-training-model-for-intramuscular-perforator-dissection
#13
Georgios Pafitanis, Damjan Veljanoski, Ali M Ghanem, Simon Myers
Background: Free tissue transfer has evolved from muscle flaps to fasciocutaneous flaps. Dissection of the intramuscular course of feeding vessels is technically challenging. Simulation-based microsurgery skills acquisition is moving toward nonliving training models. Living porcine model or human cadavers are currently cost-ineffective methods for the early learning curve in teaching intramuscular dissection. The aim of this study was to validate an inexpensive ex vivo porcine model simulating harvest of the deep inferior epigastric artery perforator (DIEAP) flap, specifically including perforator intramuscular dissection...
February 2018: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29611162/the-superficial-palmar-branch-of-the-radial-artery-a-corrosion-cast-study
#14
Marko Ilić, Milan Milisavljević, Aleksandar Maliković, Darko Laketić, Dražan Erić, Jelena Boljanović, Aleksandra Dožić, Bojan V Štimec, Radovan Manojlovic
BACKGROUND: Surgical procedures such as thenar flaps and radial artery (RA) harvesting call for an elaborate anatomical study of the RA's superficial palmar branch (SPB). The aim of this study was to describe the branching pattern of this vessel related to the morphometric characteristics and variations of this artery. MATERIALS AND METHODS: Twenty 4% formalin solution injected hands were dissected. For the morphometric study we used another group of thirty five human hands of adult persons, injected with methylmethacrylate fluid into the ulnar and radial arteries...
April 3, 2018: Folia Morphologica (Warsz)
https://www.readbyqxmd.com/read/29610952/epicanthal-restoration-surgery-with-scar-excision-in-severe-epicanthal-scar
#15
Yoon Jae Chung, Mun Geun Koo, Soo Hyang Lee
BACKGROUND: Medial epicanthoplasty is a common aesthetic surgery in Asia to remove the epicanthal fold. With increasing use of this surgery, unsatisfactory results have grown. Several methods have been developed to correct it. However, there are limitations in restoration if the patient has a severe scar or does not have enough skin for reconstruction. By aggressively removing scar tissue, the authors present a better reverse redraping epicanthoplasty. METHODS: The procedure was performed on 512 patients who had complications of medial epicanthoplasty from May 2011 to October 2015...
April 2, 2018: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29609427/personal-technique-for-definite-repair-of-complete-unilateral-cleft-lip-modified-millard-technique
#16
Kihwan Han, Jeongseob Park, Seongwon Lee, Woonhyeok Jeong
BACKGROUND: Millard's rotation-advancement repair, which is used by many surgeons, can make a natural philtral column, but most surgeons use a modification of the rotation-advancement flap. The purpose of this article is to introduce a modification utilized by the authors and to provide detailed surgical procedure. METHODS: We retrospectively reviewed 82 patients' medical records and presented surgical technique and outcomes. The main features of the authors' strategy are emphasizing horizontal length of the lip, orbicularis oris muscle duplication for improving the definition of the philtral column, overcorrection of domal portion than the non-cleft side in order to compensate for the recurrence during growth...
March 2018: Archives of Craniofacial Surgery
https://www.readbyqxmd.com/read/29608524/reply-to-letter-muscle-versus-fasciocutaneous-free-flaps-in-lower-extremity-traumatic-reconstruction-a-multicenter-outcomes-analysis
#17
L Scott Levin
No abstract text is available yet for this article.
March 22, 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29608519/muscle-versus-fasciocutaneous-free-flaps-in-lower-extremity-traumatic-reconstruction-a-multicenter-outcomes-analysis
#18
Nathalie Kerfant, Nicolas Bertheuil, Christian Herlin, Weiguo Hu, Michaël Atlan, Benoit Chaput
No abstract text is available yet for this article.
March 22, 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29608475/percutaneous-autologous-fat-injection-following-2-layer-flap-lower-blepharoplasty-for-the-correction-of-tear-trough-deformity
#19
Jeenam Kim, Hyojeong Shin, Myungchul Lee, Donghyeok Shin, Soonheum Kim, Dongin Jo, Cheolkeun Kim, Heonjoon Kim, Hyungon Choi
Tear trough deformity has been an area that has received much attention in terms of esthetic improvements. Fat transposition has been commonly used for the treatment of tear trough deformity. As some patients have had minimal improvement by that method, we propose the use of fat grafting combined with open blepharoplasty to complement the sunken area, including some of anterior maxilla region, and evaluate and precisely remove the excessive tissue.Lower blepharoplasty was performed by separating the skin and muscle flap...
March 30, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29605699/tailored-strategies-to-manage-cerebrospinal-fluid-leaks-or-pseudomeningocele-post-surgery-for-tethered-cord-syndrome
#20
Suhas Udayakumaran, Chetan T Rathod
BACKGROUND: Cerebrospinal fluid (CSF) leaks are a dreaded complication after surgery for tethered cord and are associated with significant patient morbidity. Although many strategies for managing postoperative CSF leaks exist, this problem is still daunting, especially in the very young patients. In this article, the authors compared different management techniques for CSF leaks or significant pseudomeningocele in patients with tethered cord syndrome (TCS). METHODS: We analysed a cohort of children who underwent surgery for TCS from January 2011 to March 2016 (n = 260) and postoperatively experienced either a CSF leak or significant pseudomeningocele...
March 29, 2018: World Neurosurgery
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