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muscle flaps

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https://www.readbyqxmd.com/read/29026517/dermatofibrosarcoma-protuberans-coexisting-in-a-patient-with-a-vascular-malformation-a-rare-coincidence
#1
Parthena Deskoulidi, Michael Sofopoulos, Pantelis Diamantopoulos, Thaleia Nikolaidou, Nikolaos Maltzaris, Maria Theodorakopoulou, Christos Klonaris, Niki Arnogiannaki, Maria Kotrotsiou, Spiros Stavrianos
Dermatofibrosarcoma protuberans with fibrosarcomatous differentiation (DFSP-FS) is a rare soft tissue tumor with more aggressive behavior and it is not clear what causes this type of skin cancer. We describe the case of a 48-year-old woman who was born with a vascular malformation in the sternal region and presented suddenly with a soft tissue sarcoma (DFSP-FS) in the same territory. She was initially treated by embolization as the sarcoma was misdiagnosed but the tumor within 6 months seemed to be growing rapidly and reached a giant dimension with ulceration and required surgical intervention...
October 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/29021615/a-new-pedicled-internal-mammary-osteomyocutaneous-chimeric-flap-pimoc-for-salvage-head-and-neck-reconstruction-anatomic-study-and-clinical-application
#2
Guilherme C Barreiro, Chelsea C Snider, Flavio H F Galvão, Rachel R Baptista, Kiril E Kasai, Daniel M Dos Anjos, Marcus C Ferreira
Well-vascularized composite tissue offers improved outcomes for complex head and neck reconstruction. Patients with vessel-depleted necks and failed reconstructions require alternative reconstructive options. We describe a pedicled internal mammary artery osteomyocutaneous chimeric flap (PIMOC) for salvage head and neck reconstruction. Bilateral dissections of 35 fresh cadavers were performed to study individual tissue components and vascular pedicles to develop the PIMOC technique. The flap was then utilized in a series of patients with vessel-depleted neck anatomy...
October 11, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28992646/first-experiences-with-incisional-negative-pressure-wound-therapy-in-a-high-risk-poststernotomy-patient-population-treated-with-pectoralis-major-muscle-flap-for-deep-sternal-wound-infection
#3
Stefanie Nickl, Johannes Steindl, Daniel Langthaler, Alina Nierlich-Hold, Igor Pona, Wolfgang Hitzl, Alfred Kocher, Wolfgang Happak, Christine Radtke, Chieh-Han Tzou
No abstract text is available yet for this article.
October 9, 2017: Journal of Reconstructive Microsurgery
https://www.readbyqxmd.com/read/28990718/limb-sparing-sarcoma-reconstruction-with-functional-composite-thigh-flaps
#4
John T Stranix, Z-Hye Lee, Gretl Lam, Joshua Mirrer, Timothy Rapp, Pierre B Saadeh
INTRODUCTION: Innervated muscle transfer can improve functional outcomes after extensive limb-sparing sarcoma resections. We report our experience using composite thigh flaps for functional reconstruction of large oncologic extremity defects. PATIENTS AND METHODS: Between 2011 and 2014, four limb-sparing oncologic resections (3 lower extremities, 1 upper extremity) underwent immediate functional reconstruction with composite thigh free flaps in three males and one female...
October 9, 2017: Microsurgery
https://www.readbyqxmd.com/read/28990694/suprafascial-versus-traditional-harvesting-technique-for-free-antero-lateral-thigh-flap-a-case-control-study-to-assess-the-best-functional-and-aesthetic-result-in-extremity-reconstruction
#5
Michele Maruccia, Nefer Fallico, Emanuele Cigna, Pedro Ciudad, Fabio Nicoli, Emilio Trignano, Eleonora Nacchiero, Giuseppe Giudice, Diego Ribuffo, Hung-Chi Chen
Clinical applications of ALT flap have currently extended to extremity (hand and foot) as well as oral cavity reconstruction. In these anatomical areas, the traditional harvesting technique presents a few disadvantages such as bulkiness of the recipient site and potential donor site morbidity including damage to the deep fascia and skin graft adhesions. The purpose of the present study was to compare the functional and aesthetic outcomes of upper and lower extremity reconstruction with either suprafascial or subfascial harvested anterolateral (ALT) flaps...
October 9, 2017: Microsurgery
https://www.readbyqxmd.com/read/28990692/functional-results-of-free-tissue-transfer-for-complex-heel-calcaneal-defects
#6
Chang-Yi Chou, Hao-Yu Chiao, Chi-Yu Wang, Yu-Shan Sun, Chin-Ta Lin, Niann-Tzyy Dai, Shyi-Gen Chen, Shun-Cheng Chang
BACKGROUND: Loss of soft tissue in heel-calcaneal region is frequently caused by trauma, infection, or tumors. Limited availability of similar tissue becomes challenging, therefore, the use of free tissue transfer offers a solution. Our aim is to describe long term functional outcome of different free tissue transfers for these defects. PATIENTS AND METHODS: We retrospectively reviewed 24 consecutive cases of the heel-calcaneal defect between January 2009 and December 2014...
October 9, 2017: Microsurgery
https://www.readbyqxmd.com/read/28987071/the-spreaded-gracilis-flap-revisited-comparing-outcomes-in-lower-limb-reconstruction
#7
Paul Immanuel Heidekrueger, Denis Ehrl, Milomir Ninkovic, Aung Thiha, Lukas Prantl, Frank Herter, Camillo Mueller, Peter Niclas Broer
BACKGROUND: In lower limb reconstruction, the free gracilis muscle flap is usually chosen for coverage of small- to medium-sized defects. Aim of this study was a re-appraisal regarding the reconstructive indications of the gracilis muscle flap with a focus on postoperative complications in order to evaluate if it can also be routinely used to reconstruct large-size lower limb defects. METHODS: A total of 204 patients underwent free gracilis muscle transfers for lower limb reconstruction at our institution...
October 7, 2017: Microsurgery
https://www.readbyqxmd.com/read/28985636/muscle-versus-fasciocutaneous-flap-in-lower-limb-reconstruction-is-there-a-best-option
#8
Mario Cherubino, Martina Corno, Salvatore D'Arpa, Pietro Di Summa, Igor Pellegatta, Luigi Valdatta, Mario Ronga
No abstract text is available yet for this article.
October 2017: Journal of Reconstructive Microsurgery
https://www.readbyqxmd.com/read/28984656/the-distally-based-peroneus-brevis-flap-the-5-step-technique
#9
Luigi Troisi, Thomas Wright, Umraz Khan, Ahmed T Emam, Thomas W L Chapman
The peroneus brevis flap was first described as proximally based by Mathes et al (Surg Clin North Am. 1974;54:1337-1354) and later by Jackson and Scheker (Injury. 1982;13:324-330). A distally based version of this flap by Mathes and Nahai (Reconstructive Surgery: Principles, Anatomy and Technique. 1997:1437e46) was subsequently described in 1997. The first case series of distally based flaps was published by Eren et al (Plast Reconstr Surg. 2001;107:1443-1448).In our experience, the distally based flap is a useful muscle flap to reconstruct small defects in the lateral distal third of the leg...
October 3, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28968321/postradiotherapy-prosthetic-management-of-mandible-reconstructed-with-fibular-graft
#10
Pankaj Kharade, Kanchan Dholam, Pravin Bhirangi
Intraoral defects secondary to resection of mandible leading to mandibular discontinuity are very complicated to treat as the muscles exert forces on the residual portion of the mandible. Primarily this leads to disfigurement of the face. These forces also make mastication difficult due to imbalance. Ultimately it leads to poor quality of life for the patient. Apart from that the clinical outcome and prognosis of prosthetic rehabilitation of such patients is very poor. The composite fibular flap is the preferred donor site for reconstruction of most complex orofacial-mandibular defects...
September 29, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28967431/resection-of-the-inferior-pubic-ramus-to-completely-remove-locally-advance-adenoid-cystic-carcinoma-of-bartholin-s-gland
#11
Hidetaka Nomura, Minoru Nagashima, Yoichi Aoki, Nobuhiro Takeshima
OBJECTIVE: Some sections of the pelvic bone can be removed without severe loss of function, including the inferior pubic ramus. Here we report a technique for the complete resection of locally advanced adenoid cystic carcinoma (ACC) of the Bartholin's gland that had invaded the obturator muscle and inferior pubic ramus. METHODS: We chose to operate because there was little evidence of definitive radiotherapy for ACC of the vulva. As preoperative imaging did not suggest lymph node metastasis, we omitted lymphadenectomy...
September 26, 2017: Gynecologic Oncology
https://www.readbyqxmd.com/read/28953168/bipedicle-flaps-for-posterior-elbow-reconstruction
#12
Kyle J Chepla, Shirley Shue, Bram R Kafuman
Chronic posterior elbow soft tissue defects often require soft tissue reconstruction because of exposure of the underlying triceps tendon and proximal ulna. Current options for soft tissue coverage require sacrifice of a local muscle or microsurgery. The purpose of this study is to evaluate patient and surgical outcomes after reconstruction of small-sized to medium-sized (<50 cm) posterior elbow defects with bipedicle advancement flaps. A retrospective chart review was performed for 3 patients who underwent posterior elbow reconstruction with bipedicle flaps...
September 25, 2017: Techniques in Hand & Upper Extremity Surgery
https://www.readbyqxmd.com/read/28953160/autologous-tissue-graft-in-revision-medial-epicanthoplasty-using-subciliary-fat-and-orbicularis-oculi-muscle
#13
Jeenam Kim, Junyeong Kim, Jungil Kim, Donghyeok Shin, Myungchul Lee, Hyungon Choi
The medial epicanthal fold is one of the racial anatomic characteristics of Asians. As medial epicanthoplasty has become one of the most common cosmetic surgeries among Asians, the need for revision of overcorrected medial epicanthus also increased. In revision medial epicanthoplasty, an autologous tissue graft to the subcutaneous plane is used to reduce postoperative scar. Medial epicanthoplasty, using V-Y advancement and rotation flap, was performed in 93 patients (revision medial epicanthoplasty with autologous tissue graft, 60 patients; revision medial epicanthoplasty only, 33 patients)...
September 11, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28953152/secondary-maxillary-and-orbital-floor-reconstruction-with-a-free-scapular-flap-using-cutting-and-fixation-guides-created-by-computer-aided-design-computer-aided-manufacturing
#14
Daiki Morita, Toshiaki Numajiri, Shoko Tsujiko, Hiroko Nakamura, Ryo Yamochi, Yoshihiro Sowa, Makoto Yasuda, Shigeru Hirano
Computer-aided design/computer-aided manufacturing (CAD/CAM) guides are now widely used in maxillofacial reconstruction. However, there are few reports of CAD/CAM guides being used for scapular flaps. The authors performed the secondary maxillary and orbital floor reconstruction using a free latissimus dorsi muscle, cutaneous tissue, and scapular flap designed using CAD/CAM techniques in a 72-year-old man who had undergone partial maxillectomy four years previously. The patient had diplopia, the vertical dystopia of eye position, and a large oral-nasal-cutaneous fistula...
September 25, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28946724/the-anconeus-muscle-free-flap-clinical-application-to-lesions-on-the-hand
#15
Byung-Joon Jeon, Seung Jun Jwa, Dong Chul Lee, Si Young Roh, Jin Soo Kim
BACKGROUND: It can be difficult to select an appropriate flap for various defects on the hand. Although defects of the hand usually must be covered with a skin flap, some defects require a flap with rich blood supply and adequate additive soft tissue volume. The authors present their experience with the anconeus muscle free flap in the reconstruction of various defects and the release of scar contractures of the hand. METHODS: Ten patients underwent reconstruction of the finger or release of the first web space using the anconeus muscle free flap from May 1998 to October 2013...
September 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/28946719/effects-of-remote-ischemic-conditioning-methods-on-ischemia-reperfusion-injury-in-muscle-flaps-an-experimental-study-in-rats
#16
Durdane Keskin, Ramazan Erkin Unlu, Erkan Orhan, Gamze Erkilinç, Nihal Bogdaycioglu, Fatma Meric Yilmaz
BACKGROUND: The aim of this study was to investigate the effects of remote ischemic conditioning on ischemia-reperfusion injury in rat muscle flaps histopathologically and biochemically. METHODS: Thirty albino rats were divided into 5 groups. No procedure was performed in the rats in group 1, and only blood samples were taken. A gracilis muscle flap was elevated in all the other groups. Microclamps were applied to the vascular pedicle for 4 hours in order to achieve tissue ischemia...
September 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/28938393/ilizarov-treatment-protocols-in-the-management-of-infected-nonunion-of-the-tibia
#17
Martin McNally, Jamie Ferguson, Raj Kugan, David Stubbs
OBJECTIVES: We present a treatment algorithm comprising 4 Ilizarov methods in managing infected tibial nonunion, using nonunion mobility and segmental defect size to govern treatment choice. DESIGN: Decision protocol analysis study. SETTING: A university-affiliated teaching hospital. PATIENTS/PARTICIPANTS: Seventy-nine patients were treated with 1 of 4 Ilizarov protocols. All patients had undergone at least one previous operation, 38 had associated limb deformity, and 49 had nonviable nonunions...
October 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28938389/shortening-and-angulation-strategies-to-address-composite-bone-and-soft-tissue-defects
#18
Sarah N Pierrie, Joseph R Hsu
Gustilo-Anderson IIIB tibial fractures and infected tibial nonunions represent particular challenges for the orthopaedic trauma surgeon. Debridement of dysvascular bone and soft tissues can create composite bone and soft tissue defects. Restoring the soft tissue envelope is a critical step in preventing or treating ongoing infection and in restoring local blood supply. Shortening and angulation techniques, including the gradual expansion muscle flap, rely on distraction histogenesis to address composite bone and soft tissue loss...
October 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28938362/muscle-versus-fasciocutaneous-free-flaps-in-lower-extremity-traumatic-reconstruction-a-multicenter-outcomes-analysis
#19
Eugenia H Cho, Ronnie L Shammas, Martin J Carney, Jason M Weissler, Andrew R Bauder, Adam D Glener, Stephen J Kovach, Scott T Hollenbeck, L Scott Levin
PURPOSE: Clinical indications are expanding for the use of fasciocutaneous free flaps in lower extremity traumatic reconstruction. We assessed the impact of muscle versus fasciocutaneous free flap coverage on reconstructive and functional outcomes. METHODS: A multicenter retrospective review was conducted on all lower extremity traumatic free flaps performed at Duke University (1997-2013) and the University of Pennsylvania (2002-2013). Muscle and fasciocutaneous flaps were compared in two subgroups (acute trauma and chronic traumatic sequelae), according to limb salvage, return to ambulation, flap outcomes, and secondary flap procedures...
September 15, 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28938332/mandibular-condyle-reconstruction-with-fibula-free-tissue-transfer-the-role-of-the-masseter-muscle
#20
Andreas Gravvanis, Dimitrios Anterriotis, Despoina Kakagia
BACKGROUND: Free fibula flap is an option for primary restoration after disarticulation mandibular resection, though literature on technique refinements is scarce. The authors hypothesized that inset of the masseter, the key mandibular elevator muscle, at the reconstructed mandible may optimize functional recovery. METHODS: All patients undergoing reconstruction of mandibulectomy-condylectomy defect (January 2009 to January 2014) by means of a fibular flap were prospectively studied...
September 21, 2017: Journal of Craniofacial Surgery
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