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Mobilisation grafts flaps

Uwe Wollina, Annett Bennewitz, Dana Langner
BACKGROUND: Basal cell carcinoma of the nose is common, with a potential of local recurrence and high-risk features. MATERIALS AND METHODS: We provide a review on anatomy of the nose, tumour surgery and defect closure on the nose. We analysed our own patients with nasal BCC of a 24 months period. RESULTS: We identified 321 patients with nasal BCC. There was a predominance of female patients of 1.2 to 1. The mean age was 74.8 years. Slow Mohs technique was employed for all tumours until 3D tumour-free margins were achieved...
July 2014: Journal of Cutaneous and Aesthetic Surgery
Collin Roy, Monimoy Bandyopadhyay, Shirish Dubey, Ajay Kumar Gupta
The temporoparietal fascia flap with its long rotational axis and extensive mobilisation properties, can provide vascularised tissue to repair the most distant areas in the orofacial region. The donor site morbidity is minimal with a well-concealed scar hidden in the hair-bearing scalp. However, the temporoparietal fascia flap is usually used together with a split thickness skin graft. This leads to one more donor site causing increased morbidity. In this case temporoparietal fascia flap was used for an intra-oral reconstruction in a case of oral submucous fibrosis, without a split thickness skin graft cover...
December 2013: Journal of the Indian Medical Association
Bahaa-Eldin Hasan Abdulhalim, Mostafa Mohamed Wagih, Ahmed A M Gad, Ghada Boghdadi, Ragy R S Nagy
PURPOSE: To evaluate and compare the results of bipedicle conjunctival flap (CF) and cryopreserved amniotic membrane graft (AMG) in the treatment of non-viral infectious keratitis resistant to medical treatment. METHODS: This prospective randomised interventional study included 40 eyes of 40 patients with resistant non-viral infectious keratitis. Twenty eyes received CF and 20 eyes received AMG. In the CF group, there were 12 eyes with fungal keratitis, 7 eyes with bacterial keratitis and 1 eye with Acanthamoeba keratitis...
January 2015: British Journal of Ophthalmology
K Daniilidis, C M Stukenborg-Colsman, M Ettinger, H Windhagen
BACKGROUND: An amount of 70,000 minor/major amputees are annually performed for different reasons such as tumor, trauma, perivascular diseases or diabetic ulcera yearly in Germany. Over the course of time a lot of patients get problems with their stump, which leads to an incompatible prosthetic treatment and immobilisation. OBJECTIVE: Handicapped patients are often characterized by a long history of pain. The fact that they often had comorbidities as diabetes, vascular diseases or other metabolic affection, leads to the situation that no other differential diagnoses are taken into account...
2013: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
Zwipp, Rammelt, Barthel
Operative treatment of intra-articular calcaneal fractures with anatomical reduction and early mobilisation has lead to a considerable improvement of the functional results of these severe injuries over the recent two decades. New tendencies like modified approaches tailored according to the vascular anatomy, arthroscopic control of joint reduction in conjunction with open or percutaneous procedures, early flap coverage for severe open fractures or closed fractures with full thickness skin necrosis, the use of interlocking plates that further minimises the need of bone grafting and subtalar arthrolysis at the time of hardware removal for fibrous overgrowth have the potential for further improvement of the outcome...
July 1, 2004: Therapeutische Umschau. Revue Thérapeutique
U Kneser, J P Beier, A Dragu, A Arkudas, R E Horch
OBJECTIVE: Defect reconstruction at the distal lower extremity by transposition of a vascularised fasciocutaneous flap. INDICATIONS: Reconstruction of defects at the lateral aspect of the middle and distal third of the lower leg, the lateral ankle and achilles tendon region. CONTRAINDICATIONS: Lesions or occlusion of the peroneal artery, traumatized skin and soft tissues at the donor site of the flap, deep vein thrombosis of the ipsilateral leg...
April 2013: Operative Orthopädie und Traumatologie
Masahide Fujiki, Shimpei Miyamoto, Minoru Sakuraba, Shogo Nagamatsu, Ryuichi Hayashi
BACKGROUND: The fibular flap and the scapular flap are widely used for immediate reconstruction after segmental mandibulectomy. The aim of this study was to compare perioperative complications between the fibular flap and the scapular flap in immediate mandibular reconstruction. METHODS: Data were retrospectively collected on 56 patients who had undergone immediate mandibular reconstruction with a fibular flap (38 patients) or a scapular flap (18 patients) after segmental mandibulectomy from 2005 to 2011...
March 2013: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Sinan Oksüz, Ersin Ulkür, Serhan Tuncer, Celalettin Sever, Hüseyin Karagöz
The complexity of managing large soft-tissue defects at the elbow region by conventional techniques arises from the difficulty of providing sufficient tissue with adequate elasticity and durability. Reconstruction options that allow early mobilisation and avoid the risk of functional loss should be considered to achieve defect closure at the elbow region. A 21-year-old man presented with a congenital giant hairy nevus on his left upper extremity. The nevus was excised and the resulting raw surface after the excision was covered with a split-thickness skin graft except for the elbow region...
April 2013: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Ranjit Chaudhary, Nidhi Jain, Kulwant Singh, Hari Singh Bisoniya, Rahul Chaudhary, Rakesh Biswas
The preferred management of urethral strictures involving long segments of anterior urethra is dorsal onlay buccal mucosa augmentation urethroplasty. This requires circumferential mobilisation of the urethra, which might cause ischaemia of the urethra in addition to chordee. The authors managed a pan anterior urethral stricture, applying a dorsolateral free graft by unilateral urethral mobilisation through a perineal approach. This is a recently described surgical technique which preserves the lateral vascular supply on one side thereby minimising ischaemia...
2011: BMJ Case Reports
Kazufumi Sano, Kazumasa Kimura, Satoru Ozeki
The regional first web flap is a distally-based flap that is raised from the radiodorsal aspect of the metacarpophalangeal joint of the index finger towards the dorsal first web, and used to cover a thumb amputation. The advantage of this flap over the conventional cross-finger flap is that is gives a thicker and hairless flap with no skin graft to the donor site. Mobilisation of the joints, including the metacarpophalangeal joint of the index finger, can also be maintained during the immobilisation period between two stages...
April 2012: Journal of Plastic Surgery and Hand Surgery
B Coulet, J G Boretto, C Lazerges, M Cesar, O Mares, M Chammas
UNLABELLED: The term Rollover hands (ROHs) corresponds to a loss of compound tissue from the back of the hand. Our aim was to specify the injuries associated with this type of accident and codify the therapeutic strategy. PATIENTS AND METHOD: Twenty-one ROHs were reviewed with an average follow-up of 38 months. Skin coverage included 15 pedicle flaps (two posterior interosseous, 13 pedicled groin flaps), and three free flaps (two external brachial or one parascapular)...
September 2011: Chirurgie de la Main
Livio Colizzi, Davide Lazzeri, Tommaso Agostini, Giordano Giannotti, Matteo Ghilli, Daniele Gandini, Marcello Pantaloni, Manuela Roncella
Skin-reducing mastectomy is a single-stage technique that helps us to overcome the cosmetic inadequacy of a Type IV Wise pattern skin-sparing mastectomy (final T-inverted scar) in heavy and pendulous breasts by filling the lower-medial quadrant with adequate volume. It also conceals scars as an aesthetic operation and at the same time provides satisfactory and safe coverage of the implant. We report our experience with 22 skin-reducing mastectomies done for 18 women. We modified part of the original description of raising the dermal flap to refine the anatomical results...
December 2010: Journal of Plastic Surgery and Hand Surgery
Paul S Cannon, Simon N Madge, Hirohiko Kakizaki, Dinesh Selva
AIMS: To describe the outcomes and complications for composite eyelid grafts in a large case series over a 9-year period. METHOD: A retrospective study of all patients who underwent a composite graft for eyelid reconstruction between January 2000 and May 2009. A composite eyelid graft involves the excision of a full thickness pentagonal wedge from the donor eyelid, which is inserted into the recipient eyelid defect. The orbicularis muscle is discarded from the composite graft...
September 2011: British Journal of Ophthalmology
Petre Vlah-Horea Botianu, Alexandru Mihail Botianu, Adrian Cristian Dobrica, Vladimir Bacarea
OBJECTIVE: The objective of our article is to analyse the results of intrathoracic transposition of the serratus anterior (SA) muscle flap for suppurative diseases. METHOD: We performed a retrospective analysis of 65 consecutive patients operated upon in our unit between 1 January 2003 and 1 March 2009 in whom we used intrathoracic transposition of the SA muscle flap. The flap was used alone or in association with other flaps and/or thoracoplasty in patients not amenable to lung resection and/or decortication, including tuberculous (TB) lesions in 30 patients (46%), postoperative empyema in 12 patients (18%), frank intrapleural rupture of a pulmonary cavity in 13 patients (20%) and bronchial fistula(e) in 26 patients (40%)...
December 2010: European Journal of Cardio-thoracic Surgery
Konstantinos N Malizos, Nikolaos E Gougoulias, Zoe H Dailiana, Sokratis Varitimidis, Konstantinos A Bargiotas, Dionysios Paridis
INTRODUCTION: A management protocol for ankle and foot osteomyelitis and the outcome in 84 patients treated in a unit with special interest in musculoskeletal infection, is presented. PATIENTS AND METHODS: Patients' mean age was 50.7+/-16.5 years and mean follow-up 31.5+/-18.2 months. Systemic antibiotics were administered initially empirically, and later according to cultures. Surgical treatment included surgical debridement and bead-pouch technique, minor amputation (ray or toe), below knee amputation, and joint fusion...
March 2010: Injury
D Camporro, D Vidal, D Robla
Reverse axial adipofascial flaps use subcutaneous tissue of the laterodigital and dorsal metacarpal or digital areas. They are sited on the arterial branches anastomosing the volar and dorsal arterial networks of the fingers. These flaps allow coverage of wide and distal defects. Metacarpal flaps were used for defects on the proximal phalanx, and digital flaps for the defects over the proximal interphalangeal joint (PIPj) and further distally of the thumb and fingers. A series of 18 cases is reviewed. Dissection of the flap is easy, fast and preserves the collateral nerve and artery of the finger...
December 2010: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Jan J van Wingerden, Matijn E H Coret, Christianne A van Nieuwenhoven, Eric R Totté
OBJECTIVE: To report our experience with the laparoscopically harvested omental flap in the treatment of deep sternal wound infection, and to present a modification and introduce two supportive techniques in the perioperative management. METHODS: Between June 2005 and September 2007, six patients with grade IV (El Oakley-Wright classification) deep sternal wound infection following a median sternotomy for coronary artery bypass grafting underwent a reconstruction with a laparoscopically harvested omental flap...
January 2010: European Journal of Cardio-thoracic Surgery
S J Jones, D A Scott, R Watson, W A Morrison
Free flap microvascular surgery involves the transfer of a mobilised tissue flap with complete vascular re-anastomosis at the new site. Ischaemia frequently threatens flap survival and may require a return to the operating theatre for anastomotic revision. Arterial spasm and hypoperfusion are recognised as factors in flap ischaemia. Phosphodiesterase inhibitors such as milrinone may improve flap blood flow and possibly flap survival by arterial dilation and increasing cardiac output. To investigate the role of milrinone in this type of surgery, a double-blinded randomised controlled trial was conducted with 88 patients receiving either a milrinone bolus and infusion throughout surgery or placebo (normal saline)...
October 2007: Anaesthesia and Intensive Care
M M Al-Qattan
UNLABELLED: There is a scarcity of information on extensor hallucis longus tendon injuries and published studies frequently offer conflicting treatment recommendations and results. PATIENTS AND METHODS: This paper reports on the treatment and results of open lacerations of the extensor hallucis longus tendon in 17 patients treated by a plastic surgeon over a period of 12 years. All injuries occurred due to industrial accidents. All patients were males with a mean age of 30 years (range=21-49 years)...
2007: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
S Tandon, R S Williams, S Rogers, S R Jackson, P McCulloch
By mobilisation of the jejunal marginal artery with reverse flow, the authors present a novel way of increasing artery length available for anastomosis in free jejunal loop transfer for reconstruction in head and neck cancer surgery.
March 2005: British Journal of Plastic Surgery
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