keyword
https://read.qxmd.com/read/37811354/axillary-hidradenitis-suppurativa-a-comparison-between-two-perforator-flap-reconstructive-approaches-after-radical-surgical-management
#21
JOURNAL ARTICLE
Mohammad Alabdulkareem, Yanis Berkane, Enna Le Bras, Etienne Rousson, Theodoros Chrelias, Tristan Beaufils, Franck-Marie Leclere, Eric Watier, Nicolas Bertheuil
BACKGROUND: Axillary hidradenitis suppurativa (HS) can result in significant functional impairment in both personal and professional lives. Stage 3 HS requires radical surgical treatment. Flap reconstruction allows for faster healing and better functional and aesthetic outcomes. We compared the results of thoracodorsal artery perforator (TDAP) and propeller inner arm artery perforator (IAAP) flap reconstructions after radical surgical treatment of axillary HS. METHODS: We conducted a retrospective study that included 13 consecutive patients who underwent stage 3 axillary HS treatment between August 2015 and January 2023...
October 2023: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/37805786/-clinical-effects-of-free-perforator-propeller-myocutaneous-flap-from-buttock-in-repairing-complex-wounds-in-the-buttock-with-deep-dead-cavity
#22
JOURNAL ARTICLE
L M Chen, G Wang, H Liu, R M Zhao, X H Liu, G T Cao, Z J Yao, Z Y Li, Y Liu
Objective: To investigate the feasibility and clinical effects of using free perforator propeller myocutaneous flap from buttock in repairing complex wounds in the buttock with deep dead cavity. Methods: A retrospective observational study was conducted. From June 2020 to June 2022, 9 patients with complex wounds in the buttock with deep dead cavity who met the inclusion criteria were admitted to Lanzhou University Second Hospital, including 6 males and 3 females, aged 26 to 62 years, with original wound area ranging from 4...
August 20, 2023: Zhonghua Shao Shang za Zhi, Zhonghua Shaoshang Zazhi, Chinese Journal of Burns
https://read.qxmd.com/read/37805771/-a-comparative-study-of-the-curative-effects-between-butterfly-shaped-flap-and-propeller-flap-based-on-the-dorsal-branch-of-digital-artery-in-repairing-the-wound-in-volar-aspect-of-finger
#23
JOURNAL ARTICLE
X Sun, Z Q Yin, J X Zheng, Y Dou, Q Zhang, Q Fu, W L Zhang, L Yi
Objective: To compare the curative effects of butterfly-shaped flap based on the dorsal branch of digital artery (hereinafter referred to as butterfly-shaped flap) and propeller flap based on the dorsal branch of digital artery (hereinafter referred to as propeller flap) in repairing the wound in volar aspect of finger. Methods: A retrospective cohort study was conducted. From August 2018 to April 2022, 16 patients with finger palmar wounds admitted to Ruijin Hospital of Shanghai Jiao Tong University School of Medicine and 7 patients with finger palmar wounds admitted to General Hospital of PLA Central Theater Command met the inclusion criteria, including 14 males and 9 females, aged 25 to 64 years...
June 20, 2023: Zhonghua Shao Shang za Zhi, Zhonghua Shaoshang Zazhi, Chinese Journal of Burns
https://read.qxmd.com/read/37739012/delayed-reconstruction-of-the-perforator-pedicle-propeller-flap-after-the-induced-membrane-technique-for-gustilo-iiib-open-distal-tibial-fracture
#24
JOURNAL ARTICLE
Shuming Ye, Neng Jin, Jian Sun, Liqian Zhang, Jisen Zhang, Juehua Jing
This study aimed to evaluate the safety and efficacy of delayed reconstruction of the perforator pedicle propeller flap after the induced membrane technique in the treatment of Gustilo IIIB open distal tibial fracture, and to evaluate the clinical outcome and complications of two different perforator pedicle propeller flaps.Thirty-four patients with Gustilo IIIB open distal tibial fractures treated by the induced membrane technique and delayed reconstruction of two different perforator pedicle propeller flaps from May 2017 to March 2022 were retrospectively analyzed...
September 22, 2023: Zeitschrift Für Orthopädie und Unfallchirurgie
https://read.qxmd.com/read/37705822/perforator-based-propeller-flap-with-additional-venous-pedicle-for-lower-limb-reconstruction
#25
JOURNAL ARTICLE
Jiten Kumar Mishra, Shamendra Anand Sahu, Narendra Kuber Bodhey, Abi Sindhuja, Abhijith V
Propeller flaps are effective reconstructive tools for small-to-medium sized defects of the lower limb and a reasonable alternative to free flaps. A major vessel of the lower limb remains undisturbed while raising the flap and the flap donor and recipient areas are addressed in the same operative field. Perforator-based propeller flaps are based on single perforator arising from a major vessel and during rotation of the larger paddle there is a possibility of kink in the venous component leading to congestion of flap...
August 2023: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://read.qxmd.com/read/37682802/use-of-a-dynamic-tissue-system-and-biological-xenograft-in-complex-traumatic-wound-closure
#26
JOURNAL ARTICLE
Reagan A Collins, Michael Dang, Shirley McReynolds, Yana Puckett, Catherine A Ronaghan
OBJECTIVE: Asymmetrical dimensions and nonlinear margins of a multilayered traumatic wound often preclude healing via primary intention. We present the case of an otherwise healthy 21-year-old male who sustained trauma following a boating accident. METHOD: The patient sustained three lacerations to the posterior thighs from the boat propeller. The most extensive wound measured 25×10×6cm of muscle extrusion with a divot fracture involving the posterior femur...
September 1, 2023: Journal of Wound Care
https://read.qxmd.com/read/37601473/beauty-borne-out-of-chaos-molding-a-surgical-subspecialty-through-the-world-wars
#27
JOURNAL ARTICLE
Tina Bharani, Charles J Yeo
The chaos during the Great Wars provided the impetus for the genesis of modern plastic surgery. Collectively, the World Wars caused disfiguring injuries to thousands of American soldiers, which challenged their acceptance into society. The Wars, however, propelled 2 leaders in the field of plastic surgery-Vilray P. Blair and James Barrett Brown. These two American pioneers used their surgical acumen and artistic skills to heal the wounds of the soldiers. During World War I, the wounds of injured soldiers were often poorly managed by inadequately trained surgeons and dentists...
June 2023: Annals of surgery open: perspectives of surgical history, education, and clinical approaches
https://read.qxmd.com/read/37465506/subcutaneous-pedicled-propeller-flap-technique-for-microscopic-reconstruction-of-eyelid-defects
#28
JOURNAL ARTICLE
Lei Zhong, Qian-Yi Lu, Pei-Rong Lu
AIM: To describe the subcutaneous pedicled propeller flap technique for the microscopic reconstruction of eyelid defects and evaluate its outcomes. METHODS: The clinical data of 23 patients (23 eyes) who underwent microscopic reconstruction of eyelid defects with the subcutaneous pedicled propeller flap technique were retrospectively analyzed. All patients underwent eyelid tumor resection and one-stage microscopic reconstruction with the subcutaneous pedicled propeller flap for anterior- or posterior-layer eyelid defects...
2023: International Journal of Ophthalmology
https://read.qxmd.com/read/37420728/thrust-vectoring-control-for-heavy-uavs-employing-a-redundant-communication-system
#29
JOURNAL ARTICLE
Mohammad Sadeq Ale Isaac, Ahmed Refaat Ragab, Marco Andrés Luna, Mohammad Mehdi Ale Eshagh Khoeini, Pascual Campoy
Recently, various research studies have been developed to address communication sensors for Unmanned Aerial Systems (UASs). In particular, when pondering control difficulties, communication is a crucial component. To this end, strengthening a control algorithm with redundant linking sensors ensures the overall system works accurately, even if some components fail. This paper proposes a novel approach to integrate several sensors and actuators for a heavy Unmanned Aerial Vehicle (UAV). Additionally, a cutting-edge Robust Thrust Vectoring Control (RTVC) technique is designed to control various communicative modules during a flying mission and converge the attitude system to stability...
June 14, 2023: Sensors
https://read.qxmd.com/read/37373707/gluteal-propeller-perforator-flaps-a-paradigm-shift-in-abdominoperineal-amputation-reconstruction
#30
JOURNAL ARTICLE
Theodoros Chrelias, Yanis Berkane, Etienne Rousson, Korkut Uygun, Bernard Meunier, Alex Kartheuser, Eric Watier, Jérôme Duisit, Nicolas Bertheuil
Abdominoperineal amputation (AAP) is a gold standard procedure treating advanced abdominal and pelvic cancers. The defect resulting from this extensive surgery must be reconstructed to avoid complications, such as infection, dehiscence, delayed healing, or even death. Several approaches can be chosen depending on the patient. Muscle-based reconstructions are a reliable solution but are responsible for additional morbidity for these fragile patients. We present and discuss our experience in AAP reconstruction using gluteal-artery-based propeller perforator flaps (G-PPF) in a case series...
June 13, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37332212/the-use-of-conventional-lower-frequency-color-doppler-ultrasound-for-flap-planning-in-the-lower-extremity
#31
JOURNAL ARTICLE
Harvey Chim, Brianne Sullivan
BACKGROUND: Handheld Doppler is often inaccurate in localization of perforators for pedicled and free flaps. Color Doppler ultrasound (CDU), in contrast, allows more accurate mapping and characterization of perforators to facilitate rapid flap harvest. METHODS: Forty-seven flaps harvested from the lower extremity were evaluated preoperatively with CDU by a single surgeon with a conventional low-frequency ultrasound device (Philips Sparq, Cambridge, Mass). Flaps evaluated included profunda artery perforator flaps (n = 36), anterolateral thigh flaps (n = 2), pedicled propeller perforator flaps (n = 7), and toe transfers (n = 2)...
June 1, 2023: Annals of Plastic Surgery
https://read.qxmd.com/read/37327737/the-use-of-the-internal-pudendal-artery-perforator-flap-after-abdominoperineal-reconstruction-a-single-center-study
#32
JOURNAL ARTICLE
Andrea Loreti, Floriana Arelli, Diana Spallone, Edoardo Bruno, Ornella Abate
Abdominoperineal resection (APR) is still a valuable option in the presence of cancer recurrences or salvage surgery. Primary perineal closure after conventional APR curries a high rate of wound complications. A multidisciplinary approach with perineal soft tissue reconstruction surgical time improves the immediate and long-term prognosis of these patients. The aim of the study is to report our experience with the use of the internal pudendal artery perforator flap in perineal region reconstruction after APR...
May 18, 2023: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://read.qxmd.com/read/37312420/free-style-propeller-ulnar-artery-perforator-flaps-for-radial-forearm-flap-donor-site-repair
#33
Andrea Marchesi, Arianna Gatto, Erica M Cavalli, Massimo Del Bene
INTRODUCTION: The radial forearm free flap (RFFF) is still one of the most used free flaps to repair soft tissue defects of the head and neck. Among its main drawbacks, it presents severe donor site complications. We report our experience about the use of free-style propeller ulnar artery perforator flaps (UAP) to repair RFFF donor site. PATIENTS AND METHODS: From February 2010 to June 2020, six patients who underwent immediate tongue reconstruction with RFFF after cancer excision, had the donor site at the forearm reconstructed with a free-style propeller UAP flap...
June 13, 2023: Microsurgery
https://read.qxmd.com/read/37311312/treatment-of-concomitant-congenital-pseudarthrosis-of-the-fibula-with-propeller-periosteal-flap
#34
JOURNAL ARTICLE
Tarek Abdalla El-Gammal, Amr El-Sayed Ali, Mohamed Mostafa Kotb, Waleed Riad Saleh, Yasser Farouk Ragheb, Omar Ahmed Refai, Mohamed Mohamed Morsy, Yousif Tarek El-Gammal
INTRODUCTION: Congenital pseudarthrosis of the fibula is not an uncommon condition to accompany congenital pseudarthrosis of the tibia. Persistence of the fibular pseudarthrosis has been linked to inferior outcomes including tibial union and alignment, refractures, and ankle alignment. In this report, we present the results of a pedicled periosteal propeller flap technique for the treatment of fibular pseudarthrosis. METHODS: Ten children with an average age at surgery of 5...
June 1, 2023: Annals of Plastic Surgery
https://read.qxmd.com/read/37276732/the-anatomic-relationship-of-dorsal-arterial-perforators-of-the-distal-forearm-wrist-and-dorsum-of-the-hand-with-conclusions-for-the-clinic
#35
JOURNAL ARTICLE
Till Wagner, Stefan Hummelink, Femke Mathot, Dietmar Ulrich
BACKGROUND: Extended soft tissue defects of the fingers are often challenging to treat, and therefore, we performed cadaver dissections to elucidate the anatomic relationship between dorsal arterial perforators of the distal upper extremities to support the development of new local flaps. METHODS: Ten fixated cadaveric distal dorsal lower forearms were dissected to their arterial perforators down to 0.1 mm diameter in size with identification of their relationship...
April 25, 2023: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://read.qxmd.com/read/37256038/clinical-applications-of-the-intercostal-artery-perforator-flap-for-trunk-reconstruction
#36
JOURNAL ARTICLE
Young Jun Kim, Woo Young Choi, Ji Seon Cheon, Min Hyub Choi
Background  Trunk defects can occur because of surgical site infections after spinal surgery, resection of malignant tumors, or trauma. Herein, we present our experience of using intercostal artery perforator (ICAP) flaps to reconstruct trunk defects without noteworthy complications. Fourteen patients underwent reconstruction with ICAP flaps between March 2015 and March 2019. Methods  Patients' data, including age, sex, the cause of the defect, defect size, perforator location, flap size, complications, and follow-up period, were retrospectively reviewed...
May 2023: Archives of Plastic Surgery
https://read.qxmd.com/read/37234456/versatility-of-the-propeller-flap-for-reconstructing-defects-of-distal-third-of-the-leg
#37
JOURNAL ARTICLE
Gaurab Ranjan Chaudhuri, Atul Saxena, Amit Roy
BACKGROUND: Soft tissue reconstruction of the leg should be relatively easy to perform, utilize viable tissues similar in skin texture and thickness to those lost, leave the most inconspicuous donor-site defect possible, and be performed without compromising other body parts. Evolution in flap surgery has enabled fasciocutaneous, adipofascial, and super-thin flaps to be harvested for the purpose of reconstruction, thereby minimizing morbidity from muscle inclusion into the flap. The authors present their experience with propeller flaps for reconstruction of soft tissue defects in the lower third of the leg...
2023: Eplasty
https://read.qxmd.com/read/37211420/role-of-perforator-flaps-in-leg-and-foot-reconstruction
#38
JOURNAL ARTICLE
T A El-Gammal, Y S Hassan, T Raief, M Elyounsi, M Adel
INTRODUCTION: Lower extremity wounds have always been a challenge for the reconstructive surgeons. Free perforator flaps are considered to be the best option for this problem but require the complexity of microsurgery. So, pedicled perforator flaps have emerged as an alternative option. PATIENTS AND METHODS: Prospective study was conducted in 40 patients with traumatic soft tissue defects in the leg and foot. The free flaps included the anterolateral thigh flap (ALT) and medial sural artery perforator flap (MSAP)...
2023: Acta Chirurgiae Plasticae
https://read.qxmd.com/read/37197283/catastrophic-propeller-brain-injury-with-large-scalp-defect-treated-with-omental-flap
#39
Fumihiro Sago, Yusuke Sakamoto, Kenko Maeda, Masaya Takemoto, Jungsu Choo, Mizuka Ikezawa, Ohju Fujita, Daiki Somiya, Akira Ikeda
In this study, we report a case of catastrophic propeller brain injury with large scalp defect treated with omental flap reconstruction. A 62-year-old man was accidentally caught in a powered paraglider propeller during maintenance. The rotor blades impacted the left part of his head. On arrival at the hospital, he presented with a Glasgow Coma Scale score of E4V1M4. On some areas on his head, skin was noticeably cut off, and the brain tissue out-slipped through an open skull fracture. Continuous bleeding from the superior sagittal sinus (SSS) and the brain surface was observed during emergency surgery...
2023: NMC Case Report Journal
https://read.qxmd.com/read/37167716/reconstruction-of-the-shortened-columella-in-mild-bifid-nose-using-a-propeller-flap-based-on-the-nasal-columella-artery
#40
JOURNAL ARTICLE
Jiao Wei, Tanja Herrler, Baofu Yu, Xiaoxue Chen, Zi Wang, Liping Dong, Aihong Chen, Qinghua Chen, Qingfeng Li, Chuanchang Dai
Bifid nose generally appears short columellar and lacks the nasal tip. Here, we describe a surgical correction technique for correcting the short columellar and nasal tip of bifid nose using a local flap to discuss outcomes, patient selection, and complications based on 11 years of experience. Thirty-two patients with mild wide bifid nose and shortened columella were included in this retrospective study. All patients underwent nasal rhinoplasty using a propeller flap based on the nasal columella artery...
February 10, 2023: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
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