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Transposition flap

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https://www.readbyqxmd.com/read/29744331/anatomical-repair-of-a-bilateral-tessier-no-3-cleft-by-midfacial-advancement
#1
Ji-Hyeon Oh, Young-Wook Park
Background: Bilateral Tessier number 3 clefts are extremely rare, and their surgical treatments have not been well established. Case presentation: The authors describe the case of a patient with a right Tessier number 3, 11 facial cleft with microphthalmia, a left Tessier number 3 facial cleft with anophthalmia, and cleft palate. We repaired simultaneously the bilateral soft tissue clefts by premaxillary repositioning, cleft lip repair, facial cleft repair by nasal lengthening, midfacial advancement, and an upper eyelid transposition flap with repositioning both the medial canthi...
December 2018: Maxillofacial Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29731594/reconstruction-of-an-anterior-auricular-defect-through-a-tunnelized-preauricular-transposition-flap
#2
Ana Marcos-Pinto, Ana Ortins-Pina, Maria Sanches, João Maia-Silva
No abstract text is available yet for this article.
January 2018: Journal of Cutaneous and Aesthetic Surgery
https://www.readbyqxmd.com/read/29703683/treatment-of-recurrent-and-persistent-carpal-tunnel-syndrome-the-fasciocutaneous-dorsal-ulnar-artery-flap
#3
REVIEW
Kor H Hutting, Jeroen H van Uchelen
Surgical treatment of recurrent and persistent carpal tunnel syndrome by repeat carpal tunnel release combined with soft tissue nerve coverage results in a higher success rate for symptomatic relief in the presence of a scarred median nerve. Several techniques, including local pedicled flaps, transposition flaps from the distal forearm, and free flaps, have been described, but consensus regarding a preferred technique has not been reached. The dorsal ulnar artery flap or Becker flap is a local fasciocutaneous flap based on a dorsal perforating branch of the ulnar artery that can be used for soft tissue coverage of the median nerve...
April 24, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29691077/camptodactyly-treatment-for-the-lesser-digits
#4
REVIEW
Lindley B Wall, Marybeth Ezaki, Charles A Goldfarb
Camptodactyly of the lesser digits is commonly seen in patients with arthrogryposis. The flexed posture of the digit can be functionally limiting and necessitate surgical treatment to improve grasp function. In digits with normal bony anatomy, a lateral stiletto-shaped transposition flap combined with flexor digitorum superficialis tendon release, can improve finger deformity and function.
April 21, 2018: Journal of Hand Surgery
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/29625866/mixed-facial-reanimation-technique-to-treat-paralysis-in-medium-term-cases
#6
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/29616160/reconstruction-of-anterior-neck-scar-contracture-using-a-perforator-supercharged-transposition-flap
#7
Yoshihiro Noda, Hiroaki Kuwahara, Maya Morimoto, Rei Ogawa
Reconstruction of the anterior neck requires attention to both aesthetic and functional outcomes. In general, skin grafts are not suitable for anterior neck reconstruction in Asian patients, even when artificial dermis is used before skin grafting. Therefore, we have employed various types of thin flaps for anterior neck reconstruction, including the cervico-pectoral flap. However, we have realized that, to fully release neck contractures and therefore achieve the full range of neck extension, the skin pedicle must be sufficiently wide...
February 2018: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29608475/percutaneous-autologous-fat-injection-following-2-layer-flap-lower-blepharoplasty-for-the-correction-of-tear-trough-deformity
#8
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/29606803/the-double-pedicled-dorsal-metacarpal-artery-dpdmca-flap-of-the-hand-a-novel-dmca-derived-flap
#9
Till Wagner, Oliver Kloeters, Dietmar Ulrich
The dorsal-metacarpal-artery (DMCA) flap in its standard or extended version is considered as the working horse to cover dorsal soft tissue finger defects with exposed extensor tendon or bone. We hereby present a clinical case of an 80-year-old male patient who is right-handed and sustained a soft tissue defect of the proximal dorsal aspect of his left 5th finger and the postoperative outcome employing a modified transposition flap. The double-pedicled DMCA flap (dpDMCA flap) of the hand poses in adequate clinical scenarios a comparably fast and safe solution to cover dorsal finger defects extending just distal to the PIP joint...
2018: European Journal of Plastic Surgery
https://www.readbyqxmd.com/read/29600070/deep-sternal-wound-infection-after-cardiac-surgery-a-comparison-of-three-different-wound-infection-types-and-an-analysis-of-antibiotic-resistance
#10
Jia-Gui Ma, Jian-Xiong An
Background: Deep sternal wound infection (DSWI) is a severe complication following cardiac surgery. We compared epidemiology, clinical features, and microbiology of three types of DSWI and examined the antibiotic resistance in DSWI patients. Methods: From 2011 to 2015, 170 adult post-cardiac surgery DSWI patients were recruited for this study and underwent the pectoralis major muscle flap transposition in our department. Results: Of 170 adult patients with DSWI (mean age of 54 years), the majority (99 patients, 58...
January 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29588023/managing-soft-tissues-in-severe-lower-limb-trauma-in-an-ageing-population
#11
Timothy M Noblet, Philippa C Jackson, Patrick Foster, David Martin Taylor, Paul J Harwood, Jay D Wiper
PURPOSE: With an ageing population, the incidence of trauma in those aged over 65 years is increasing. Strategies for dealing with these patients must be developed. At present the standard management of open tibial fractures in the UK is described by the BOAST4 guidelines (from the British Orthopaedic Association and British Association of Plastic & Aesthetic Surgeons). It is not clear to what extent these are appropriate for older patients. We describe our experience of managing elderly patients presenting with open tibial fractures...
March 13, 2018: Injury
https://www.readbyqxmd.com/read/29564875/nose-defects-reconstruction-with-the-zitelli-bilobed-flap
#12
Michele P Grieco, Nicolò Bertozzi, Eugenio Grignaffini, Edoardo Raposio
The skin cancers of the head and neck district are localized mostly on the nose, which, by being in the center of the mid-face, has an important aesthetic role. Therefore, many reconstructive techniques have been studied; among them regional skin flaps appeared the most suitable since they guaranteed the oncological radicality as well as a good aesthetic outcome. In this paper, we present our experience with the use of the Zitelli bilobed flap, which is defined as a double transposition flap for the reconstruction of the nose defects...
April 2018: Giornale Italiano di Dermatologia e Venereologia: Organo Ufficiale, Società Italiana di Dermatologia e Sifilografia
https://www.readbyqxmd.com/read/29533254/risk-factors-for-titanium-mesh-implant-exposure-following-cranioplasty
#13
Talha Maqbool, Adam Binhammer, Paul Binhammer, Oleh M Antonyshyn
PURPOSE: Titanium mesh is used to reconstruct the neurocranium in cranioplasties. Though it is generally well-tolerated, erosion of the overlying soft tissue with exposure of the implant is a complication that adversely affects patient outcomes. The purpose of this study is to investigate potential risk factors for titanium mesh exposure. METHODS: This study comprises all consecutive patients who underwent titanium mesh cranioplasty between January 2000 and July 2016...
March 12, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29519496/autologous-gluteal-augmentation-with-the-moustache-transposition-flap-technique
#14
REVIEW
Robert F Centeno
Massive weight loss patients and aesthetic patients can present with significant gluteal contour abnormalities. Gluteal ptosis, skeletal deformities, severe platypgia, and a paucity of donor fat for autologous transfer are common problems. Excisional procedures are used to treat massive-weight-loss contour abnormalities. These procedures present an opportunity to address severe gluteal deformities using autologous tissue augmentation. With a working knowledge of the relevant anatomy, sound surgical technique, and meticulous postoperative care, autologous gluteal autoaugmentation with circumferential body lift/excisional buttock lift using the "Moustache" flap technique will enhance massive weight loss body contouring outcomes and improve patient satisfaction...
April 2018: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/29509034/myocardial-healing-using-cardiac-fat
#15
Santiago Roura, Carolina Gálvez-Montón, Antoni Bayes-Genis
Chronic diseases, including myocardial scar healing and heart failure remission, impose huge social and economic burdens, and novel approaches are needed. Several therapeutic modalities are currently being evaluated, including cell therapy, stem cell conditioning, and cardiac tissue engineering. Areas covered: This review discusses the restoration of cardiac function after myocardial infarction using a vascularized flap of autologous cardiac adipose tissue over an akinetic scar. It addresses the risks and benefits of using cardiac adipose progenitors and the adipose graft transposition procedure (AGTP) to ameliorate cardiac dysfunction in preclinical and clinical trials...
April 2018: Expert Review of Cardiovascular Therapy
https://www.readbyqxmd.com/read/29490591/deep-inferior-epigastric-artery-perforator-flap-harvest-after-full-abdominoplasty
#16
Assaf A Zeltzer, Randy A De Baerdemaeker, Benoit Hendrickx, Katrin Seidenstücker, Carola Brussaard, Moustapha Hamdi
Abdominal scars are no longer a contra-indication for abdominal perforator flap harvesting. Few research data exists about the regeneration potential of the abdominal wall's perforator system. Therefore, previous abdominoplasty with umbilical transposition is an absolute contra-indication for a DIEaP-flap (deep inferior epigastric artery perforator flap). A 50-year-old patient required a breast reconstruction of the right breast, 10 years after an abdominoplasty with undermining of the superior abdomen and umbilical transposition...
March 1, 2018: Acta Chirurgica Belgica
https://www.readbyqxmd.com/read/29481240/topology-geometry-and-mechanics-of-z-plasty
#17
Elisabetta A Matsumoto, Haiyi Liang, L Mahadevan
Reconstructive surgeries often use topological manipulation of tissue to minimize postoperative scarring. The most common version of this, Z-plasty, involves modifying a straight line cut into a Z shape, followed by a rotational transposition of the resulting triangular pedicle flaps, and a final restitching of the wound. This locally reorients the anisotropic stress field and reduces the potential for scarring. We analyze the planar geometry and mechanics of the Z-plasty to quantify the rotation of the overall stress field and the local forces on the restitched cut using theory, simulations, and simple physical Z-plasty experiments with foam sheets that corroborate each other...
February 9, 2018: Physical Review Letters
https://www.readbyqxmd.com/read/29469733/nasolabial-flap-alternative-uses-for-a-classic-but-versatile-technique
#18
Fernando Mota, Miguel Horta, Monica Caetano, Virgilio Costa, Manuela Selores
The nasolabial flap is one of the most ancient techniques used in orofacial surgery. The authors report two cases of patients with skin cancer treated surgically with variations of the classic nasolabial flap by transposition (bilateral and folded) that highlight the broad applicability of this technique.
September 15, 2017: Dermatology Online Journal
https://www.readbyqxmd.com/read/29433876/autogenous-hepatic-tissue-transplantation-into-the-omentum-in-a-novel-ectopic-liver-regeneration-murine-model
#19
Francisco Igor Macedo, Joseph J Eid, Milessa Decker, Barry Herschman, Edsa Negussie, Vijay K Mittal
BACKGROUND: Liver regeneration involves hyperplasia and hypertrophy of hepatic cells. The capacity of macroscopic liver tissue to regenerate in ectopic sites is unknown. We aim to develop a novel in vivo model of ectopic liver survivability and regeneration and assess its functionality. METHODS: Adult male Sprague-Dawley rats (n = 23) were divided into four groups: (1) single-stage (SS) group, wedge liver resection was performed, and the parenchyma was directly implanted into the omentum; (2) double-stage (DS) group, omentum pedicle was transposed over the left hepatic lobe followed by wedge liver resection along with omental flap; (3) Biogel + DS group, rats received intraperitoneal injection of inert polymer particles prior to DS; (4) Biogel + DS + portal vein ligation (PVL) group, Biogel + DS rats underwent subsequent PVL...
March 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29428586/the-pedicled-internal-pudendal-artery-perforator-pipap-flap-for-ischial-pressure-sore-reconstruction-technique-and-long-term-outcome-of-a-cohort-study
#20
Catherine M Legemate, Monique van der Kwaak, David Gobets, Menno Huikeshoven, Paul P M van Zuijlen
BACKGROUND: The ischial region is the site most affected by pressure sores and has the highest recurrence and complication rates compared to other affected sites. We developed a practical and safe pedicled flap for reconstruction of ischial pressure sores based on the rich available perforators from the internal pudendal artery and the surplus of skin at the infragluteal fold. METHODS: A retrospective cohort study was conducted in all patients who underwent ischial pressure ulcer reconstruction using the PIPAP flap between March 2010 and March 2017...
February 7, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
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