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https://www.readbyqxmd.com/read/28212127/surgical-management-of-mandibular-intraosseous-schwannomas
#1
Anthony DeLeonibus, Bahar Bassiri Gharb, Francis Papay, James E Zins, Antonio Rampazzo
Intraosseous schwannomas of the mandible are rare tumors that usually arise from peripheral nerve sheaths of the main trunk or branches of the inferior alveolar nerve (IAN).A systematic review of the English literature through PubMed was conducted from 1945 to 2016. Forty-nine patients of mandibular intraosseous schwannomas were identified. The most common location of the tumor was the posterior mandible (61.2%). There were 28 patients in whom the tumor involved the IAN (57.1%). The most commonly performed procedures included enucleation through a mucoperiosteal flap and a bone window (73%), curettage (10%), segmental mandibulectomy (10%), and sagittal split ramus osteotomy (6%)...
February 16, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28194322/sural-artery-perforator-flap-with-posterior-tibial-neurovascular-decompression-for-recurrent-foot-ulcer-in-leprosy-patients
#2
Hossam El-Din Ali Ismail, Mohamed Hassan El Fahar
Introduction: The sensory loss and alteration of the shape of the foot make the foot liable to trauma and pressure, and subsequently cause more callus formation, blisters, and ulcers. Foot ulcers usually are liable to secondary infection as cellulitis or osteomyelitis, and may result in amputations. Foot ulcers are a major problem and a major cause of handicaps in leprosy patients. The current study is to present our clinical experience and evaluate the use of sural flap with posterior tibial neurovascular decompression (PTND) in recurrent foot ulcers in leprosy patients...
2017: GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW
https://www.readbyqxmd.com/read/28182639/assessing-the-suitability-of-medial-sural-artery-perforator-flaps-in-tongue-reconstruction-an-outcome-study
#3
Shao-Yu Hung, Charles Yuen Yung Loh, Soo-Ha Kwon, Chia-Hsuan Tsai, Kai-Ping Chang, Huang-Kai Kao
INTRODUCTION: Oncological resection of the tongue can be reconstructed using a multitude of free flaps. The medial sural artery perforator (MSAP) flap has been well described in the literature in terms of its anatomy and harvest. However, functional outcome studies of post-reconstruction tongue defects using the MSAP flap have not been reported. This study represents the largest outcome study of patients with tongue reconstructions using MSAP flaps and a comprehensive review of its use...
2017: PloS One
https://www.readbyqxmd.com/read/28125535/calf-perforator-flaps-a-freestyle-solution-for-oral-cavity-reconstruction
#4
Alexandra R Molina, Isabelle Citron, Fungayi Chinaka, Luke Cascarini, William A Townley
BACKGROUND: Reconstruction of oral cavity defects requires a thin, pliable flap for optimal functional results. Traditional flap choices are imperfect: the anterolateral thigh flap is excessively thick, whereas the radial forearm flap has a poor donor site. The authors therefore favor calf perforator flaps such as the medial sural artery perforator flap to provide thin tissue with an acceptable donor site. This two-part study aims to demonstrate their suitability for intraoral reconstruction...
February 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28125322/popliteal-fossa-reconstruction-with-a-medial-sural-artery-perforator-free-flap-using-the-medial-sural-vessel-as-the-recipient
#5
Kyu Nam Kim, Sang Il Kim, Won Ha, Chi Sun Yoon
BACKGROUND: Reconstruction of the popliteal fossa using a free flap is challenging. Therefore, to facilitate easier free flap reconstruction of the popliteal fossa, we use a medial sural artery perforator (MSAP) free flap with a medial sural vessel as the recipient vessel, as it provides several advantages based on many reports. METHODS: This report describes the authors' experience and outcomes with this technique. Between October 2010 and January 2015, 10 patients with medium-sized defects in their popliteal fossa underwent MSAP free flap reconstruction using the medial sural vessel as the recipient vessel...
January 26, 2017: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/28112411/medial-sural-artery-as-a-salvage-recipient-vessel-for-complex-post-traumatic-microvascular-lower-limb-reconstruction
#6
Amresh Baliarsing, Shivprasad Date, Pedro Ciudad
BACKGROUND: Complex lower extremity trauma still poses a formidable challenge for micro vascular reconstruction. The extensive surrounding zone of trauma can make it difficult to find a suitable recipient pedicle for anastomosis. A need was felt for exploration of newer recipient vessels in lower extremity which could be harnessed for reliable and tension free micro anastomosis. The purpose of the present report is to highlight the possibility of using medial sural artery for safe micro vascular anastomosis in selected scenarios like vessel depleted extremity...
January 23, 2017: Microsurgery
https://www.readbyqxmd.com/read/27825631/versatility-and-flap-efficiency-of-pedicled-perforator-flaps-in-lower-extremity-reconstruction
#7
Jason K F Wong, Nidal Deek, Chung-Chen Hsu, Hsin-Yu Chen, Chih-Hung Lin, Cheng-Hung Lin
BACKGROUND: The use of pedicled perforator flaps provides an alternative to free tissue transfer for lower limb reconstruction. We use computer-aided image analysis to investigate the versatility of pedicled perforator flaps for the reconstruction of lower limb defects. PATIENTS AND METHODS: Between April 2007 and April 2011, a case series of 61 patients with wounds of the lower extremity from knee to ankle were reconstructed with pedicled perforator flaps. We performed 16 pedicled reverse-flow anterolateral thigh (RF-ALT) flaps, 8 pedicled medial sural artery perforator (MSAP) flaps, 26 pedicled peroneal artery perforator (PAP) flaps, and 11 pedicled posterior tibial artery perforator (PTAP) flaps...
January 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/27718436/management-of-aggressive-giant-cell-tumor-of-calcaneal-bone-a-case-report
#8
Achmad Fauzi Kamal, Agus Waryudi, Zuhri Effendi, Evelina Kodrat
INTRODUCTION: Prevalence of giant cell tumor (GCT) at atypical locations like bones of the feet are rare, seen in <1% of cases. GCT may have aggressive features, including cortical expansion or destruction with a soft-tissue component. Difficult diagnosis most often followed with complicated management and high recurrence rate remains a challenge that is rarely reported. PRESENTATION OF CASE: We presented a case of forty-six-year-old male patient with giant cell tumor of the right calcaneus Campanacci 3 with secondary aneurysmal bone cyst (ABC)...
September 28, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27704609/the-free-medial-sural-artery-perforator-flap-versatile-option-for-soft-tissue-reconstruction-in-small-to-moderate-size-defects-of-the-foot-and-ankle
#9
Zaher Jandali, Martin C Lam, Kiomars Aganloo, Benedikt Merwart, Jouke Buissink, Klaus Müller, Lucian P Jiga
BACKGROUND: The medial sural artery perforator (MSAP) flap shows advantages for reconstruction in the foot and ankle, where bulk is a liability. We evaluated the versatility of this flap and provide further evidence on its use for covering small-to-moderate size defects by comparing the outcome depending on the region of reconstruction. METHODS: Twenty-two patients with variable defects of 4 × 4 to 18 × 7 cm underwent MSAP flap reconstruction. Final outcomes of all patients were evaluated 12-months postoperatively using the AOFAS ankle-hindfoot, midfoot and hallux scale for clinical-functional evaluation, and the SF-36 health survey for quality-of-life measurement...
October 5, 2016: Microsurgery
https://www.readbyqxmd.com/read/27696708/pedicled-medial-sural-perforator-flap-for-the-reconstruction-of-knee-defects
#10
I-Han Chiang, Chia-Chun Wu, Shyi-Gen Chen, Chih-Hsin Wang
Soft tissue defects exposing the patellar tendon or bone are common in patients who have experienced trauma or implant infection. The purpose of this article is to present our experience of six patients who underwent reconstruction of soft tissue defects of the knee using a pedicled medial sural perforator flap. Between November 2013 and November 2015, six patients who presented with a soft tissue defect overlying the knee were admitted to our hospital. After adequate debridement or wide excision of the tumour, these patients underwent pedicled medial sural perforator flap placement to resurface the complex soft tissue defects and to provide a gliding surface for the exposed patellar tendon...
October 3, 2016: International Wound Journal
https://www.readbyqxmd.com/read/27592132/peroneal-perforator-based-peroneus-longus-tendon-and-sural-neurofasciocutaneous-composite-flap-transfer-for-a-large-soft-tissue-defect-of-the-forearm-a-case-report
#11
Kenji Hayashida, Hiroto Saijo, Masaki Fujioka
We describe the use of a composite flap composed of a sural neurofasciocutaneous flap and a vascularized peroneus longus tendon for the reconstruction of severe composite forearm tissue defects in a patient. A 43-year-old man had his left arm caught in a conveyor belt resulting in a large soft-tissue defect of 18 × 11 cm over the dorsum forearm. The extensor carpi radialis, superficial radial nerve, and radial artery were severely damaged. A free neurofasciocutaneous composite flap measuring 16 × 11 cm was outlined on the patient's left lower leg to allow simultaneous skin, tendon, nerve, and artery reconstruction...
September 4, 2016: Microsurgery
https://www.readbyqxmd.com/read/27536494/a-proximally-based-sural-fasciocutaneous-flap-for-the-treatment-of-recurrent-peroneal-neuropathy-a-case-report
#12
Souichi Ohta, Ryosuke Ikeguchi, Takashi Noguchi, Yukitoshi Kaizawa, Hiroki Oda, Shuichi Matsuda
Surgical treatment for recurrent, common peroneal neuropathy has not been reported. Herein, we describe a successfully treated case using the proximally based sural fasciocutaneous flap after reneurolysis of the adhesive common peroneal nerve. A 33-year-old man received a neurolysis operation for entrapment neuropathy of the common peroneal nerve 2 years before first admission in our clinic. Although motor nerve conduction studies showed a marked improvement after the primary operation, the patient always required the use of a crutch because of severe pain radiating to the lower leg during standing or walking...
July 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27492062/soft-tissue-defects-of-the-achilles-tendon-region-management-and-reconstructive-ladder-review-of-the-literature
#13
A Marchesi, P C Parodi, M Brioschi, M Riccio, R E Perrotta, M Colombo, G M Calori, L Vaienti
INTRODUCTION: Defects of the Achilles tendon region represent a challenge for reconstructive surgeons. Several options are available but there is still no reconstructive ladder for this specific and tricky area. An up-to-date reconstructive ladder according to local and general conditions is proposed based on our multicentre experience and an extensive review of the English literature on PubMed. MATERIALS AND METHODS: An extensive review of the English literature was performed on PubMed using the following key-words: "Achilles region", "heel", "soft-tissue reconstruction", "flaps", "grafts" and "dermal substitutes"...
October 2016: Injury
https://www.readbyqxmd.com/read/27441939/reverse-sural-artery-pedicle-flap
#14
Christopher G Finkemeier, Rafael Neiman
OBJECTIVE: To demonstrate the technical aspects of a reverse sural artery (RSA) flap. DESIGN: Video case presentation. SETTING: Community Level 2 Trauma Center. PATIENTS: Single patient with a full thickness soft tissue loss over the posterior calcaneal tuberosity requiring soft tissue coverage. METHOD: Video demonstration of the stepwise planning and technical aspects of performing an RSA flap...
August 2016: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/27326940/acute-vascular-complications-flap-necrosis-and-congestion-with-one-stage-and-two-stage-distally-based-sural-flap-for-wound-coverage-around-the-ankle
#15
N M Yusof, A S Fadzli, W S Azman, M A Azril
INTRODUCTION: The understanding of the skin's vascular anatomy has improved in the last decade. It has lead to technique modification such as the staged procedure in performing sural flaps and improvement in the flap survival rate. The aim of this study was to evaluate the acute vascular complications (flap necrosis or congestion) of 29 patients who underwent distal base sural flap for coverage of wound around the ankle. METHODS: Twenty-four males and five females with a mean age of 37...
April 2016: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/27323565/use-of-a-special-splint-in-reverse-sural-artery-flap-to-reduce-venous-congestion-and-flap-necrosis
#16
Tariq Masood, Riaz Ahmed, Obaidullah
BACKGROUND: Distally based sural fascio-cutaneous flap is a commonly performed plastic surgery procedure for the coverage of distal third of leg, ankle and foot defects. However congestion is the main complication of this flap which results into partial or complete loss of the flap. We devised a special splint to reduce this complication and retrospectively reviewed its effect on this complication between two groups. METHODS: This retrospective study was carried out at Northwest General hospital between 1995 and 2012...
January 2016: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/27294973/anatomical-basis-and-design-of-the-distally-based-lateral-dorsal-cutaneous-neuro-lateral-plantar-venofasciocutaneous-flap-pedicled-with-the-lateral-plantar-artery-perforator-of-the-fifth-metatarsal-bone-a-cadaveric-dissection
#17
Tianquan Wang, Jian Lin, Dajiang Song, Heping Zheng, Chunlin Hou, Lei Li, Zedong Wu
BACKGROUND: Detailed investigation of the vasculature of the lateral aspect of the foot has rarely been presented. However, harvesting the flap in this area to cover defects of the foot and hand is highly important. Repair of soft-tissue defects at the forefoot remains a challenge in reconstructive surgery. This study explores the characteristics of the distal-based lateral dorsal cutaneous neuro-lateral plantar venofasciocutaneous flap pedicled with the lateral plantar artery perforator of the fifth metatarsal bone to establish a repair procedure for ulcers or defects in the forefoot region...
June 13, 2016: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/27293297/three-cross-leg-flaps-for-lower-leg-reconstruction-of-gustilo-type-iii-c-open-fracture
#18
Kazufumi Sano, Satoru Ozeki, Ichiro Sugimoto, Masato Ogawa
A 60 year old male had Gustilo type III C open fracture of the right lower leg. After radical debridement, the large open defect including certain loss of the bone tissue was successfully augmented and covered, by consecutive three cross-leg flaps, which consisted of the free rectus abdominis musculocutaneous flap, the fibula osteocutaneous flap and the conventional sural flap. Although indication for amputation or preservation is decided with multiple factors in each case, a strategic combination of cross-leg flap, free flap, external fixation and vascular delay could increase the potential of preservation of the lower leg with even disastrous Gustilo type III C...
May 2016: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/27281888/-free-medial-sural-artery-perforator-flap-for-repairing-anterior-dorsal-foot-wound
#19
Guangfeng Sun, Kaiyu Nie, Jianping Qi, Wenhu Jin, Shujun Li, Ziyang Zhang, Zairong Wei, Dali Wang
OBJECTIVE: To investigate the effectiveness of the free medial sural artery perforator flap for repairing anterior dorsal foot wound. METHODS: Between January 2010 and April 2015, 16 patients with skin and soft tissue defects of the anterior foot dorsal side were treated. There were 12 males and 4 females with the average age of 35 years (mean, 16-58 years). The disease causes included burn in 5 cases, traffic accident injury in 8 cases, and crush injury in 3 cases...
March 2016: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/27274122/cadaveric-study-using-radio-opaque-contrast-to-determine-arterial-communication-between-the-two-bellies-of-gastrocnemius-muscles
#20
Pawan Agarwal, K L Gupta, P Yadav, Dhananjaya Sharma
INTRODUCTION: Gastrocnemius muscle is a workhorse flap to cover upper third tibial defects but has a limitation in covering middle one-third tibial defects. The inferiorly based hemi gastrocnemius muscle flap can be useful for reconstruction of the middle third of the leg. The arterial communication between the gastrocnemius muscle heads has been demonstrated, the consistent location, however, was not studied in large specimens. MATERIALS AND METHODS: This study was conducted on sixty specimens of gastrocnemius muscles harvested from thirty fresh cadavers to determine arterial communication between two heads of gastrocnemius muscle using radio-opaque contrast with future application of taking one head of muscle distally based for coverage of middle third defect of tibia...
January 2016: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
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