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article

Versorgung von Gesichtshautdefekten mit Lappenplastiken und Transplantaten

K. Dawirs

Der MKG-Chirurg > 2019 > 12 > 4 > 215-223

Die plastisch-rekonstruktive Gesichtschirurgie als Teilgebiet der Mund‑, Kiefer- und Gesichtschirurgie ist für die Wiederherstellung von Funktion und Form der Gesichtsteile verantwortlich, die durch Tumorresektionen oder Unfälle geschädigt wurden. In den allermeisten Fällen können diese Defekte durch Lappenplastiken und Transplantate ambulant rehabilitiert werden. Bei der Planung dieser Operationen...

article

Non-microsurgical skin flaps for reconstruction of difficult wounds in distal leg and foot

Ahmed Hassan El-Sabbagh

Chinese Journal of Traumatology (English Edition) > 2018 > 21 > 4 > 197-205

To express the versatility of a variety of non-microsurgical skin flaps used for coverage of difficult wounds in the lower third of the leg and the foot over 4 years period. Five kinds of flaps were used. Each flap was presented with detailed information regarding indication, blood supply, skin territory and technique.Altogether 26 patients underwent lower leg reconstruction were included in this...

article

Tongue Flap Reconstruction in Carcinoma of Oral Cavity: An Institutional Experience

Vijay Kumar, Sourabh Mukharjee, Naseem Akhtar, Shiv Rajan, more

Journal of Maxillofacial and Oral Surgery > 2019 > 18 > 3 > 428-431

Introduction Abundant blood supply of tongue permits various flap designs and makes it a good choice for reconstructing defects following resection of oral cancer. Aim We aim to evaluate the reliability of tongue flap for small- and medium-size defects after resection of oral cancer in terms of viability, complications, and functional outcome. Methods In this retrospective analysis, patients...

article

Salvage of postcranioplasty implant exposure using free tissue transfer

Pang‐Yun Chou, Cheng‐Hung Lin, Chung‐Chen Hsu, Wei‐Hsun Yang, more

Head & Neck > 39 > 8 > 1655 - 1661

Background Refractory implant exposure is frustrating after cranioplasty. The purpose of this study was for the authors to present their experience with free tissue transfer for salvage of postcranioplasty implant exposure. Methods A retrospective medical chart review was conducted on all free tissue transfers performed for exposed implant coverage after cranioplasty between January 2004 and February...

article

Facial mimetic, cosmetic, and functional standardized assessment of the facial artery musculomucosal (FAMM) flap

Nathan Jowett, Tessa A. Hadlock, Eyal Sela, Miklos Toth, more

Auris Nasus Larynx > 2017 > 44 > 2 > 220-226

To objectively assess donor site morbidity after harvesting the facial artery musculomucosal flap. Use of the FAMM-flap in oral cavity reconstruction remains sporadic. This case series describes our newly developed standardized assessment of this flap in a floor of mouth (FOM) reconstructive setting.Standardized postoperative assessment of the FAMM flap for donor site wound complications, functional,...

article

Nipple-areola complex reconstruction techniques: A literature review

A. Sisti, L. Grimaldi, J. Tassinari, R. Cuomo, more

European Journal of Surgical Oncology (EJSO) > 2016 > 42 > 4 > 441-465

Many techniques for nipple-areola complex (NAC) reconstruction are described. Clarity is required on the currently available options. Since a complete list of all the techniques described until now is not available, a possibly comprehensive literature overview was carried out from 75 papers (years 1946–2015). The local flap was the most frequently described technique for the nipple reconstruction...

article

The clinical application of free-style cutaneous perforator flaps

Nathan Kludt, Lee L. Q. Pu

European Journal of Plastic Surgery > 2015 > 38 > 1 > 71-76

Perforator flaps have become increasingly popular in reconstructive surgery. In theory, a flap can be based on any identified perforator, whether free or pedicled, based on the perforasome concept. In this study, we report our initial experience with free-style perforator flaps for reconstruction of complex soft tissue wounds. We present two cases of free-style cutaneous perforator flaps; one pedicled...

article

Local Vascularized Flap Reconstruction of the Skull Base—Clinical Outcomes and Analysis

Scharukh Jalisi, Brian O'Gara, Gentian Toshkezi, Lawrence Chin

World Neurosurgery > 2015 > 83 > 1 > 87-92

The purpose of this study was to describe the effectiveness of local vascularized flaps for the repair of various skull base defects.We analyzed a cohort of 138 patients undergoing skull base surgery in a retrospective review of all head and neck surgical oncology cases done at a major tertiary care center between 2005 and 2008.Eighteen patients met our inclusion criteria, requiring local vascularized...

article

Reconstruction Techniques in Skull Base Surgery

Gerardo Guinto, Yoshiaki Guinto

World Neurosurgery > 2015 > 83 > 1 > 17-18

article

Transoral robotic surgery for pharyngeal stenosis

James K. Byrd, Rachel L. Leonardis, Steven C. Bonawitz, Joseph E. Losee, more

The International Journal of Medical Robotics and Computer Assisted Surgery > 10 > 4 > 418 - 422

BackgroundPharyngeal stenosis is a complication of head and neck cancer and sleep apnea treatment that results in functional impairment. Due to the location of the stenosis and tendency to recur, surgical management is challenging. Robotic surgery may allow these areas to be treated with surgical technique that would be difficult using traditional approaches. MethodsA retrospective chart review was...

article

The cranially based contralateral nasolabial flap for reconstruction of paranasal and periorbital surgical defects

Hakan Kerem, Ulas Bali, Erhan Sönmez, Yurdakul Ilker Manavbaşı, more

Journal of Plastic, Reconstructive & Aesthetic Surgery > 2014 > 67 > 5 > 655-661

The importance of the paranasal and periorbital regions on the aesthetics of the face presents a variety of reconstructive challenges for surgical and traumatic defects of those regions. We used the cranially based nasolabial flap in patients with full-thickness soft-tissue defects of the paranasal and periorbital regions harvested from the contralateral side of the present defect.We present our experience...

article

Abductor digiti minimi muscle flap in reconstruction of diabetic foot ulcers: A case series

S. S. Shirol, Geeta Nimbaragi, Mahesh Prabhu, Jaideep Ratkal

European Journal of Plastic Surgery > 2014 > 37 > 4 > 227-232

Background Diabetic foot ulcers (DFUs), a leading cause of amputations, affect 15 % of people with diabetes. Wound coverage in these patients is changelling due to concurrent infection, neuropathy and vascular compromise. Though local muscle flaps were described by Ger et al. and popularized by Attinger et al., these small muscle flaps should be more routinary than they are now. Methods A retrospective...

article

Freestyle facial perforator flaps—a safe reconstructive option for moderate-sized facial defects

Gudjon Leifur Gunnarsson, Ian Thomas Jackson, Jorn Bo Thomsen

European Journal of Plastic Surgery > 2014 > 37 > 6 > 315-318

Background Perforators are a constant anatomical finding in the facial area and any known flap can in theory be based on the first perforator located at the flap rotation axis. Methods A case series of single stage reconstruction of moderate sized facial defects using 21 perforator based local flaps in 19 patients from 2008–2013. Results A sufficient perforator was located in every case and the...

article

Robotic-assisted oropharyngeal reconstruction with local flaps

Steven C. Bonawitz, Umamaheswar Duvvuri

Operative Techniques in Otolaryngology - Head and Neck Surgery > 2013 > 24 > 2 > 115-119

Robotic surgical systems have been developed to augment the capabilities of the surgeon when applied to limited access surgical situations. The adaption of robotic technology to the management of oropharyngeal pathology may represent a paradigm shift in the management of early stage oral malignancies that have commonly been treated with chemoradiation due to the morbidity associated with standard...

article

Treatment possibilities of reverse-flow sural flap in covering the defects of lower extremities

Ahmed Elsaftawy, Jerzy Jabłecki, Adam Domanasiewicz, Maciej Paruzel, more

Polish Journal of Surgery > 2013 > 85 > 4 > 192-197

Soft tissue defects of the lower extremity pose an important surgical challenge, often because of inviability of primary covering. Therapeutic modalities of choice comprise of local perforator flaps, as well as of free flaps created with the use of microsurgical skills. However, these methods cannot be applied in patients with important comorbidities, and it is in such cases where the reverse sural...

article

Treatment possibilities of reverse-flow sural flap in covering the defects of lower extremities

Ahmed Elsaftawy, Jerzy Jabłecki, Adam Domanasiewicz, Maciej Paruzel, more

Comparative Professional Pedagogy > 2013 > 85 > 4 > 192-197

article

(iii) Soft-tissue reconstruction in open tibial fractures

Umraz Khan

Orthopaedics and Trauma > 2013 > 27 > 1 > 15-24

Open long bone fractures are surgically challenging limb-threatening injuries. There are a variety of techniques to close a soft-tissue defect ranging from the occasionally used primary closure, through local skin and muscle flaps based on perforating vessels from axial named arteries to micro-vascular free-tissue transfer. While now an historical concept, the ‘Reconstructive Ladder’ is still relevant...

article

Use of Nasolabial Flap in Intra and Extraoral Reconstruction: Our Experience with 40 Cases

Punit Chitlangia, E. Kumuran, K. S. Sabitha

Journal of Maxillofacial and Oral Surgery > 2012 > 11 > 4 > 451-454

Purpose This article represents the use of inferiorly based nasolabial flap in reconstruction of various intraoral and extraoral defects. Patients and Methods Nasolabial flaps were performed in 40 patients, for reconstruction of buccal mucosa, gingivobuccal sulcus, commissure, lower lip, floor of mouth, upper lip and lower alveolar defects. Results The most common defect site in the oral cavity...

article

Deux cas d’éléphantiasis pénoscrotal traités par la technique d’Ouzilleau

H. Kossoko, C.K. Allah, M. Richard Kadio, S. Yéo, more

Annales de chirurgie plastique esthetique > 2011 > 56 > 3 > 265-268

Les auteurs rapportent deux cas d’éléphantiasis pénoscrotal opérés selon la technique d’Ouzilleau. Le caractère indolent de ces grosses bourses épaissies avec une verge enfouie ou en battant de cloche justifiait le retard à la consultation, la durée d’évolution allant de six à sept ans. Si la filariose est l’étiologie la plus incriminée sous les tropiques, ici, l’étiologie est restée méconnue dans...

article

Concepts in local flap design and classification

Krishna G. Patel, Jonathan M. Sykes

Operative Techniques in Otolaryngology - Head and Neck Surgery > 2011 > 22 > 1 > 13-23

Facial reconstruction relies on the creativity of surgeons as well as a clear understanding in the properties of local flaps. Choosing the correct procedure begins with thorough analysis of the defect. Multiple reconstructive options often exist, which can then be narrowed and refined based on the specific qualities of the defect and the history of the patient. Careful planning ultimately leads to...

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Versorgung von Gesichtshautdefekten mit Lappenplastiken und Transplantaten

Non-microsurgical skin flaps for reconstruction of difficult wounds in distal leg and foot

Tongue Flap Reconstruction in Carcinoma of Oral Cavity: An Institutional Experience

Salvage of postcranioplasty implant exposure using free tissue transfer

Facial mimetic, cosmetic, and functional standardized assessment of the facial artery musculomucosal (FAMM) flap

Nipple-areola complex reconstruction techniques: A literature review

The clinical application of free-style cutaneous perforator flaps

Local Vascularized Flap Reconstruction of the Skull Base—Clinical Outcomes and Analysis

Reconstruction Techniques in Skull Base Surgery

Transoral robotic surgery for pharyngeal stenosis

The cranially based contralateral nasolabial flap for reconstruction of paranasal and periorbital surgical defects

Abductor digiti minimi muscle flap in reconstruction of diabetic foot ulcers: A case series

Freestyle facial perforator flaps—a safe reconstructive option for moderate-sized facial defects

Robotic-assisted oropharyngeal reconstruction with local flaps

Treatment possibilities of reverse-flow sural flap in covering the defects of lower extremities

Treatment possibilities of reverse-flow sural flap in covering the defects of lower extremities

(iii) Soft-tissue reconstruction in open tibial fractures

Use of Nasolabial Flap in Intra and Extraoral Reconstruction: Our Experience with 40 Cases

Deux cas d’éléphantiasis pénoscrotal traités par la technique d’Ouzilleau

Concepts in local flap design and classification

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