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There are different techniques for phalloplasty. Construction of a new penis (sometimes called a neophallus or neopenis) [6] typically involves taking a tissue flap from a donor site (such as the forearm). Extending the urethra through the length of the neophallus is another goal of phalloplasty. [7]
Composite free flaps include the fibular free flap, the DCIA free flap, the scapular free flap and the composite radial free flap amongst others. When the cancer resection involves a part of the lower jaw, depending on the patients age and the patients co-morbidities one composite free flap will be preferred over the others for reconstruction ...
Other contraindications exist for specific types of phalloplasty. For instance, a body mass index (BMI) of greater than 35 kg/m2 is contraindicated for radial forearm free flap (RFFF) phalloplasty. A metoidioplasty or anterolateral thigh (ALT) phalloplasty is only recommended for people with an ideal body weight. [13]
Scapular flap: Osteocutaneous: Free flap: Mandible reconstruction Shutter design flap: Cutaneous: Advancement: Forehead excisions Superficial inferior epigastric artery (SIEA) flap: Cutaneous: Free flap: Free flap breast reconstruction: Superior gluteal artery perforator (SGAP) flap: Cutaneous: Free flap: Free flap breast reconstruction ...
Radial Forearm Free Flap (RAFFF) is one of the techniques considered for total phallic construction. [12] Developed and performed in 1984, RAFFF consists of three stages and a complete vaginectomy is the second stage of RAFFF.
The reported flap failure rate in free flaps is less than 5%. [19] The most commonly cause is by venous insufficiency consisting of 54% of all causes. [ 19 ] Venous insufficiency is commonly caused by a venous thrombus within the first 2 days following surgery.
2. Hoppin’ John. Southerners are usually eating Hoppin’ John (a simmery mix of black-eyed peas and rice) on New Year's Day. Like most “vegetable” recipes from around this area, it contains ...
Recent studies have demonstrated that using topical tissue expansion can reduce the need for a split thickness skin graft after harvesting a forearm free flap. [6] The authors noted that this results in less pain as well as reduced healing time. This method has also been shown to be cost effective [3] as well as improve cosmetics. [citation needed]