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Free flaps are usually only done if a TRAM flap is not possible. Plastic surgeons usually perform these surgeries. Patients with Bell's palsy can have their face re-animated using "free functioning muscle flaps". Hand reconstruction: Reconstruction of paralyzed face or hand using functioning free muscle flaps. Head and Neck reconstruction:
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: Transverse rectus abdominis ...
Free flaps are the first choice in case of complex, composite, and through-through cheek defects with exposed bone, sinuses, orbit or dura. Advantages of free flaps are their reliable blood supply and freedom of planning. Potential disadvantages are the mismatch of colour, texture, facial shape and thickness. Whereas a multitude of free flaps ...
Following flap surgery, the biggest risk in recovery is flap death. Flap failure is an uncommon occurrence but does happen. 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]
A free flap is defined as a tissue mass that has been taken away from the original site to be used in tissue transplantation. [11] When a surgeon uses a free flap, the blood supply is cut and the pedicle reattached to recipient vessels, performing a microsurgical anastomosis. [12] For more information on free flaps, see also free flap.
Orthognathic surgery, surgical treatment/correction of dentofacial deformity as well as management of facial trauma, and sleep apnea; Oncology head and neck surgery with free flap microvascular reconstruction; Cutanous malignancy/skin cancer surgery of head and neck surgery skin grafts and local flaps; Diagnosis and treatment of:
The forehead flap is known as the best donor site for repairing nasal defects because of its size, superior vascularity, skin color, texture and thickness. [1] [3] [4] Especially the color and texture of the forehead skin matches exactly with the skin of the nose. This is why the forehead flap is used so much for nasal reconstruction.
Both pedicled and free flaps can be muscular or musculocutaneous (the so- called "composite flaps"). As a pedicled flap, gracilis muscle can be used in perineal and vaginal reconstruction, after oncological surgery, in the treatment of recurrent anovaginal and rectovaginal fistulas as well in the coverage of the neurovascular bundle after ...