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Flap surgery is a technique essential to plastic and reconstructive surgery.A flap is defined as tissue that can be moved to another site and has its own blood supply.This is in comparison to a skin graft which does not have its own blood supply and relies on vascularization from the recipient site. [2]
The flap pedicle is 5–6 cm. long and the blood vessels are approximately 2.5 mm. in diameter. Advantages. The length and calibre of the vascular pedicle of the flap are usually sufficient. Bilateral reconstruction is possible. Flap dissection is possible with the patient in prone position.
The procedure to remedy micromastia is breast enlargement, most commonly augmentation mammoplasty using breast implants.Other techniques available involve using muscle flap-based reconstructive surgery techniques (latissimus dorsi and rectus abdominis muscles), microsurgical reconstruction, or fat grafting.
A defect is created surgically (either following removal of a tumor or following cleansing of a wound) An incision is made over the area from where the flap will be taken. The flap is dissected and freed from the surrounding tissue. At least one vein and one artery (which constitutes the vascular pedicle) are dissected.
Burrow's triangle excision Karl August von Burrow: Reconstructive surgery: Triangles of skin adjacent to a sliding flap are excised to facilitate movement of the flap [1] Collis gastroplasty: John Leigh Collis, British cardiothoracic surgeon: Upper gastrointestinal surgery: Procedure for lengthening oesophagus [2] COLLIS JL (September 1957).
The perforator propeller flap is the propeller flap which is used most commonly. It is a perforator flap with a skin island, which is separated in a larger and smaller paddle by the nourishing perforator. These paddles can rotate around the perforator (pedicle), for as many degrees as the anatomical situation requires (90-180 degrees).
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Grafting refers to a surgical procedure to move tissue from one site to another on the body, or from another creature, without bringing its own blood supply with it. Instead, a new blood supply grows in after it is placed. A similar technique where tissue is transferred with the blood supply intact is called a flap. In some instances, a graft ...