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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 ...
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 ...
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]
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.
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.
The supraclavicular flap, also known as the "epaulette" flap is vascularized by the supraclavicular artery, which branches off the transverse cervical artery. The vessels can be found using a hand held doppler in the triangle between the dorsal edge of the sternocleidomastoid muscle, the external jugular vein, and the medial part of the clavicle.
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Reconstruction of the hard palate with the radial forearm free flap: Outcomes and Quality of Life. Wallace D, Genden EM, Urken ML. Head and Neck, 2004 PMID 15350027; Sensory topography of the oral cavity and the impact of free flap reconstruction: A preliminary study. Zur KB, Genden EM, Urken ML. Head and Neck, 2004 PMID 15390196