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The primary goals of cheek reconstruction include the restoration of native function, maximization of aesthetic outcome, and limitation of repair related morbidity. Implicit in this statement is the intent to re-established both internal and external coverage, expressivity, masticatory function and aesthetic contour and quality.
Tissue expansion is a common technique used for breast reconstruction. [20] This essentially involves expansion of the breast skin and muscle using a temporary tissue expander. [21] Three to four weeks after the mastectomy, a saline solution will be injected into the expander to gradually fill it. This process is supported by a tiny valve ...
In doing so, the tissue expander prevents the breast tissue from contracting and allows for use of a larger implant later on compared to what would be safe at the time of the mastectomy. [3] Following this initial procedure, the patient must return to the clinic on multiple occasions for saline to be injected into a tube inside the tissue expander.
If local reconstruction is not possible due to lack of local tissue, regional reconstruction is the next rung on the reconstructive ladder. This includes pedicled flaps as the trapezius or supraclavicular flap or tissue expansion of nearby regions. Alternatively, the Crane principle, as described by Millard in 1969, can be used. A healthy part ...
At one week post-procedure, the patients resumed using the external vacuum tissue-expander for 10 hours daily, until the next fat grafting session; 2–5 outpatient procedures, 6–16 weeks apart, were required until the plastic surgeon and the patient were satisfied with the volume, form, and feel of the reconstructed breasts.
Free-flap breast reconstruction is a type of autologous-tissue breast reconstruction applied after mastectomy for breast cancer, without the emplacement of a breast implant prosthesis. As a type of plastic surgery, the free-flap procedure for breast reconstruction employs tissues, harvested from another part of the woman's body, to create a ...
The natural foreskin is composed of smooth dartos muscle tissue (called the peripenic muscle [16]), large blood vessels, extensive innervation, outer skin, and inner mucosa. [17] The process of foreskin restoration seeks to regenerate some of the tissue removed by circumcision, as well as provide coverage of the glans.
Nasal reconstruction using a paramedian forehead flap within oral and maxillofacial surgery, is a surgical technique to reconstruct different kinds of nasal defects. [1] In this operation a reconstructive surgeon uses skin from the forehead above the eyebrow and pivots it vertically to replace missing nasal tissue.