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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 ...
This is an example of a pedicled musculocutaneous flap. Musculocutaneous and muscle flaps contain a layer of muscle to provide bulk that can fill a deeper defect. If skin cover is needed, a skin graft can be placed over top of it. Examples: gastrocnemius flap, latissimus dorsi flap, TRAM flap, and transverse upper gracillis flap. [2]
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 ...
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.
Shoulder replacement is a surgical procedure in which all or part of the glenohumeral joint is replaced by a prosthetic implant. Such joint replacement surgery generally is conducted to relieve arthritis pain or fix severe physical joint damage. [1] Shoulder replacement surgery is an option for treatment of severe arthritis of the shoulder joint.
Shoulder surgery is a means of treating injured shoulders. Many surgeries have been developed to repair the muscles, connective tissue, or damaged joints that can arise from traumatic or overuse injuries to the shoulder.
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.
The Rubens flap consists of the peri-iliac fat pad which is based on the deep circumflex iliac artery and vein. 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.