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As with healing of any wound, healing of a flap maintains the same process of wound healing. There are four stages to wound healing: hemostasis, inflammation, proliferation, and remodeling, all of which can take up to a year to complete. [18] [2] Following flap surgery, the biggest risk in recovery is flap death. Flap failure is an uncommon ...
The reconstructive ladder is the set of levels of increasingly complex management of wounds in reconstructive plastic surgery. [1] The surgeon should start on the lowest rung and move up until a suitable technique is reached.
Perforator flap surgery is a technique used in reconstructive surgery where skin and/or ... Every skin island flap can become a propeller flap. ... wound healing and ...
The flap is incised and elevated over the periosteum from distal to proximal. [1] The flap consists of skin, subcutaneous tissue, fat and frontalis muscle and is not thinned. When reaching the brow, all of the skin borders are incised and the flap is carefully released. [1] The full-thickness flap is then sutured into the defect without tension.
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]
Timing is important to wound healing. Critically, the timing of wound re-epithelialization can decide the outcome of the healing. [11] If the epithelization of tissue over a denuded area is slow, a scar will form over many weeks, or months; [12] [13] If the epithelization of a wounded area is fast, the healing will result in regeneration.
Anterolateral thigh flap (ALT flap) Musculocutaneous: Free flap/Interpolation: Abdominal wall [1] / Open tibial fractures / Esophageal reconstruction [2] Becker flap: Fasciocutaneous: Interpolation: Hand reconstruction Deep inferior epigastric perforator (DIEP) flap [3] Cutaneous: Free flap: Free flap breast reconstruction: Dufourmental flap ...
The flap then is bent back (reflected), and can be thinned (cut) under loupe magnification; however, a nasolabial flap cannot be thinned as easily as an axial skin-flap. After the nasolabial flap has been emplaced, the flap donor-site wound is sutured closed.
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