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The Hughes procedure is an oculoplastic procedure which is performed to reconstruct a lower eyelid defect. It is usually performed as a 2-stage procedure. [1] [2] The most common use for the Hughes procedure is reconstruction after the removal of a lower eyelid skin cancer. [3] The result aims to recreate the normal appearance and function of ...
The forehead flap is known as the best donor site for repairing nasal defects because of its size, superior vascularity, skin color, texture and thickness. [1] [3] [4] Especially the color and texture of the forehead skin matches exactly with the skin of the nose. This is why the forehead flap is used so much for nasal reconstruction.
Estlander flap: Cutaneous: Transposition: Labial commissure of mouth defects Fibular flap: Osteocutaneous: Free flap: Mandible reconstruction Gastrocnemius flap: Muscle: Interpolation: Open tibial fractures: Hatchett design flap: Cutaneous: Advancement: Forehead excisions/defects Inferior gluteal artery perforator (IGAP) flap [4] Cutaneous ...
The pedicle can be removed after a new blood supply has formed. Examples: pectoralis major myocutaneous flap and deltopectoral flap for head and neck defects, and latissimus dorsi flap and traverse rectus abdominal muscle (TRAM) flap for breast reconstruction. [4] Distant flaps are used when the donor site is far from the defect.
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).
The deltopectoral flap is beneficial for reconstruction of significant cheek defects, offering up to 250 cm2 of transferable cutaneous tissue to allow reconstruction of the entire cheek. The deltopectoral flap tolerates folding very well and allows movement in wide directions. [3]
Hughes disappeared after meeting Dahmer at a night club in May 1991. Brian Masters, in his book "The Shrine of Jeffrey Dahmer," recounts the lead-up to how Hughes ended up in Dahmer's apartment on ...
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 ...