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Flap surgery is a technique in plastic and reconstructive surgery where tissue with an intact blood supply is lifted from a donor site and moved to a recipient site. Flaps are distinct from grafts, which do not have an intact blood supply and relies on the growth of new blood vessels. Flaps are done to fill a defect such as a wound resulting ...
A rather long pedicle located at the edge of the flap, making the flap very versatile in its positioning possibilities. Flap harvest is possible with patient in the prone position. Relatively easy flap dissection. Generally there is a good internal projection of the flap without the need for folding or tucking. Disadvantages
A defect is created surgically (either following removal of a tumor or following cleansing of a wound) An incision is made over the area from where the flap will be taken. The flap is dissected and freed from the surrounding tissue. At least one vein and one artery (which constitutes the vascular pedicle) are dissected.
A common weakness of local flap based construction techniques is the loss of projection and diameter. [17] The technique mainly involves suturing different skin flaps, known as dermal fat flaps, together to form the shape of the NAC. [15] Diagram showing the four main steps in the C-H flap technique for nipple reconstruction [18]
Autograft: graft taken from one part of the body of an individual and transplanted onto another site in the same individual, e.g., skin graft. Isograft: graft taken from one individual and placed on another individual of the same genetic constitution, e.g., grafts between identical twins.
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The SECT graft is a sort of hybrid procedure that combines the pedicle flap with the free gingival graft and enjoys the benefits of both. Pedicle flaps alone, such as the coronally advanced flap , frequently suffer from retraction and muscle pull.
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