Yucatan Pig: An Optimal Hairless Model for a True Random Cutaneous Flap

Major late complications, following radiotherapy of head and neck carcinomas, such as laryngeal oedema, perichondritis and chondronecrosis usually occur between three and 12 months after treatment. However, the present case displayed necrosis of the laryngo-tracheal cartilage and ulceration of anterior neck skin with a tracheal fistula 44 years after irradiation. The reasons for the long interval between irradiation and late complications may be explained by long-standing hypovascularity and/or infection of the irradiated area. Histological study revealed chondronecrosis without inflammatory cells in the laryngo-tracheal cartilage and bacterial colonization of subcutaneous tissue. Necrotic tissue was removed and tracheostomy was performed. The fistula was almost completely closed using a delto-pectoral cutaneous flap and the clinical course of patient has been good. This paper demonstrates the possibility of laryngo-tracheal necrosis in cases that had received radiation as long ago as 44 years.

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Angular Artery Cutaneous Flap for Reconstruction of Difficult Oronasal Fistulas

Annals of Plastic Surgery ◽

10.1097/sap.0b013e3182085080 ◽

2011 ◽

Vol 67 (6) ◽

pp. 597-599 ◽

Cited By ~ 3

Author(s):

Yu-Hao Huang ◽

Chung-Sheng Lai ◽

Sin-Daw Lin ◽

Su-Shin Lee

Keyword(s):

Cutaneous Flap

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Porcine abdominal cutaneous flap model: A simple and reliable method

Journal of Stomatology Oral and Maxillofacial Surgery ◽

10.1016/j.jormas.2017.10.012 ◽

2018 ◽

Vol 119 (4) ◽

pp. 301-303 ◽

Cited By ~ 1

Author(s):

R. Lartizien ◽

M. Bouyer ◽

L. Vinit ◽

G. Bettega

Keyword(s):

Reliable Method ◽

Cutaneous Flap

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Oncoplastic surgery combining partial mastectomy and immediate volume replacement using a thoracodorsal adipofascial cutaneous flap with a crescent-shaped dermis

Surgery Today ◽

10.1007/s00595-013-0812-1 ◽

2013 ◽

Vol 44 (11) ◽

pp. 2098-2105 ◽

Cited By ~ 8

Author(s):

Yuko Kijima ◽

Heiji Yoshinaka ◽

Munetsugu Hirata ◽

Hideo Arima ◽

Akihiro Nakajo ◽

...

Keyword(s):

Oncoplastic Surgery ◽

Volume Replacement ◽

Partial Mastectomy ◽

Cutaneous Flap

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Mucinous Adenocarcinoma Associated with Fistula in an 87-Year-Old Managed with Neoadjuvant Chemoradiation and ELAPE at Tata Memorial Hospital, in Mumbai

Global Surgery Case Reports ◽

10.31487/j.gscr.2020.02.09 ◽

2020 ◽

pp. 1-4

Author(s):

Avanish Saklani ◽

Seke Manase Ephraim KAZUMA ◽

Vivek Sukumar ◽

Avanish Saklani

Keyword(s):

Colorectal Cancer ◽

Distant Metastasis ◽

Mucinous Adenocarcinoma ◽

Poor Prognosis ◽

Locally Advanced ◽

Delayed Diagnosis ◽

Neoadjuvant Chemoradiation ◽

Tata Memorial Hospital ◽

The Third ◽

Cutaneous Flap

Colorectal cancer is the third most diagnosed cancer and the fourth leading cancer-related death worldwide. Mucinous adenocarcinoma associated with anal fistula is a rare variant of adenocarcinoma, presents with delayed diagnosis, locally advanced, low nodal, and no distant metastasis. Adenocarcinoma associated with fistula (ACAF) is rare, has delayed diagnosis and poor prognosis but can be managed with neoadjuvant chemoradiation (NACRT) and complete curative resections with reconstruction by V-Y advancement cutaneous flap.

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Safety and effectiveness of saving sphincter procedure in the treatment of chronic anal fissure in female patients

BMC Surgery ◽

10.1186/s12893-021-01346-5 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Beatrice D’Orazio ◽

Girolamo Geraci ◽

Sebastiano Bonventre ◽

Dario Calì ◽

Gaetano Di Vita

Keyword(s):

Anal Fissure ◽

De Novo ◽

Chronic Anal Fissure ◽

Complete Healing ◽

Low Grade ◽

Normal Range ◽

Female Patients ◽

Functional Differences ◽

Cutaneous Flap

Abstract Introduction Lateral internal sphincterotomy (LIS) is still the approach of choice for the treatment of chronic anal fissure (CAF) regardless to the internal anal sphincter tone but it is burdened by high risk post-operative faecal incontinence (FI). In female patient there are some anatomical and functional differences of the sphinteric system which make them more at risk of FI and vaginal birth could cause sphinteric lesions affecting the anal continence function. The aim of our study is to evaluate the results of saving sphincter procedure as treatment for female patients affected by CAF. Methods We studied 110 female patients affected by CAF undergone fissurectomy and anoplasty with V–Y cutaneous flap advancement associating pharmacological sphincterotomy in patients with hypertonic IAS. The follow up was at least for 2 years. The goals were patient’s complete healing, the evaluation of FI, recurrence rate and manometry parameters. Results All wounds healed within 40 days after surgery. We recorded 8 cases of recurrences 6 healed with medical therapy and 2 with dilatation. We recorded 2 “de novo” temporary and low grade post-operative cases of FI. Post-operative value of MRP were unmodified in patient with normotonic IAS but significantly lower at 12 months follow up as compared with the pre-operative ones in patients with hypertonic IAS; after 24 months from surgery MRP values were within the normal range. Conclusion The fissurectomy and anoplasty with V–Y cutaneous flap alone or in association with a pharmacological sphincterotomy in patients with hypertonic IAS may represent an effective approach for the treatment of CAF in female patients.

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Anatomical Basis of Dorsal Forearm Flap

Journal of Hand Surgery (European Volume) ◽

10.1016/0266-7681_88_90174-x ◽

1988 ◽

Vol 13 (4) ◽

pp. 435-439

Author(s):

P. BAYON ◽

R. W. H. PHO

Keyword(s):

Upper Limbs ◽

Forearm Flap ◽

Posterior Interosseous Artery ◽

Anatomical Basis ◽

Skin Loss ◽

Cutaneous Flap ◽

Interosseous Artery ◽

Vascular Contribution

Injection studies on 35 upper limbs with neoprene latex were carried out and the limbs carefully dissected to observe the vascular contribution of the posterior interosseous branches of the dorsal forearm, the transverse anastomosis between anterior and posterior interosseous vessels and the calibre of the vessel. The findings indicated that a fascia-cutaneous flap based on septocutaneous branches of the posterior interosseous artery can be raised as a reversed forearm for resurfacing after skin loss in the hand.

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