Application of Snuff-Box Flaps Based on Branches from the Radial Artery

1996 ◽  
Vol 21 (6) ◽  
pp. 831-831
Author(s):  
Y-D. Gu ◽  
G-M. Zhang ◽  
J. Lao ◽  
L-Y. Zhang ◽  
C. Yu
Keyword(s):  
Clinical Application ◽  
Radial Artery ◽  
Skin Graft ◽  
Venous Return ◽  
Venous Drainage ◽  
Pedicle Flap ◽  
Partial Necrosis ◽  
Skin Defects ◽  
Donor Area ◽  
Cutaneous Flap

This paper reported experience with application of the snuff-box cutaneous flap in 10 patients with skin contracture in the hands. The sites with skin contracture were the first web sight in six, dorsal wrist in two, and palmar wrist in two. The flap was harvested centred by the snuff-box region with a width of 3 to 5 cm and length of 10 to 14 cm. This flap was based on the perforating branches from the radial artery in the snuff-box area. The pedicle of the flap was 4.2 mm in length. Venous drainage was through two concomitant veins of the perforating branch and the cephalic vein. Clinical application of this flap produced good results in nine cases and partial necrosis in one due to venous congention. This local cutaneous flap of the hand is recommended as a rotational pedicle flap to cover skin defects in the first web or the wrist regions. However, the flap may have disadvantages, such as failure of adequate venous return due to flap rotation or the necessity for a skin graft in the donor area when the flap is large.

scholarly journals The Use of Matriderm and Autologous Skin Graft in the Treatment of Full Thickness Skin Defects

2014 ◽  
Vol 41 (4) ◽  
pp. 330 ◽  
Author(s):  
Jang Hwan Min ◽  
In Sik Yun ◽  
Dae Hyun Lew ◽  
Tai Suk Roh ◽  
Won Jai Lee
Keyword(s):  
Skin Graft ◽  
Full Thickness ◽  
Skin Defects ◽  
Full Thickness Skin ◽  
Thickness Skin

scholarly journals Utilizing NPWT improving skin graft taking in reconstruction of extended breast skin defects following mastectomy

2020 ◽  
Author(s):  
Chia-Yu Kuo ◽  
Jung-Yu Kan ◽  
Chieh-Ni Kao ◽  
Fu Ou-Yang ◽  
Cheng-Che Wu ◽  
...  
Keyword(s):  
Skin Graft ◽  
Skin Defects

Skin grafts

2021 ◽  
pp. 35-38
Author(s):  
Siobhan O’Ceallaigh ◽  
Mamta Shah
Keyword(s):  
Immune System ◽  
Blood Supply ◽  
Skin Graft ◽  
Burn Injuries ◽  
Skin Grafts ◽  
Skin Defects ◽  
Extensive Burn

Skin grafts are an option for closing skin defects that cannot be closed primarily. A skin graft consists of epidermis and a portion of the underlying dermis that is detached from its blood supply and transferred to another location, usually on the same individual (an autograft). Skin grafts can also be used from cadaver donors (allografts) in extensive burn injuries, but as the recipient’s immune system will eventually reject this foreign tissue, this is only a temporary measure.

scholarly journals Hinged multiperforator-based extended dorsalis pedis adipofascial flap for dorsal foot defects

2020 ◽  
Vol 47 (4) ◽  
pp. 340-346
Author(s):  
Magdy A. Abd Al Moktader
Keyword(s):  
Skin Graft ◽  
Donor Site ◽  
Graft Loss ◽  
Plantar Fascia ◽  
Donor Site Morbidity ◽  
Adipofascial Flap ◽  
Dorsalis Pedis Artery ◽  
Flap Viability ◽  
Cutaneous Flap ◽  
The Right

Background Adipofascial flaps covered with a skin graft address the challenges involved in reconstructing dorsal foot defects. The purpose of this study was to describe a large adipofascial flap based on the perforators of the dorsalis pedis artery for large foot defects.Methods Twelve patients aged 5–18 years with large soft tissue defects of the dorsal foot due to trauma were treated with an extended dorsalis pedis adipofascial flap from May 2016 to December 2018. The flap was elevated from the non-injured half of the dorsum of the foot. Its length was increased by fascial extension from the medial or lateral foot fascia to the plantar fascia to cover the defect. All perforators of the dorsalis pedis artery were preserved to increase flap viability. The dorsalis pedis artery and its branches were kept intact.Results The right foot was affected in 10 patients, and the left foot in two patients. All flaps survived, providing an adequate contour and durable coverage with a thin flap. Follow-up lasted up to 2 years, and patients were satisfied with the results. They were able to wear shoes. Donor-site morbidity was negligible. Two cases each of partial skin graft loss and superficial necrosis at the tip of the donor cutaneous flap occurred and were healed by a dressing.Conclusions The hinged multiperforator-based extended dorsalis pedis adipofascial flap described herein is a suitable method for reconstructing dorsal foot defects, as it provides optimal functional and aesthetic outcomes with minimal donor site morbidity.

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