Scalp Reconstruction

2019 ◽  
pp. 343-354
Author(s):  
Joseph J. Disa ◽  
Edward Ray
Keyword(s):  
Patient Compliance ◽  
Physical Condition ◽  
Systematic Approach ◽  
Free Tissue Transfer ◽  
Defect Identification ◽  
Scalp Reconstruction ◽  
Tissue Transfer ◽  
Life Threatening ◽  
History Of ◽  
Definition Of

The scalp serves both protective and aesthetic functions. Injury or loss of the scalp may lead to desiccation and osteonecrosis of the underlying calvarium as well as potentially life-threatening osteomyelitis and meningitis. Reconstruction of the scalp starts with a systematic approach, beginning with definition of the defect, identification of the reconstructive priorities, and a thorough assessment of the patient’s anatomy and history. Comorbidities, history of radiation or prior reconstruction, physical condition, and patient compliance are important factors to consider as well. Depending on each of these considerations, options available to the reconstructive surgeon include single- and multiple-stage procedures, grafts, local/regional flaps, and free tissue transfer.

Scalp Reconstruction by Microvascular Free Tissue Transfer

1990 ◽  
Vol 24 (5) ◽  
pp. 431-444 ◽  
Author(s):  
Heather Furnas ◽  
William C. Lineaweaver ◽  
Bernard S. Alpert ◽  
Harry J. Buncke
Keyword(s):  
Free Tissue Transfer ◽  
Scalp Reconstruction ◽  
Tissue Transfer

scholarly journals Rare Treatments for Rare Dyslipidemias: New Perspectives in the Treatment of Homozygous Familial Hypercholesterolemia (HoFH) and Familial Chylomicronemia Syndrome (FCS)

2021 ◽  
Vol 23 (11) ◽  
Author(s):  
Laura D’Erasmo ◽  
Simone Bini ◽  
Marcello Arca
Keyword(s):  
Familial Hypercholesterolemia ◽  
Treatment Options ◽  
New Drugs ◽  
Lipid Lowering ◽  
Homozygous Familial Hypercholesterolemia ◽  
Published Evidence ◽  
Novel Drugs ◽  
Life Threatening ◽  
History Of ◽  
Definition Of

Abstract Purpose of Review This review aims to summarize the most recent published literature concerning lomitapide and volanesorsen that are approved for the use in HoFH and FCS patients, respectively. Moreover, it will briefly revise the published evidence on novel, non-approved treatments that are under evaluation for the management of these rare forms of dyslipidemias Recent Findings The definition of rare dyslipidemias identifies a large number of severe disorders of lipid metabolism of genetic origin. Among them were homozygous familial hypercholesterolemia (HoFH) (OMIM #143890) and familial chylomicronemia syndrome (FCS) (OMIM #238600), which are characterized by a markedly impaired cholesterol- and triglyceride-containing lipoproteins metabolism. They are being particularly associated with poor health outcomes and quality of life. Considering the severity of these diseases, common lipid-lowering drugs are often ineffective or do not allow to achieve the recommended lipid targets to prevent the development of complications. Nowadays, several new drugs have been found to effectively treat HoFH and FCS with an acceptable safety profile. Summary Treating patients with HoFH and FCS remains very challenging. However, novel treatment options are emerging and might be considered in addition to conventional therapy for managing these diseases. These novel drugs will possibly change the natural history of these two rare and life-threatening diseases.

scholarly journals Free Tissue Reconstruction of the Scalp

2019 ◽  
Vol 33 (01) ◽  
pp. 067-071 ◽  
Author(s):  
Mofiyinfolu Sokoya ◽  
Emily Misch ◽  
Aurora Vincent ◽  
Weitao Wang ◽  
Sameep Kadakia ◽  
...  
Keyword(s):  
Free Tissue Transfer ◽  
Free Flaps ◽  
Advantages And Disadvantages ◽  
Scalp Reconstruction ◽  
Tissue Transfer ◽  
Scalp Defects ◽  
Calvarial Defects ◽  
Reconstructive Option ◽  
Tissue Reconstruction

AbstractReconstruction of scalp defects can be accomplished by many methods, but larger defects, especially those in which the periosteum is absent or calvarial defects are present, require free tissue transfer. Various methods of scalp reconstruction, as guided by the defect components and size, are presented herein, with a focus on free tissue transfer. Different free flaps for scalp reconstructed are described with a comparison of their advantages and disadvantages. Overall, free tissue transfer for scalp defects provides a reliable, durable, and cosmetically adequate reconstructive option.

A Nationwide Analysis of Early and Late Readmissions following Free Tissue Transfer for Breast Reconstruction

2020 ◽  
Vol 36 (06) ◽  
pp. 450-457 ◽  
Author(s):  
David Alejandro Magno-Padron ◽  
Willem Collier ◽  
Jaewhan Kim ◽  
Jayant P. Agarwal ◽  
Alvin C. Kwok
Keyword(s):  
Breast Cancer ◽  
Risk Factors ◽  
Breast Reconstruction ◽  
Cancer Patients ◽  
Postoperative Period ◽  
Readmission Rate ◽  
Free Tissue Transfer ◽  
Breast Cancer Patients ◽  
Tissue Transfer ◽  
History Of

Abstract Background Traditionally, surgical quality outcomes are assessed using a 30-day postoperative window. For breast cancer patients undergoing free tissue transfer for breast reconstruction, we sought to describe the distribution of and specific risk factors for early and late readmissions within a 0- to 90-day postoperative period. Patients and Methods The Nationwide Readmissions Database was used to conduct a retrospective cohort study. Breast cancer patients undergoing free tissue transfer for breast reconstruction were identified using International Classification of Diseases -9 diagnosis and procedure codes. Ninety-day readmissions related to infection or wound complications were identified. Univariable and multivariable logistic regression models were used to identify patient risk factors for readmissions that occurred early (0–30 days) and late (31–90 days) after their index procedure. Results In the weighted sample, we identified approximately 7,305 free flap breast reconstructions and a surgical wound-related readmission rate of 4.3% (n = 312): 65.4% of the readmissions occurred early while 34.6% occurred late after surgery. The mean days to readmission was 26, and 75% of all readmissions occurred within the first 36 days after surgery. Variables independently associated with readmissions during the 0- to 90-day postoperative period included: history of chronic obstructive pulmonary disease (p = 0.036), hypertension (p = 0.03), obesity (p ≤ 0.001), and history of smoking (p = 0.004). The variables independently associated with the early readmission period were the same as those identified for the 0- to 90-day postoperative period. The variables independently associated with late readmissions were different: history of depression (p = 0.001) and history of smoking (p = 0.001). Conclusion The conventional 30-day hospital readmission rate classically used as a quality metric is overlooking a significant portion of admissions after free flap-based breast reconstruction. Different variables were found to be associated with readmission in the early versus late cohorts. Interventions targeting these variables could decrease readmissions and their associated costs.

scholarly journals Lessons Learned in Scalp Reconstruction and Tailoring Free Tissue Transfer in the Elderly: A Case Series and Literature Review

2015 ◽  
Vol 8 (3) ◽  
pp. 179-189 ◽  
Author(s):  
Michael Sosin ◽  
Arif Chaudhry ◽  
Carla De La Cruz ◽  
Branko Bojovic ◽  
Paul N. Manson ◽  
...  
Keyword(s):  
Donor Site ◽  
Case Series ◽  
Perforator Flap ◽  
Free Tissue Transfer ◽  
The Elderly ◽  
Lessons Learned ◽  
Soft Tissue Coverage ◽  
Scalp Reconstruction ◽  
Tissue Transfer ◽  
The Mean

This article aims to demonstrate an individualized approach to an elderly patient requiring scalp reconstruction, to describe the methodology in flap selection, lessons learned, and report outcomes. A retrospective review of a single surgeon's experience of scalp reconstruction (E. D. R.) using free tissue transfer from 2005 to 2011, in patients older than 70 years, was completed. A total of eight patients met the inclusion criteria, five males and three females, with a mean age of 80.4 years (range, 73–92). Free tissue transfer achieved 100% soft tissue coverage. Six of the eight patients required cranioplasty. The mean size calvarial defect was 92 cm2 (range, 35–285 cm2). The mean flap size was 117.6 cm2 (range, 42–285 cm2). Free flaps included three ulnar, three anterolateral thigh, one latissimus dorsi, and one thoracodorsal perforator flap. The mean follow-up time was 18.4 months (range, 3–46 months). Donor site morbidity was minimal. Mortality was 0%. Immediate flap failure was 0%. Other complications occurred in six of the eight patients. Mean revisionary procedures were 1.25 procedures per patient. It was concluded that chronological age does not increase mortality or catastrophic flap complications; however, morbidity is increased in the elderly and revisionary surgery is likely.

scholarly journals Scalp Reconstruction Using Integra, an Alternative to Free Tissue Transfer—Case Report

OALib ◽  
2014 ◽  
Vol 01 (05) ◽  
pp. 1-5 ◽  
Author(s):  
Victoria Fung ◽  
Richard L. Chalmers ◽  
Jenny L. C. Geh
Keyword(s):  
Case Report ◽  
Free Tissue Transfer ◽  
Scalp Reconstruction ◽  
Tissue Transfer ◽  
Transfer Case

scholarly journals Free Tissue Transfer to the Head and Neck for Patients with a History of Prior Neck surgery

2005 ◽  
Vol 15 (1) ◽  
pp. 55-60 ◽  
Author(s):  
Kazuhiko Yokoshima ◽  
Munenaga Nakamizo ◽  
Ken-ichi Shimada ◽  
Chika Ozu ◽  
Mizue Aida ◽  
...  
Keyword(s):  
Head And Neck ◽  
Free Tissue Transfer ◽  
Neck Surgery ◽  
Tissue Transfer ◽  
History Of

scholarly journals Prerequisites for the development of a clear social responsibility concept

2021 ◽  
Vol 1 (1) ◽  
pp. 43-49
Author(s):  
Andrii Yevstakhevych ◽  
◽  
Iren Karen Von-Nahy
Keyword(s):  
Social Responsibility ◽  
State Policy ◽  
Systematic Approach ◽  
Foreign Experience ◽  
Current State ◽  
History Of ◽  
State Of Research ◽  
Broad Interpretation ◽  
Definition Of ◽  
History Of Formation

The concept of social responsibility has a broad interpretation due to different approaches to forming its concept, the definition of fundamental principles, methods, and ways to ensure the expected results. The term "social responsibility" should be used considering the current state of research in this area and the discourse formed under the influence of the integration of foreign experience in ensuring social responsibility and the practice of Ukrainian enterprises in this area. We considered the history of formation and development of the concept of social responsibility of enterprises in Ukraine. We noted that the approaches to the formation of the concept of social responsibility differ significantly. We emphasized that the development of a transparent concept of social responsibility should be based on the factors, content and models of this activity. We concluded that due to the crisis in the economy and society in Ukraine, the concept of social responsibility had acquired a unique regional shape. This gave rise to the lack of a unified state policy of social responsibility of business, unsystematic measures of enterprises to implement the introductory provisions, the lack of a systematic approach to the transformation of social responsibility management

scholarly journals Hemoptisis pada Pasien Aspergilloma Paru Kiri

2018 ◽  
Vol 4 (2) ◽  
pp. 38
Author(s):  
Gilang Muhammad Setyo Nugroho ◽  
Laksmi Wulandari
Keyword(s):  
Surgical Therapy ◽  
Lung Tissue ◽  
Physical Condition ◽  
Left Lung ◽  
Fungus Ball ◽  
Good Physical Condition ◽  
Superior Lobe ◽  
Examination Result ◽  
Life Threatening ◽  
History Of

Background: Aspergilloma is a fungus ball (misetoma) that occurs because there is a cavity in the parenchyma due to previous lung disease. This fungus ball can move inside the cavity but does not invate the cavity wall. The presence of fungus ball causes recurrent hemoptysis. Case: We present a 45-year-old female patient with left lung Aspergilloma. Diagnosis of Aspergilloma was based on histopathology from FNAB CT guiding of left pulmonary which showed Aspergillus. Patient was treated with left superior lobe lobectomy at the hospital. The examination result of anatomical patology obtained from lung tissue was aspergillosis, from GeneXpert examination lung tissue showed positive MTB with rifampisin sensitive. Post-operative condition of the patient was stable, surgical wound improved, took off drain patient. There were clinical improvements after the surgery. Discussion: Diagnosis of Aspergilloma was based on clinical, radiology, and microbiology. Aspergilloma with severe symptoms (hemoptysis massive with life-threatening or other complications that require more than 1 time hospitalisation) and good physical condition should undergo surgical therapy in the form of lobectomy in accordance with the extent of lung abnormalities. Patient got first category anti tuberculosis drugs for 6 months and fluconazole for 2 months. Conclusion: It is necessary to consider the suspicion of Aspergillus infection, in patient with history of previous tuberculosis accompanied by a history of recurrent hemoptysis. Patient with reccurent hemoptysis and good physical condition should undergo surgical therapy.

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