Free Flap Reconstruction of Posterior Trunk Soft-Tissue Defects: Single-Institution Experience and Systematic Literature Review

2021 ◽  
Vol 147 (3) ◽  
pp. 728-740
Author(s):  
Zeynep Akdeniz-Dogan ◽  
Margaret S. Roubaud ◽  
Sahil K. Kapur ◽  
Jessie Liu ◽  
Peirong Yu ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Free Flap ◽  
Flap Reconstruction ◽  
Soft Tissue Defects ◽  
Free Flap Reconstruction ◽  
Single Institution ◽  
Posterior Trunk ◽  
Tissue Defects

Factors to Consider When Deciding on the Type of Free-Flap Reconstruction of Head and Neck Soft Tissue Defects

ORL ◽  
2017 ◽  
Vol 79 (4) ◽  
pp. 230-238 ◽  
Author(s):  
Mohammed Thabet Aladimi ◽  
Bo Han ◽  
Chunjie Li ◽  
Hussein Helal ◽  
Zhenjie Gao ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Head And Neck ◽  
Free Flap ◽  
Flap Reconstruction ◽  
Soft Tissue Defects ◽  
Free Flap Reconstruction ◽  
Tissue Defects

scholarly journals Results of Microvascular Free Flap for Reconstruction of Soft Tissue Defects: Our Early Experience

2014 ◽  
Vol 3 (2) ◽  
pp. 33-37
Author(s):  
Debashis Biswas ◽  
Md Abul Kalam ◽  
Tanveer Ahmed ◽  
Md Rabiul Karim Khan
Keyword(s):  
Soft Tissue ◽  
Free Flap ◽  
Free Flaps ◽  
Soft Tissue Defect ◽  
Soft Tissue Defects ◽  
Tissue Defect ◽  
Radial Forearm ◽  
After Cancer ◽  
Microvascular Free Flap ◽  
Tissue Defects

Extensive soft tissue defects following trauma, burn or after cancer surgery need coverage by flaps. Sometimes surrounding tissues are not healthy enough or quantity is not favorable to provide adequate pedicle flaps. Microvascular free flap can provide healthy tissue of adequate amount from distant area for those difficult situations.15 microvascular free flaps were performed from October 2011 to February 2013. Radial forearm free flap was done in 8 and Latissimusdorsi (LD) flap in 7 cases. 10 flaps done in foot, ankle & lower leg region (radial forearm-5, LD-5) and 5 flaps were done in face and scalp region (radial forearm-4, LD-1).12 flaps healed uneventfully with good coverage of the defect. Average ischemia time was 135 min (range 100-240 min) and average anastomosis time was 75 min (average 60-100 min). 2 flaps failed. There was necrosis of the tip of 2 LD and cumbersome swelling of the flap was found in 2 cases of LD flaps.Large soft tissue defect of body where local or regional flaps are not feasible; can be easily covered with free flaps. Its capacity to cover huge soft tissue defect has neutralizes its technical demand. Though complications are still high in our hands; can be reduced performing more number of cases. DOI: http://dx.doi.org/10.3329/bdjps.v3i2.18242 Bangladesh Journal of Plastic Surgery July 2012, 3(2): 33-37

Timing of Soft Tissue Reconstruction

2020 ◽  
pp. 57-62
Keyword(s):  
Soft Tissue ◽  
Internal Fixation ◽  
Free Flap ◽  
Soft Tissue Reconstruction ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Fracture Union ◽  
Patient Factors ◽  
Tissue Reconstruction ◽  
Wound Excision

Soft tissue cover of a meticulously and comprehensively excised (debrided) wound is the cornerstone of achieving infection-free fracture union. Planning of the soft tissue reconstruction should ideally occur at the time of wound excision. Definitive soft tissue reconstruction should be performed within 72 hours of the injury unless precluded by patient factors, and at the same time as internal fixation of the fracture. Free flap reconstruction is ideally performed on scheduled lists in specialist orthoplastic centres.

Flap reconstruction for soft-tissue defects with exposed hardware following deep infection after internal fixation of ankle fractures

Injury ◽  
2014 ◽  
Vol 45 (12) ◽  
pp. 2029-2034 ◽  
Author(s):  
Mikko T. Ovaska ◽  
Rami Madanat ◽  
Erkki Tukiainen ◽  
Lea Pulliainen ◽  
Harri Sintonen ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Internal Fixation ◽  
Deep Infection ◽  
Ankle Fractures ◽  
Flap Reconstruction ◽  
Soft Tissue Defects ◽  
Tissue Defects

Closure of Upper Extremity Soft-Tissue Defects Using the New “Supra-Crest” Fasciocutaneous Free Flap

1997 ◽  
Vol 99 (4) ◽  
pp. 1154-1159 ◽  
Author(s):  
Tunc Safak ◽  
Michael J. A. Klebuc ◽  
Abdullah Kecik ◽  
Saleh M. Shenaq
Keyword(s):  
Soft Tissue ◽  
Upper Extremity ◽  
Free Flap ◽  
Soft Tissue Defects ◽  
Tissue Defects

Results of combined vascular reconstruction by means of AV loops and free flap transfer in patients with soft tissue defects

2016 ◽  
Vol 69 (4) ◽  
pp. 545-553 ◽  
Author(s):  
Alexander Meyer ◽  
Raymund E. Horch ◽  
Elisabeth Schoengart ◽  
Justus P. Beier ◽  
Christian D. Taeger ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Free Flap ◽  
Vascular Reconstruction ◽  
Soft Tissue Defects ◽  
Flap Transfer ◽  
Free Flap Transfer ◽  
Tissue Defects

scholarly journals Full-Thickness Skin Grafts for Coverage of the Pedicle in Partial Second Toe Pulp Free Flap

2021 ◽  
Vol 17 (3) ◽  
pp. 237-241
Author(s):  
Won Jin Cha ◽  
Jeong Hwa Seo ◽  
Jeeyoon Kim ◽  
Sung-No Jung ◽  
Bommie Florence Seo
Keyword(s):  
Soft Tissue ◽  
Free Flap ◽  
Donor Site ◽  
Skin Grafts ◽  
Full Thickness ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Full Thickness Skin ◽  
Thickness Skin ◽  
Graft Area

Pedicle coverage during free flap reconstruction of the digit commonly presents complicated issues. As the finger is a cylindrical unit with small volume, it is difficult to secure ample soft tissue for relaxed coverage of the pedicle. We have applied full-thickness skin grafts (FTSGs) to loosely cover the pedicle of the free flap of the fingertip and report preliminary results. Seven patients who received free toe pulp flap and FTSG for soft tissue coverage of the pedicle were analyzed. Intraoperative parameters collected were defect, flap and graft area size and donor site. Patients were observed postoperatively for up to 2 months for graft take, necrosis, digit contour, and donor site complications. The average area of the free flap was 2.39±1.03 cm<sup>2</sup> and the average graft area was 1.37±1.06 cm<sup>2</sup>. The FTSG survived without sloughing or necrosis in six patients. Early epithelial sloughing with dermis take was noted in one patient who healed with dressings. The pedicle and graft portion showed bulging immediately after the operation but decreased to normal contour by 4 weeks. FTSG is an option that can be safely used as a method of pedicle coverage during free flap reconstruction of digits.

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