scholarly journals Fingertip Reconstruction with Subcutaneous Island Flap and Composite Graft: A Case Report

2020 ◽  
Vol 25 (4) ◽  
pp. 282-286
Author(s):  
Jinha Park ◽  
Jin Soo Kim ◽  
Sung Hoon Koh ◽  
Dong Chul Lee ◽  
Si Young Roh ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Composite Graft ◽  
Soft Tissue Defect ◽  
Distal Phalanx ◽  
Island Flap ◽  
Terminal Branch ◽  
Skin Defect ◽  
Secondary Intention ◽  
The Right ◽  
Fingertip Reconstruction

Reconstruction of amputated fingertips is extremely challenging when the amputee is very small and severely crushed. Moreover, there are not many options if distal phalanx is exposed due to defects of soft tissue. We report a case of successful fingertip reconstruction in a 10-month-old girl using a subcutaneous island flap with a composite graft. Her fingertip of the right little finger was amputated stuck by the air purifier. Some soft tissue was lost from the stump and the bone was exposed. There was a very small amputee, and soft tissue was extremely little inside. Replantation was not possible because of the soft tissue defect. The composite graft was inadequate due to the exposure of distal phalanx and defect of soft tissue. Soft tissue island flap based terminal branch of the digital artery was transposed to cover the distal phalanx. After then, the amputee was grafted over the flap. After debridement, most of the soft tissue survived and 0.2×0.2 cm of skin defect was found, which was healed through secondary intention.

Modified Heterodigital Neurovascular Island Flap for Sensory Reconstruction of Pulp or Volar Soft Tissue Defect of Digits

2020 ◽  
Vol 45 (1) ◽  
pp. 67.e1-67.e8 ◽  
Author(s):  
Hui Wang ◽  
Xiaoxi Yang ◽  
Chao Chen ◽  
Yongxin Huo ◽  
Bin Wang ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Defect ◽  
Island Flap ◽  
Tissue Defect ◽  
Sensory Reconstruction

scholarly journals Use of the supraclavicular artery island flap for reconstruction of maxillofacial defects: a case report and literature review

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
J. F. Sheng ◽  
P. Tang ◽  
L. Y. Ma ◽  
Y. C. Cai ◽  
J. Hu ◽  
...  
Keyword(s):  
Free Flaps ◽  
Functional Results ◽  
Soft Tissue Defect ◽  
Island Flap ◽  
Tumour Resection ◽  
Current Case ◽  
Inferior Margin ◽  
Difficult Time ◽  
Supraclavicular Artery Island Flap ◽  
The Right

Abstract Background Free flaps are widely used in maxillofacial reconstruction; however, this approach was not feasible in the current case. It was not possible because the free flap method requires microvascular anastomosis expertise, which is difficult, time-consuming and costly. Case presentation An 86-year-old woman suffered squamous cell carcinoma on the right side of her face, which resulted in a large soft-tissue defect. Here, we present a case of facial reconstruction from the inferior margin of the jaw to the top of the head. The size of the defect was 18.5 cm × 7.5 cm, which is rare for a patient of this age in the maxillofacial area. We used the supraclavicular artery island flap (SCAIFP) which measured 19.3 cm × 8.3 cm to repair the defect. After the operation, the flap survived without complications. Then, the patient was followed for 10 months and was satisfied with the aesthetic and functional results at the donor and recipient sites following the tumour resection. The tumour did not recur, and facial nerve function was preserved. Conclusion Our results provide a new choice for the reconstruction of large defects of the head and face, and expand the potential applications of the SCAIFP.

Flap Related Complications Requiring Secondary Surgery in a Series of 851 Local Flaps Used for Fingertip Reconstruction

2019 ◽  
Vol 24 (01) ◽  
pp. 24-29 ◽  
Author(s):  
T. Karjalainen ◽  
S.J. Sebastin ◽  
K.G. Chee ◽  
Y.P. Peng ◽  
A.K.S. Chong
Keyword(s):  
Soft Tissue ◽  
Donor Site ◽  
Advancement Flap ◽  
Flexion Contracture ◽  
Island Flap ◽  
Local Flaps ◽  
Flap Necrosis ◽  
Secondary Surgery ◽  
Partial Necrosis ◽  
Fingertip Reconstruction

Background: Local flaps are widely used to cover fingertip defects. Errors in design or technical execution of the flap may lead to morbidity and additional surgical procedure. The purpose of this study was to review flap related complications requiring unplanned secondary surgery to characterize preventable issues. Methods: 851 local flaps were used to reconstruct fingertip defects during a 9-year period. Patients requiring unplanned secondary surgery to address flap related complications were subjected to analysis. Results: 31 of 851 flaps (3.6%) required unplanned secondary surgery because of flap related complications. The most reliable flap was VY advancement flap with only one (0.3%) re-operation. The reverse vascular island flap, cross finger flap, and neurovascular island flap were associated with the comparable number of complications (8.0%; 6.3%; and 3.8% respectively). Total or partial necrosis was the cause for re-operation in 6 patients (0.7%). The typical reason for secondary surgery was inadequate soft tissue cover of the tip with homodigital neurovascular island flap and flexion contracture with reverse vascular island flap. Cross finger flaps were revised because of poor graft take at the donor site, bulky flap or flap necrosis. Conclusions: Local flaps are reliable operations to cover fingertip defects. Each flap has potential pitfalls, which may be avoided if the surgeon is aware of them.

Reconstruction of Great Toe Soft-Tissue Defect with the Retrograde-Flow Medial Pedis Island Flap

2014 ◽  
Vol 134 (1) ◽  
pp. 120e-127e ◽  
Author(s):  
Haijiao Mao ◽  
Zengyuan Shi ◽  
Weigang Yin ◽  
Wenwei Dong ◽  
Keith L. Wapner
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Defect ◽  
Island Flap ◽  
Retrograde Flow ◽  
Great Toe ◽  
Tissue Defect
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