A case of modified advancement flap for an auricular skin defect

While free flaps have been widely used for reconstruction of pretibial defects, the extended operation times are known to be a major drawback. This report presents a case of successful lower leg reconstruction for a large pretibial defect with a bone-anchored advancement flap and split-thickness skin graft. A 59-year-old female patient underwent wide excision of sarcoma on the pretibial area. The skin defect measured 14×6 cm with a 10×2 cm exposure of the tibia in the medial aspect of the defect. An advancement flap was elevated from the medial side of the tibia to cover the exposed bone. The bone defect was reconstructed by the advancement flap with the aid of an anchoring suture to the tibia. Remaining defect with exposed muscles was covered using split-thickness skin graft. No immediate postoperative complication developed. One year after the operation, well-contoured reconstruction was achieved without functional morbidities. In reconstruction of pretibial defects, bone-anchored advancement flap can be considered in patients who are reluctant to or have risk factors for free flap reconstruction.

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Omega (Ω) Advancement Flap: A Circular Flap Design for the Aesthetic Closure of Circular Skin Defect

Aesthetic Plastic Surgery ◽

10.1007/s00266-016-0751-5 ◽

2016 ◽

Vol 41 (2) ◽

pp. 327-334 ◽

Cited By ~ 1

Author(s):

Enver Arpaci ◽

Serdar Altun ◽

Nilgün Markal Ertas ◽

Ahmet Cagri Uysal ◽

Emre Inozu

Keyword(s):

Advancement Flap ◽

Skin Defect ◽

Flap Design ◽

The Aesthetic

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Surgical Resection of a Mature Teratoma on the Head of a Young Cat

Journal of the American Animal Hospital Association ◽

10.5326/0460121 ◽

2010 ◽

Vol 46 (2) ◽

pp. 121-126 ◽

Cited By ~ 5

Author(s):

Bart Van Goethem ◽

Tim Bosmans ◽

Koen Chiers

Keyword(s):

Surgical Resection ◽

Mature Teratoma ◽

Abdominal Cavity ◽

Surgical Excision ◽

Large Mass ◽

Masticatory Muscles ◽

Advancement Flap ◽

Skin Defect ◽

Temporal Area

A 4-month-old kitten was presented with a large mass over the temporal area involving the base of the left ear. Cytological evaluation of a fine-needle aspirate was not diagnostic. Computed tomography was used to determine tumor extent. Surgical resection was performed, which included parts of the orbital rim, masticatory muscles, the complete ear canal, and the pinna. Reconstruction of the ocular muscles was performed, and the skin defect was reconstructed using a single pedicle advancement flap. Despite unilateral facial paralysis, postoperative clinical function was excellent and aesthetics were good. Histological examination revealed the tumor to be a teratoma. After a follow-up period of 3 years, no signs of recurrence were evident. Extragonadal teratomas should be considered in the differential diagnosis when young animals are presented with a growing mass located outside the abdominal cavity. Surgical excision of a mature teratoma can be considered curative.

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Bipedicled Mini V-Y Advancement Flap for Skin Defect of the Face

Modern Plastic Surgery ◽

10.4236/mps.2018.82003 ◽

2018 ◽

Vol 08 (02) ◽

pp. 15-20

Author(s):

Mikiko Ooshima ◽

Mariko Kochi ◽

Daichi Morioka ◽

Towa Miyamoto ◽

Tomoko Tsuda ◽

...

Keyword(s):

Advancement Flap ◽

Skin Defect ◽

The Face

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Closure of a Rectangular Skin Defect Via the Advancement Flap

Fracture of Nano and Engineering Materials and Structures ◽

10.1007/1-4020-4972-2_75 ◽

2008 ◽

pp. 155-156

Author(s):

C. Antypas ◽

C. Borboudaki ◽

V. Kefalas ◽

D. A. Eftaxiopoulos

Keyword(s):

Advancement Flap ◽

Skin Defect

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Reconstruction of Depressed Dorsum including Tip of Nose by Autogenous Materials: Our Experience

Clinical Rhinology An International Journal ◽

10.5005/jp-journals-10013-1143 ◽

2013 ◽

Vol 6 (1) ◽

pp. 22-27

Author(s):

Aniruddha Majumder ◽

Chiranjib Das ◽

Tapan Kanti Hazra ◽

Minakshi Karmakar ◽

Dipten Paul

Keyword(s):

Iliac Crest ◽

Composite Graft ◽

Advancement Flap ◽

Skin Defect ◽

Cartilage Grafts ◽

Conchal Cartilage

ABSTRACT Reconstruction of nose is a very challenging task. It has been practiced since ancient ages. Since, then various techniques have evolved. We have used forehead and nasolabial advancement flap for reconstruction of skin defect over iliac crest bone or conchal cartilage grafts. In small gap we used composite graft from pinna. In this article we share our experience with various grafts and flaps, their success and failures and methods to avoid or treat them. How to cite this article Hazra TK, Majumder A, Das C, Karmakar M, Paul D. Reconstruction of Depressed Dorsum including Tip of Nose by Autogenous Materials: Our Experience. Clin Rhinol An Int J 2013;6(1):22-27.

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Reconstruction of Basal Cell Carcinoma over Face by Facial Flaps –Study of 30 Cases

TAJ Journal of Teachers Association ◽

10.3329/taj.v30i2.39133 ◽

2018 ◽

Vol 30 (2) ◽

pp. 20-25

Author(s):

Subrata Ghosh ◽

Milon Kumar Chowdhury ◽

Nripendra Nath Biswas ◽

Sunandita Sarkar ◽

Anindita Sarkar ◽

...

Keyword(s):

Basal Cell Carcinoma ◽

Cell Carcinoma ◽

Basal Cell ◽

Wound Dehiscence ◽

Advancement Flap ◽

Skin Defect ◽

First Choice ◽

Flap Repair ◽

The Face ◽

Operative Recovery

Background: Basal cell carcinoma (BCC) is the most common skin cancer.85% of BCC are located in the head and neck area, of which 30% on the nose. After excision of BCC on the face, the options of treatment for a skin defect are variable. Many surgeons prefer to use a local flap rather than skin graft or free flap for small or moderately sized circular defects after excision of BCC on the face.Methods: All of the patients were histopathologically diagnosed as Basal cell carcinoma, thirty patients underwent various flaps like V-Y advancement flap, bilobed flap, forehead flap, nasolabial flap, glabellar flap repair over 3 years, between January 2014 to December 2016. We observed post-operative complications as flap loss either partial or complete, wound dehiscence, hematoma and wound infection and recurrence of carcinoma. The cosmetic outcome of the face also evaluated.Results: There were 19 men and 11 women. The age ranged from 48 to 73 years with a mean age of 62 years. The causes were BCC in all cases. The tumour locations were the face in all patients. All of the flaps survived, but in one case recurrence of BCC occur, which was managed surgically. Post-operative recovery was very nice.Conclusions: Our study shows facial flaps give nice result and first choice for facial reconstruction in BCC of face. Most defects can best closed by various facial flaps and outstanding functional and cosmetic results can be achieved.TAJ 2017; 30(2): 20-25

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Horizontally oriented v-y flap may diminish lower lid retraction

Journal of Surgical Case Reports and Images ◽

10.31579/2690-1897/034 ◽

2020 ◽

Vol 3 (4) ◽

pp. 01-02

Author(s):

Hojjat Molaei ◽

Javad Rahmati ◽

Ali Atri ◽

Shahriar Haddady Abianeh

Keyword(s):

Wound Repair ◽

Donor Site ◽

Donor Site Morbidity ◽

Advancement Flap ◽

Skin Defect ◽

Left Cheek ◽

Local Flaps ◽

Case Presentation ◽

Tumor Excision ◽

Orbital Area

Introduction: lower lid malposition following malignancy surgery in infra- orbital area is often challenging and any way to reduce its chance is appreciated. Case presentation: 36 years old women with confirmed Basal Cell Carcinoma (BCC) of left cheek underwent tumor excision with free margins and remained skin defect reconstructed with adipocutaneous v-y advancement flap, which designed in a horizontally orientation. Patient had no signs of ectropion with good wound repair and obscured scar. Conclusion: v-y flaps are commonly used local flaps with minimal donor site morbidity, and if designed horizontally, not only may reduce chance of lower lid malposition, but also can remain more acceptable scars.

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Die Therapie der Analfistel – Wahl zwischen Skylla und Charybdis

Therapeutische Umschau ◽

10.1024/0040-5930/a000422 ◽

2013 ◽

Vol 70 (7) ◽

pp. 383-391 ◽

Cited By ~ 1

Author(s):

Lukas Marti ◽

Christina Kruse ◽

Marcel Zadnikar ◽

Christine Maurus ◽

Chan-Hi Kim ◽

...

Keyword(s):

Chirurgische Therapie ◽

Advancement Flap ◽

Fistula Plug

Die Analfistel, die zunächst meist als akuter Abszess symptomatisch wird, ist die chronische Form derselben Krankheit. Die Fistel äußert sich durch persistierende Sekretion neben dem After und kann die Lebensqualität der Patienten durch langwierige Verläufe massiv einschränken. Die chirurgische Therapie zielt darauf ab, die Erkrankung bleibend ohne Rezidiv zu heilen, ohne dabei die Kontinenz zu schädigen. Dies sind zwei sich teilweise entgegenlaufende Forderungen, weswegen je nach Fistel verschiedene Operationen zum Einsatz kommen. Distale, einfache Fisteln werden gespalten, jedoch darf, um die Kontinenz nicht zu gefährden, nicht zu viel Schließmuskel geopfert werden. Höher gelegene, komplexe Fisteln werden meist mit Entfernung der gesamten Fistel und nachfolgender Schließmuskelnaht (Advancement Flap oder primäre Sphinkterrekonstruktion) behandelt. Neuere Techniken wie z. B. der Fistula Plug, haben eine deutlich höhere Rezidivrate, schonen anderseits die Kontinenz noch mehr und sind deshalb eine Alternative für speziell geeignete Patienten.

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Prediktive Faktoren und Follow-up nach plastischem Verschluss von Analfisteln d. Advancement-Flap

Zeitschrift für Gastroenterologie ◽

10.1055/s-0036-1586780 ◽

2016 ◽

Vol 54 (08) ◽

Author(s):

L Bönicke ◽

P Ambe ◽

H Zirngibl ◽

E Karsten

Keyword(s):

Advancement Flap

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