scholarly journals Functional Compatibility of Local Flaps for Coverage of Digital Skin Defects

2022 ◽  
Vol 32 (1) ◽  
pp. 92-95
Keyword(s):  
Author(s):  
Florin Beteg ◽  
Aurel Muste

Cutaneous flaps are used for closing wounds caused by traumatic accidents, oncological surgery (tumor removal), and burns (thermal, chemical, radiations). Skin grafting has the advantages of requiring just only one surgery for closing the defects once the wound bed is adequately prepared.The objective of the study was  to describe and asses the eficiency  of local cutaneous flaps for closing  skin defects in dogs.Seven dogs  underwent reconstruction of soft tissue wounds resulted from traumatic lesion or  after large tumors removal. Skin defects were located on the trunk and limbs. Cutaneous local flaps(advancement and rotational) were created by surgical preparations and mobilization the full tickness skin fold to enabling closure of adjacent defects. After wound debridment or tumoral removal a very carefull atraumatic and aseptical preparation of the flaps  were performed to preserve vascularization for adecquate blood supply.Cutaneous local flaps  proved effective for closing large defects in all dogs. Partial marginal necrosis of a portion of the flap occurred in one dog because of  procedure and technique errors, but the concurent remanent defects were adequate  to primary closure.  The wounds ultimately healed , without major complications.The skin local flaps(advancement and rotational) are a versatile technique that could be  use in a variety of locations, depending on skin defects shape and localization. The clinical results are comparable with those reported for  advanced reconstructive procedure.


2021 ◽  
pp. 1-4
Author(s):  
Atishkumar B. Gujrathi ◽  
Srija Gandrati ◽  
Nishikant Gadpayale ◽  
Yogesh Paikrao ◽  
Naman Agarwal ◽  
...  

INTRODUCTION: Face is the index of mind. Facial deformities affect the impression of an individual. For larger defects or in situations where direct suture is neither applicable nor available, facial skin defects in the head and neck can be filled by free grafts, local skin flaps or either pedicled or free tissue transfer. METHODOLOGY: A prospective observational study was conducted to study different facial skin defects, their etiological factors, reconstructive techniques using local flaps and outcome of reconstructed flaps. The study was conducted on 53 patients between 2-70 years, comprising of 30 males and 23 females with facial skin defects due to various etiologies, willing to undergo reconstructive procedure using local flaps presenting at a tertiary care hospital for a duration of 18 months. RESULTS: Reconstruction was done using 18 (33.96%) rhomboid flaps,16 (30.19%) linear advancement flaps, 5 (9.43%) V-Y advancement flaps, 5 (9.43%) cervicofacial advancement flap, 9 (16.98%) nasolabial flaps. After surgery, all patients were assessed on post operative day 1, day 7, 4 weeks and 12 weeks for evaluation of outcome. All flaps survived on postoperative day 1. The ultimate cosmetic outlook at 12 weeks postoperatively is good in rhomboid flap and fair in all other flaps analysed in our study. CONCLUSION: Thus reconstruction by local flaps is an easy and cost effective technique, requires less hospital stay, can be performed even at remote places under local anesthesia with excellent functional and aesthetical results.


2015 ◽  
Vol 8 (2) ◽  
pp. 92 ◽  
Author(s):  
Ali Ebrahimi ◽  
Mehdi Ashayeri ◽  
HamidReza Rasouli
Keyword(s):  

The Lancet ◽  
1953 ◽  
Vol 261 (6765) ◽  
pp. 854
Author(s):  
Thomas Gibson ◽  
J.Scott Tough

2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
A. C. Salgarelli ◽  
P. Bellini ◽  
A. Multinu ◽  
C. Magnoni ◽  
M. Francomano ◽  
...  

Reconstruction of nasal defects must preserve the integrity of complex facial functions and expressions, as well as facial symmetry and a pleasing aesthetic outcome. The reconstructive modality of choice will depend largely on the location, size, and depth of the surgical defect. Individualized therapy is the best course, and numerous flaps have been designed to provide coverage of a variety of nasal-specific defects. We describe our experience in the aesthetic reconstruction of nasal skin defects following oncological surgery. The use of different local flaps for nasal skin cancer defects is reported in 286 patients. Complications in this series were one partial flap dehiscence that healed by secondary intention, two forehead flaps, and one bilobed flap with minimal rim necrosis that resulted in an irregular scar requiring revision. Aesthetic results were deemed satisfactory by all patients and the operating surgeons. The color and texture matches were aesthetically good, and the nasal contour was distinct in all patients. All scars were inconspicuous and symmetrical. No patient had tenting or a flat nose.


Sign in / Sign up

Export Citation Format

Share Document