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Flap surgery is a technique essential to plastic and reconstructive surgery.A flap is defined as tissue that can be moved to another site and has its own blood supply.This is in comparison to a skin graft which does not have its own blood supply and relies on vascularization from the recipient site. [2]
The latissimus dorsi is a potential source of muscle for breast reconstruction surgery after mastectomy (e.g., Mannu flap) [12] or to correct pectoral hypoplastic defects such as Poland's syndrome. [13] [14] An absent or hypoplastic latissimus dorsi can be one of the associated symptoms of Poland's syndrome. [15] [16]
Perforator flap surgery is a technique used in reconstructive surgery where skin and/or subcutaneous fat are removed from a distant or adjacent part of the body to reconstruct the excised part. [1] The vessels that supply blood to the flap are isolated perforator(s) derived from a deep vascular system through the underlying muscle or ...
The length and angle of each flap are usually the same to avoid mismatched flaps that may be difficult to close. Some possible complications of Z-plasty include flap necrosis, haematoma (blood clot) formation under the flaps, wound infection, trapdoor effect and sloughing (necrosis) of the flap caused by wound tension and inadequate blood supply.
Free flaps are usually only done if a TRAM flap is not possible. Plastic surgeons usually perform these surgeries. Patients with Bell's palsy can have their face re-animated using "free functioning muscle flaps". Hand reconstruction: Reconstruction of paralyzed face or hand using functioning free muscle flaps. Head and Neck reconstruction:
Depending on how much tissue is removed, a patient may need reconstructive surgery. [8] Reconstruction can include skin grafts or flaps. [7] Skin grafting and flap procedures use the patient’s own healthy soft tissues to heal a wound. Debridement describes the process of surgically removing unhealthy tissue from an area. After an injury ...
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Flap-based reconstruction uses tissue from other parts of the patient's body (i.e., autologous tissue) such as the back, buttocks, thigh or abdomen. [16] In surgery, a "flap" is any type of tissue that is lifted from a donor site and moved to a recipient site using its own blood supply. Usually, the blood supply is a named vessel.