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The term most commonly refers to a surface trauma where all layers of the skin have been torn away, exposing the underlying structures (i.e., subcutaneous tissue, muscle, tendons, or bone). This is similar to an abrasion but more severe, as body parts such as an eyelid or an ear can be partially or fully detached from the body.
Normally, bone continuously breaks down and rebuilds—old bone is resorbed and replaced with new bone. The process keeps the skeleton strong and helps it to maintain a balance of minerals. [ 23 ] In the course of avascular necrosis, however, the healing process is usually ineffective and the bone tissues break down faster than the body can ...
If skin cover is needed, a skin graft can be placed over top of it. Examples: gastrocnemius flap, latissimus dorsi flap, TRAM flap, and transverse upper gracillis flap. [2] Bone flaps contain bone and are used when structural support is needed such as in jaw reconstruction. Example: fibula flap. [2] [4] [14]
However, autologous bone pieces may be unavailable or unsuitable in certain occasions. The body size of children may be not enough to have bone flaps to be stored in their subcutaneous spaces, while cryopreservation facilities for bone grafts are not widely available. [11] [12] The use of autograft is also associated with a high rate of bone ...
Open fracture, wound > 1 cm but < 10 cm in length [14] without extensive soft-tissue damage, flaps, avulsions IIIA: Open fracture with adequate soft tissue coverage of a fractured bone despite extensive soft tissue laceration or flaps, or high-energy trauma (gunshot and farm injuries) regardless of the size of the wound [14] [15] IIIB
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 ...
Timing is important to wound healing. Critically, the timing of wound re-epithelialization can decide the outcome of the healing. [11] If the epithelization of tissue over a denuded area is slow, a scar will form over many weeks, or months; [12] [13] If the epithelization of a wounded area is fast, the healing will result in regeneration.
Otoplasty (surgery of the ear) was developed in ancient India and is described in the medical compendium, the Sushruta Samhita (Sushruta's Compendium, c. 500 AD).The book discussed otoplastic and other plastic surgery techniques and procedures for correcting, repairing and reconstructing ears, noses, lips, and genitalia that were amputated as criminal, religious, and military punishments.