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The flap allows for 1) passive drainage of the pleural space and 2) negative pressure to develop in the thoracic cavity due to it being easier for air to escape than to enter the chest. The lung can then expand to the chest wall and seal the inner opening of the flap. [3] Other surgeons have subsequently proposed modifications to the procedure. [6]
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]
Deep inferior epigastric perforator (DIEP) flap [3] Cutaneous: Free flap: Free flap breast reconstruction: Dufourmental flap: Cutaneous: Rotation/Transposition: Estlander flap: Cutaneous: Transposition: Labial commissure of mouth defects Fibular flap: Osteocutaneous: Free flap: Mandible reconstruction Gastrocnemius flap: Muscle: Interpolation ...
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.
If there is a potential to harvest multiple perforator flaps from one vessel, the name of each flap should be based on its anatomical region or muscle." [1] This so-called 'gent consensus' was needed because the lack of definitions and standard rules on terminology created confusion in communication between surgeons.
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:
The flap is incised and elevated over the periosteum from distal to proximal. [1] The flap consists of skin, subcutaneous tissue, fat and frontalis muscle and is not thinned. When reaching the brow, all of the skin borders are incised and the flap is carefully released. [1] The full-thickness flap is then sutured into the defect without tension.
Negative pressure wound therapy device. Negative-pressure wound therapy (NPWT), also known as a vacuum assisted closure (VAC), is a therapeutic technique using a suction pump, tubing, and a dressing to remove excess wound exudate and to promote healing in acute or chronic wounds and second- and third-degree burns.