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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]
In medicine, an avulsion is an injury in which a body structure is torn off by either trauma or surgery (from the Latin avellere, meaning "to tear off"). [1] 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).
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.
Research has found that pharyngeal flap surgery has been most effective for those with a sagittal closure pattern (good lateral wall movement but poor velar movement (Armour et al., 2005)). Pharyngeal flap surgery is not recommended for everyone and alternative treatment methods are available. One alternative is the use of a prosthesis. In some ...
Material in the mouth that threatens the airway can be removed manually or using a suction tool for that purpose, and supplemental oxygen can be provided. [22] Facial fractures that threaten to interfere with the airway can be reduced by moving the bones back into place; this both reduces bleeding and moves the bone out of the way of the airway.
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 ...
In open injuries, the skin is torn back so that the underlying structures are visible. Such an injury could thus resemble the process of removing a glove from a hand. The treatment of a degloving injury requires assessment of the damage to the soft tissue and associated blood vessels. [1] Any soft tissue that is dead must be removed.
Tearing of the inferior labial frenulum may occur after being bit, especially after a fall, resulting in bleeding and pain. Treatment can normally be done at home, and usually heals on its own within 3–4 days. Tearing of the inferior labial frenulum, as proven by various studies, can not be considered a sign of domestic abuse. [3]