ABSTRACT
Objective @#To explore the clinical application of an extended clavicular epithelial flap with a transverse cervical arterial blood supply in the repair of postoperative soft tissue defects in elderly patients with oral cancer.@*Methods@#From January 2015 to June 2018, 24 elderly patients with oral cancer were admitted to the Department of Oral and Maxillofacial Surgery, Hainan Provincial People′s Hospital, including 15 males and 9 females, aged 65-82 years, with an average age of 71.8 years. The supraclavicular epithelial flap was used to repair the soft tissue defect after radical resection of the oral cancer. The flap was at least 4 cm × 6 cm, and the maximum size was 7 cm × 9 cm. All patients completed a University of Washington Quality of Life (UW-QOL) survey 6 months after surgery, and a subjective satisfaction survey was conducted.@*Results @#The prolonged clavicular epithelial flap survival rate was 91.6% (22/24). The patients had good speech and swallowing function, hidden scars and no obvious sequelae. The average UW-QOL score 6 months after the operation was 76.5 ± 6.4. The follow-up satisfaction rate was 87.5% (21/24).@*Conclusion@#An extended clavicular epithelial flap with a transverse cervical arterial supply is reliable, of moderate thickness, is simple to implement, causes little trauma at the donor site, and yields a relatively concealed donor site. It is suitable for the simultaneous repair of soft tissue defects in elderly patients with oral cancer.
ABSTRACT
In 600 BC, the first pedicled direct cutaneous artery perforator flap—the supravicular artery perforator flap was harvested by Sushruta. In 1973, the first free perforator flap—the superficial circumflex iliac artery flap in the groin was reported by Daniel and Taylor. In 1982, the septocutaneous perforator flap was reported by academician Zhong Shizhen. In 1989, the misculocutaneous perforator flap was reported by Koshima. Reviewing the history of flap surgery, there was a fact that the main evolutionary line was the course of perforator flap. In the future, the clinical application of the traditional random flap (reticulated blood supply flap) and traditional axial flap will be more and more less, whereas the clinical application of perforator flap, especially the direct cutaneous perforator flap and the special type of perforator flap will be more and more extensive.
ABSTRACT
ABSTRACT: The most common skin lesions in small animals result from trauma, burns, or surgical resection of large tumors. Given the high importance of reconstructive surgery associated with tumors in small animals, this study reports four cases of reconstructive surgery using subcutaneous and axial tubular flaps in animals with neoplastic lesions. Subdermal and axial tubular flaps are healthy alternatives for reconstructing wounds caused by large tumor resection in areas with poor tissue elasticity.
RESUMO: As lesões mais comuns na pele de animais de pequeno porte são causadas por trauma, queimaduras ou ressecção cirúrgica de grandes tumores, sendo as doenças oncológicas as principais causas para a utilização de técnicas de cirurgia reconstrutiva. Entretanto, os cirurgiões precisam ter um sólido domínio de técnicas de excisão e reconstrução, compreender a biologia do tumor e aplicar terapias adjuvantes ou alternativas, garantindo o sucesso da cirurgia. Dada a grande importância de cirurgias reconstrutivas associadas a tumores em animais de pequeno porte, este estudo teve como objetivo relatar quatro casos utilizando técnicas de cirurgia reconstrutiva por meio de retalhos tubulares subcutâneos, bem como retalhos tubulares axiais como opção de tratamento em pacientes com lesões neoplásicas. Sendo assim, o emprego de retalhos tubulares subcutâneos e de retalhos tubulares axiais, são boas alternativas para a reconstrução de feridas criadas pela ressecção de grandes tumores em áreas com baixa elasticidade do tecido.
ABSTRACT
ObjectiveTo explore a procedure to correct the multiple facial deformities by using the expanded frontal flap combined with the axial flaps.MethodsAccording to the face deformity we used the rectangle 100-350 ml expanders behind the frontal hairline,after finishing the tissue expanding,adopted two or three axial flaps based on the supraoribital,supratrochlear or temporal vessels. ResultsA total of 13 cases were treated with this approach.7 eases were nose and lip defect reconstruction after burn,in which temporal vessel-based flap was used in 2 cases and supraoribital or supratrochlear vessel-based flaps in 5 cases.The other 6 cases were nasal reconstruction combined with the frontal defect correction by using random flaps,including 2 cases of pigmented nevus,1 neurofibroma,and 3 burn scars.All the flaps survived and satisfactory appearance was obtained.Conclusions The expanded frontal flap combined with axial flap based on multiple vessels is a good approach to correct the multiple facial deformities.
ABSTRACT
Objective To explore an effective method in reconstructing of burn scar contracture of the chin and neck in children. Methods The blood in the transverse cervical artery might flow reverse into the suprascapular artery and the posterior intercostals perforators through anastomic branches. An axial skin flap in the cervico-scapulo-dorsal area could be adequately supplied by this artery, and we had therefore used this flap to repair burn scar in the neck. Results 30 cases obtained satisfactory clinical results with this flap. The follow-up for two years in 18 patients showed that the neck of the patients moved about freely, and the develpment of the chin was not influenced, and the color of flaps was fine. Conclusion The blood supply of the flap is reliable and stable. So it is a very useful method in reconstructing the burn scar of the chin-neck in children.