24 results match your criteria Pedicle Interpolation Flaps

  • Page 1 of 1

Postoperative Outcomes of Local Skin Flaps Used in Oncologic Reconstructive Surgery of the Nasal Ala: A Systematic Review.

Dermatol Surg 2021 09;47(9):1205-1213

Department of Dermatology, University of California Davis, Sacramento, California.

Background: Despite numerous options for nasal ala reconstruction, advantages and disadvantages of each method are unclear.

Objective: To summarize reported outcomes of local flaps without the use of grafts for nasal ala oncologic reconstructive surgery.

Methods: A nasal ala-specific protocol was adapted from a previous head- and neck-specific PROSPERO submission (CRD42017071596). Read More

View Article and Full-Text PDF
September 2021

Xenografts in the post-operative wound management of interpolation flaps.

J Cosmet Dermatol 2022 Jan 28;21(1):339-342. Epub 2021 Mar 28.

Cleveland Clinic Foundation, Fort Lauderdale, Ohio, USA.

Introduction: Safeguarding the integrity of the donor site during the initial suspension phase of an interpolation flap is difficult. There are a variety of approaches and no consensus on post-operative management of the donor site or pedicle following the creation of the flap. The use of xenografts at the donor site of postauricular interpolation flaps simplifies post-operative wound care and prevents infection, desiccation of tissue, reduces pain, and assists with hemostasis. Read More

View Article and Full-Text PDF
January 2022

The effect of antibiotic prophylaxis on infection rates in mohs micrographic surgery: a single-institution retrospective study.

Arch Dermatol Res 2021 Oct 24;313(8):663-667. Epub 2020 Oct 24.

Department of Dermatology, University of Texas Southwestern Medical Center, 5939 Harry Hines Blvd, 4th Floor, Suite 100, Dallas, 75390, USA.

As data and recommendations regarding antibiotic prophylaxis in dermatologic surgery vary, we tried to describe the effect of antibiotic prophylaxis (AP) in Mohs micrographic surgery (MMS) on infective endocarditis, prosthetic joint infection, and surgical site infection using a single-institution retrospective cohort study of antibiotic use (pre-/intra-operative, post-operative or none) among 2,364 patient encouters treated with MMS. Bivariate logistic regression was evaluated for associations between patient and operative characteristics, antibiotic use, and infectious complications. 85. Read More

View Article and Full-Text PDF
October 2021

Pedicled posteromedial thigh (pPMT) perforator flap and its application in loco-regional soft tissue reconstructions.

J Plast Reconstr Aesthet Surg 2018 02 16;71(2):217-223. Epub 2017 Oct 16.

Department of Plastic and Hand Surgery, University Hospital Zurich, Rämistraße 100, 8091, Zurich, Switzerland.

Introduction: The posteromedial thigh (PMT) perforator flap is a valuable reconstructive option. In its pedicled form, the experience is currently limited to a few case reports. The purpose of this article is to describe various clinical applications of the pedicled posteromedial thigh (pPMT) flap for reconstruction of loco-regional soft tissue defects. Read More

View Article and Full-Text PDF
February 2018

Use of Adipose-Derived Mesenchymal Stem Cells to Accelerate Neovascularization in Interpolation Flaps.

J Craniofac Surg 2016 Jan;27(1):264-71

*Department of Plastic, Reconstructive and Aesthetic Surgery, Derince Training and Research Hospital †Department of Plastic, Reconstructive and Aesthetic Surgery, Kocaeli University, Faculty of Medicine, Kocaeli ‡Department of Plastic, Reconstructive and Aesthetic Surgery, Dumlupinar University, Evliya Celebi Training and Research Hospital, Kutahya §Center for Stem Cell and Gene Therapies Research and Practice, Kocaeli University ||Department of Nuclear Medicine ¶Department of Pathology, Kocaeli University, Faculty of Medicine, Kocaeli #Center for Regenerative Medicine and Stem Cell Research and Manufacturing, Liv Hospital, Istanbul, Turkey.

Objective: Interpolation flaps are commonly used in plastic surgery to cover wide and deep defects. The need to, wait for 2 to 3 weeks until the division of the pedicle still, however, poses a serious challenge, not only extending treatment and hospital stay, but also increasing hospital expenses. To solve this problem, we have aimed to use the angiogenic potential of stem cells to selectively accelerate neovascularization with a view to increasing the viability of interpolation flaps and achieving early pedicle removal. Read More

View Article and Full-Text PDF
January 2016

Reconstruction algorithm for nasal basal cell carcinoma with skin involvement only: analysis of 221 cases repaired by minor surgery.

Clin Exp Dermatol 2015 Oct 11;40(7):728-34. Epub 2015 May 11.

Department of Dermatology, Chonnam National University Medical School, Gwangju, Korea.

Background: Basal cell carcinoma (BCC) often occurs on the nose. Reconstruction of the nose should yield excellent aesthetic and functional outcomes.

Aim: We propose a technical algorithm for the reconstruction of surgical defects, based on our analysis of 221 cases of nasal BCC with skin involvement only, which could be repaired by minor surgery. Read More

View Article and Full-Text PDF
October 2015

Porcine xenografts for the optimization of pedicle care in interpolation flaps.

Dermatol Surg 2014 Nov;40(11):1262-5

Department of Dermatology, Dermatology and Skin Cancer Center, University of North Carolina, Chapel Hill, North Carolina.

View Article and Full-Text PDF
November 2014

Commentary on porcine xenografts for the optimization of pedicle care in interpolation flaps.

M Laurin Council

Dermatol Surg 2014 Nov;40(11):1265-6

Department of Dermatology, Washington University, St Louis, Missouri.

View Article and Full-Text PDF
November 2014

Safety of staged interpolation flaps after Mohs micrographic surgery in an outpatient setting: a single-center experience.

Dermatol Surg 2013 Nov 17;39(11):1671-82. Epub 2013 Oct 17.

Department of Dermatology and Dermatologic Surgery, Medical University of South Carolina, Charleston, South Carolina.

Objective: To establish the safety of staged interpolation flaps performed in an outpatient dermatologic clinic setting.

Methods: A retrospective chart review was performed of patients who underwent staged interpolation flap reconstruction by a single dermatologic surgeon after tumor clearance using Mohs micrographic surgery from 2000 to 2012 at the Department of Dermatology, Medical University of South Carolina.

Results: Six hundred fifty-three staged flaps were performed in 639 patients (mean age 65) between June 2000 and November 2012. Read More

View Article and Full-Text PDF
November 2013

Delay techniques for local flaps in dermatologic surgery.

J Drugs Dermatol 2012 Sep;11(9):1108-10

Department of Plastic and Reconstructive Surgery, Chaim Sheba Medical Center, Tel Hashomer, Israel.

Local flaps may be required to reconstruct defects on the face, neck, and scalp. Occasionally, delay techniques are indicated to reduce the risk for flap ischemia and subsequent necrosis. Delay may be employed before the flap is raised, as done to improve blood supply to a random flap when length to breadth proportions are not ideal, or after the flap is raised and before separation of the pedicle in the final reconstructive step to improve vascularity in the distal end of an interpolation flap. Read More

View Article and Full-Text PDF
September 2012

An algorythmic approach to restoration of the fronto-naso-periorbital skin defects using the forehead flaps.

Onder Tan

J Craniomaxillofac Surg 2010 Jan 21;38(1):11-8. Epub 2009 Jun 21.

Ataturk University, Medical Faculty, Department of Plastic Reconstructive and Aesthetic Surgery, Erzurum, Turkey.

Background And Objective: The classic forehead flaps, which are designed vertically, two-staged and exteriorised pedicled peninsular flaps, are still a reconstructive option for nasal and periorbital defects. However, some drawbacks such as conspicuous donor-site scar, multi-staged procedure, rather short pedicle, hairy appearance (in narrow foreheads), and inability to use the forehead flap when the donor site is involved are often encountered during surgery. To avoid these issues, three unusual designs of the forehead flap are presented, and also a new algorithm is proposed to guide surgeons in their solutions. Read More

View Article and Full-Text PDF
January 2010

Use of a skin-fat composite graft to prevent alar notching: an alternative to delayed postoperative repair.

Dermatol Surg 2005 May;31(5):602-7

Department of Dermatology, Columbia University Medical Center, New York, New York 10032, USA.

Background: Full-thickness defects of the alar rim can be challenging to repair and often require the use of multistaged interpolated flaps. Alar notching is a known complication of these procedures even after cartilage batten grafts have been placed to support the alar framework. Standard techniques for repair of alar notching involve reinsertion of a cartilage graft, usually at the time of alar groove reconstruction 3 months postoperatively. Read More

View Article and Full-Text PDF

Enhanced survival using the distally based sural artery interpolation flap.

Ann Plast Surg 2005 Mar;54(3):302-5

Department of Plastic Surgery, Mayo Clinic, Rochester, MN, USA.

The reverse sural artery flap is frequently used for reconstruction of the distal third of the leg, ankle, and heel. The major disadvantage of the flap is compression of the pedicle within the subcutaneous tunnel and venous congestion. Others have cited a decrease in this problem by harvesting a midline cuff of gastrocnemius muscle, including more subcutaneous tissue and using a wider-than-usual pedicle. Read More

View Article and Full-Text PDF

Island pedicle flap.

Dermatol Clin 2005 Jan;23(1):113-27, vi-vii

DermSurgery Associates, 7515 Main, Suite 240, Houston, TX 77030, USA.

The island pedicle flap uses an island of skin that is detached from its epidermal and dermal attachments while retaining its vascular supply from an underlying pedicle to repair a cutaneous defect. Proper design of this flap requires familiarity with the anatomic and vascular basis of the flap and with technical aspects of flap mobility. Transposition, tunneling, interpolation, myocutaneous, and transcartilage variants of the island pedicle flap are discussed. Read More

View Article and Full-Text PDF
January 2005

Interpolation flaps.

Dermatol Clin 2005 Jan;23(1):87-112, vi

Department of Dermatology, University of Colorado Health Sciences Center, P.O. Box 6510, Mail Stop F703, Aurora, CO 80045-0510, USA.

Interpolation flaps provide an excellent method for reconstruction of large or deep defects where adjacent local tissue cannot supply sufficient donor tissue for repair. These flaps use tissue imported from nonadjacent sites with an inherent blood supply (vascular pedicle) to support the flap while attached to the recipient defect until neovascularization has been ensured between the flap and recipient bed. Hence, they can supply the thickness or bulk needed for large or deep defects and can survive on exposed bone or cartilage. Read More

View Article and Full-Text PDF
January 2005

Oxidized regenerated cellulose gauze for hemostasis of a two-stage interpolation flap pedicle.

Dermatol Surg 2004 Dec;30(12 Pt 2):1593-4

Department of Dermatology, Mayo Clinic, Rochester, Minnesota 55905, USA.

View Article and Full-Text PDF
December 2004

Early repair of avulsive facial wounds secondary to trauma using interpolation flaps.

Alan S Herford

J Oral Maxillofac Surg 2004 Aug;62(8):959-65

Department of Oral and Maxillofacial Surgery, Loma Linda University Medical Center, Loma Linda, CA 92350, USA.

Purpose: This article describes the use of various local interpolation flaps for the reconstruction of facial defects resulting from trauma.

Patients And Methods: Fifteen interpolation flaps were used to restore missing tissue of 14 patients who sustained trauma. Two of the procedures were performed as a single stage, whereas 13 flaps required a separate surgery to "take down" the pedicle. Read More

View Article and Full-Text PDF

Tubed flap interpolation in reconstruction of helical and ear lobe defects.

Dermatol Surg 2004 Apr;30(4 Pt 1):572-8

Department of Surgery, Plastic Surgery and Burn Unit, Via Garibaldi 46/ter, 43030 Basilicanova, Parma, Italy.

Background: A useful reconstructive tool, as a delayed method, for marginal defects of the ear of more than 2.5 cm wide with no deficit of the cartilaginous frame and low scapha involvement, consists of tubed flaps raised from neighboring areas. The patients treated with this technique sustained a dog bite in three cases, a human bite in one case, a motorcycle accident in one case, and finally, a burn trauma in two cases. Read More

View Article and Full-Text PDF

Innovations in the island pedicle flap for cutaneous facial reconstruction.

Dermatol Surg 2003 Apr;29(4):378-85

Department of Dermatology, Mayo Clinic, Rochester, Minnesota, USA.

Background: The island pedicle flap is a useful method of reconstruction in dermatologic surgery. Traditionally, the pedicle has been centrally and inferiorly based, with flap movements by rotation or advancement. With innovations, however, the flap is remarkably applicable to a variety of facial defects. Read More

View Article and Full-Text PDF

Techniques for reconstruction of perialar and perialar-nasal ala combined defects.

Dermatol Surg 2000 Nov;26(11):1019-23

Department of Dermatology, University of Colorado Health Sciences Center, Denver 80262, USA.

Background: The nasal ala and perialar areas involve junctions with the nose, cheeks, and lips. Following Mohs surgery, defects in this area often extend across one or more creases or folds, thus requiring repair of more than one reconstructive subunit.

Objective: Our goal is to present various reconstructive techniques required to obtain aesthetic results. Read More

View Article and Full-Text PDF
November 2000

The staged retroauricular to auricular direct pedicle (interpolation) flap for helical ear reconstruction.

J Am Acad Dermatol 1997 Dec;37(6):975-8

Department of Dermatology, University of Michigan Medical Center and Comprehensive Cancer Center, Ann Arbor, USA.

Background: A significant soft-tissue defect involving the helix of the external ear may present a difficult challenge to repair.

Objective: We describe our experience with the staged retroauricular to auricular pedicle flap for repair of soft-tissue defects with exposed cartilage of the helix of the ear.

Methods: The staged pedicle flap was used to repair 26 helical ear defects after excision of basal cell carcinoma (n = 16), squamous cell carcinoma (n = 3), and melanoma (n = 7). Read More

View Article and Full-Text PDF
December 1997

Assessment of neovascularization and timing of flap division.

Plast Reconstr Surg 1984 Mar;73(3):396-402

These studies were undertaken to determine if perfusion fluorometry can provide an accurate, reliable means of monitoring neovascularization and predicting optimal time of flap division. An animal model was developed that permitted daily assessment of neovascularization of the flap using fluorescein injections and the fluorometer. An increase in fluorescence of the pedicle-occluded flap of approximately 12 percent the normal skin fluorescence was associated with 100 percent flap survival. Read More

View Article and Full-Text PDF
  • Page 1 of 1