Coffee and Free Flaps

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Modern Oral Cavity Reconstruction with Free Flaps and Pedicled Flaps

Small defects resulting from tumor ablation can be successfully managed with primary closure (i.e., limited excisions within the oral cavity), sometimes can be left to heal for secondary intention (transoral oropharyngeal/laryngeal/hypopharyngeal resections) or can be resurfaced using skin grafts or small local flaps, but in the majority of the cases the resulting defect requires a flap transpo...

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Perforator Relocation in Free Style Local Perforator Flaps

Local perforator flaps have evolved over the time to provide complete and stable coverage of soft tissue defects. Technical advances and experience with the perforator flaps have allowed the harvest of local perforator flaps in a free style manner by offering greater freedom in flap selection. We have proposed a technical modification in the harvest of a perforator flap by relo-cating the perfo...

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THE CLINICAL APPLICATION OF PREFABRICATED FREE FLAPS FOR NASAL RECONSTRUCTION

We have found prefabrication of hairless radial forearm free flap to be a useful technique for nasal reconstruction. Prior skin grafting and a suitable period of maturation permits safe, reliable surgery. Its use should be considered in those patients whose forehead tissue is not suitable or in whom appropriate distant flaps are not available, as is often the case with hirsute males.

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Regional anesthesia alone for pediatric free flaps.

Microvascular surgery plays an important reconstructive role in the pediatric population. Successful outcomes rely on surgical technique as well as anesthesia. Regional anesthesia contributes to successful free tissue transfer through sympathetic blockade, postoperative pain control, and elimination of risks and costs associated with general anesthesia. While regional anesthesia in microsurgery...

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Accidental dropping or misplacement of free flaps.

OBJECTIVES/HYPOTHESIS Standard operating procedures have been developed in many surgical practices to ensure quality of care as it relates to specimens removed from the body. Most of these specimens are sent to pathology. Some, such as calvarial bone harvested during craniotomy are replaced in the body. Free tissue transfer involves harvesting tissue from one body site, storage for a variable p...

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ژورنال

عنوان ژورنال: Plastic and Reconstructive Surgery

سال: 2019

ISSN: 0032-1052

DOI: 10.1097/prs.0000000000005854