Subcutaneous pedicle propeller flap: An old technique revisited and modified!

Subcutaneous pedicle propeller flap: An old technique revisited and modified!

BACKGROUND Post-burn axillary and elbow scar contracture is a challenging problem to the reconstructive surgeon owing to the wide range of abduction and extension that should be achieved, respectively, while treating either of the joint. The aim of this paper is to highlight the use of subcutaneous pedicle propeller flap for the management of post-burn axillary and elbow contractures. METHODO...

The eight-limb modified propeller flap--a safer new technique.

INTRODUCTION Contracture deformities affecting the flexor aspect of the elbow joint and the 1st web space are not uncommon sequelae of burns. Surgical treatment is contemplated in those patients with established contractural deformities in whom non-surgical treatment is ineffective or functional integrity of the joint is at jeopardy. Surgical treatment consists of incising the scar tissue to re...

Pull-through subcutaneous pedicle flap for an anterior auricular defect.

Transsphenoidal approach with nasoseptal flap pedicle transposition: modified rescue flap technique.

INTRODUCTION The adoption of vascular pedicled flaps to reconstruct skull base defects following endoscopic endonasal skull base surgery is a significant milestone in the development of endoscopic endonasal approaches (EEAs). In 2006, Hadad and Bassagaisteguy introduced the pedicled nasoseptal flap (NSF). The NSF decreased initial postoperative cerebrospinal fluid (CSF) leak rates from >20% to ...

A Modified Vascular Delay Technique to Keep a Congested Perforator-Based Propeller Flap Afloat

Background: The perforator-based propeller flap is a versatile technique that has proven utility in complex lower extremity and lumbar reconstructions. Yet, this flap is prone to venous congestion due to its single-perforator design. In the setting of a congested propeller flap, it is often abandoned and a secondary flap option is utilized. The vascular delay technique has been successfully use...