Secret scar free gracilis flap.

Détails

ID Serval
serval:BIB_C47A7303CE1B
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Secret scar free gracilis flap.
Périodique
Journal of Reconstructive Microsurgery
Auteur(s)
Tremp M., Wettstein R., Raffoul W., Schaefer D.J., Kalbermatten D.F.
ISSN
1098-8947 (Electronic)
Statut éditorial
Publié
Date de publication
2012
Volume
28
Numéro
5
Pages
341-344
Langue
anglais
Notes
Publication types: Journal ArticlePublication Status: ppublish
Résumé
The gracilis free flap is a workhorse in plastic surgery. We present a modified technique that relies on a single horizontal thigh-lift-type approach, which (1) gives wide pedicle exposure, (2) provides material for skin grafting, and (3) allows for distal flap transection without an additional incision. Eighteen gracilis free flaps were performed from 2007 to 2009 for lower extremity reconstruction. Complete flap survival was observed in 17 patients with one partial necrosis distally. Our approach allowed access to divide the distal gracilis tendon without a second incision in all cases. The mean scar length was 16 ± 3 cm and no hypertrophic scars were observed. In 15 patients, no visible scar was observed in the upright position, and in three patients, the scar was visible dorsally (2 ± 1 cm). No sensory deficits were observed 6 months postoperatively. In addition, the split-thickness skin graft harvested from the skin paddle was sufficient to cover all defects.
Mots-clé
Adult, Aged, Aged, 80 and over, Cicatrix/prevention & control, Esthetics, Free Tissue Flaps, Humans, Lower Extremity/surgery, Middle Aged, Muscle, Skeletal/transplantation, Reconstructive Surgical Procedures/methods
Pubmed
Web of science
Création de la notice
05/07/2012 19:09
Dernière modification de la notice
03/03/2018 21:13
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