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tissue transfer
Indications:
- reconstruction of traumatic wounds
- reconstruction of cosmetic disorder
- reconstructionn of head & neck cancer
- cutaneous ulcer refractory to medical therapy
Procedure:
- movement of tissue from one site on the body to another
- a free flap implies that tissue, along with its blood supply, is detached from its origin & transferred to its destination
- a pedicled flap implies that tissue is left attached to its origin & simply transposed to its destination intact as a supply of blood to the destination tissue
Complications:
- infection
- scarring &/or skin discoloration
- hemorrhage or hematoma
- skin or fat necrosis
- poor wound healing or wound separation
- anesthesia, dysesthesia
- deep vein thrombosis
- persistent edema
- persistent pain
- cosmetic disorder
Specific
conjunctival flap
finger/toe flap
free flap
head & neck myofasciocutaneous flap
muscle flap
musculocutaneous flap
myocutaneous flap
osteocutaneous flap
pedicle flap
sensate flap
skin flap
tissue flap eyelid/nose/ear/lip
tissue flap forehead/cheek/chin/mouth/neck/axilla/genitalia/hand/foot
tissue flap scalp
tissue flap scalp/extremity
tissue flap, trunk
zygomaticofacial flap; midface flap
General
general surgery
References
- Hohlfeld J et al,
Tissue engineerd fetal skin contructs for paediatric burns.
Lancet 366(9488):840, 2005
PMID: 16139659
- NIGMS-Supported Basic Research on Skin Replacement Following
Burn or Trauma Injury
http://www.nigms.nih.gov/news/features/artificial_skin.html
- Kita N
The Use of Flap Techniques in Reconstructive Plastic Surgery
http://plasticsurgery.about.com/od/reconstructiveprocedures/a/flaps.htm