Flap in Head and Neck Reconstructions

Apr 26, 2020 by in OTOLARYNGOLOGY Comments Off on Flap in Head and Neck Reconstructions

Fig. 9.1 (a, b) The perforator’s course is evaluated with a CTA exam. The “best” perforator should have a short intramuscular portion to facilitate the dissection during surgery With the…

read more

Crest Free Flap

Apr 26, 2020 by in OTOLARYNGOLOGY Comments Off on Crest Free Flap

Fig. 11.1 Flap design 11.4.2 Surgical Steps 11.4.2.1 Step 1 The cutaneous and subcutaneous layers are incised along the designated line using a blade or electric scalpel, for 20 cm, of…

read more

Free Flap

Apr 26, 2020 by in OTOLARYNGOLOGY Comments Off on Free Flap

Scheme 13.1 Anatomy of the flap and leg compartments The lower leg is divided into four compartments: anterior, lateral, posterior, and deep. The anterior compartment is bounded by interosseous membrane…

read more

System

Apr 26, 2020 by in OTOLARYNGOLOGY Comments Off on System

Fig. 10.1 Anatomical landmark identification and patient positioning 10.3.2 Flap Design The main surgical landmarks are the scapula especially the tip and the lateral board, the anterior superior iliac spine,…

read more

Abdominis Free Flap

Apr 26, 2020 by in OTOLARYNGOLOGY Comments Off on Abdominis Free Flap

Fig. 6.1 Doppler identification of the vascular pedicle 6.3.2 Patient Positioning Flap harvesting is performed with the patient in the supine position. The abdomen is exposed from the xiphoid to…

read more

Thigh Flap

Apr 26, 2020 by in OTOLARYNGOLOGY Comments Off on Thigh Flap

Fig. 8.1 Anatomy of perforator vessels in ALT flap 8.1.2 Artery The deep femoral artery is a branch of the femoral artery that travels down the thigh closed to the…

read more

Forearm Flap

Apr 26, 2020 by in OTOLARYNGOLOGY Comments Off on Forearm Flap

Fig. 5.1 Vascular and nervous anatomy of the flap 5.2 Analytical Factors and Technical Considerations 5.2.1 Venous Drainage: Superficial and Deep Vein System Since the initial description of RFFF by…

read more

Techniques

Apr 26, 2020 by in OTOLARYNGOLOGY Comments Off on Techniques

Fig. 3.1 Surgeons working position at microscope For both surgeon and assistant, the ideal position for a micro-anastomosis is on the surface, not in a deep hole or under a…

read more
Get Clinical Tree app for offline access