Flap Basics III

Reckley, Lauren K.; Peck, Jessica J.; Roofe, Scottie B.

doi:10.1016/j.fsc.2017.03.006

Cited by 14 publications

(9 citation statements)

References 24 publications

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“…The larger D5 is, the more remnant tissue could be transposed to the established position, which offers the possibility of creating a more vivid reconstructed earlobe. Considering the elasticity and extensibility properties of the skin flap as well as length consumption during superior transposition, 17,18 the distance between points A2 and D 0 is slightly longer than that between points C 0 and D 0 . In our experience, their ideal ratio is approximately between 1 and 1.2.…”

Section: Discussionmentioning

confidence: 99%

New Strategies for Remnant Ear Treatment in Microtia Reconstruction Based on Morphometric Studies

Xu,

Li,

et al. 2023

The Laryngoscope

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ObjectiveGiven the lack of specific evaluation indices, it is difficult to determine whether to transpose or abandon remnant ears in lobule‐type microtia reconstruction. The authors illuminate referable parameters beneficial for proper treatment of remnant ear in an efficient manner.MethodsA series of 359 lobule‐type microtia patients underwent autogenous costal cartilage auricular reconstruction between 2016 and 2021. Fourteen measuring points and defined distances as well as six ratios of specific distances based on position, plumpness, similarity and the width‐to‐length ratio of the remnant ear have been described, and relevant tactics for appropriate treatments are introduced.ResultsDefinite morphometric results contribute to attaining satisfactory contours of reconstructed auricles with harmonious earlobes, which exhibit highly similar dimensions and appearances compared to the contralateral normal ears.ConclusionWith the help of the proposed locating points and measuring approaches, the procedure of remnant ear treatment is systematically clarified. This technique ensures operation safety and contributes to the aesthetic contour of the auricle.Level of EvidenceIV Laryngoscope, 2023

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Section: Discussionmentioning

confidence: 99%

New Strategies for Remnant Ear Treatment in Microtia Reconstruction Based on Morphometric Studies

Xu,

Li,

et al. 2023

The Laryngoscope

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“…Transposition flaps were frequently to be rotated between 45°a nd 90°. However, there was a tension overlap between primary and secondary defects if the angle was too small, resulting in limited extent of flap and heavy scar (17,18). When the transposition angle was larger than 90°, the effective length of the flap would decrease significantly and a larger flap was thus needed (15,16).…”

Section: Discussionmentioning

confidence: 99%

“…Important points of operation in our center were as follows: (1) Flaps selection: The defects should be repaired in the same facial subunit with local flaps. Cross-facial aesthetic unit flaps like expanded flaps were utilized for larger defects only when local flaps are not sufficient (18). Efforts should be made to feel for areas with a greater laxity and examine the effects of different tension vectors on adjacent skins.…”

Section: Discussionmentioning

confidence: 99%

Application of vertical transposition flap in closure for large facial soft tissue defects in children

Feng

Chen

2023

Front. Pediatr.

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BackgroundWhile transposition flap is widely used for the repairs of facial defects, few studies has reported its application among children with large defects. In this study, we aimed to investigate the surgical techniques and principles in different locations on face of vertical transposition flap in children.MethodsWe retrospectively reviewed our hospital database and identified children who were treated with vertical transposition flap for large facial defects between January 2014 and December 2021. Information was collected including patients' demographics, location and dimension of the lesion, surgical procedure, additional surgeries, complications, and outcomes.ResultsA total of 122 patients (77 boys, 63.1%) were included in this study. The average age for participants was 3.3 years (3 months to 9 years). One hundred and four (85.3%) patients had melanin nevus and 18 (14.8%) had sebaceous nevus. The average size of defects was 5.8 cm2 (ranging from 0.8–16.5 cm2). Ten patients (8.2%) suffered from dermal layer or full-thickness necrosis in the distal part of their flaps, They all recovered after conservative treatment and there were noticeable scars at discharge. Five patients (4.1%) had slight traction of the mouth and eyelid, all recovered about 2 week after surgery. An acceptable cosmetic outcome was achieved for all the patients at last time follow-up.ConclusionsRepairing large facial defects with vertical transposition flap is effective in Children, especially on forehead, cheek and mandible. However, this technique is far from perfect. Careful selection of appropriate patients and flap design might be needed.

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“…( The students will receive didactic material seven days before the presential meeting to learn about the cutaneous flap's basic concepts. (Lucas, 2017;Reckley et al, 2017;Shew et al, 2017;Starkman et al, 2017) Additionally, we will send a questionnaire to evaluate the theoretical knowledge regarding the cutaneous flap planning and its design. (Appendix A)…”

Section: Learning Methodologymentioning

confidence: 99%

“…They will receive synchronous feedback to correct and check the flap's designs. (Lucas, 2017;Reckley et al, 2017;Shew et al, 2017;Starkman et al, 2017).…”

Section: Learning Methodologymentioning

confidence: 99%

The use of simulation with non-living model to enhance medical students' learning in a surgical training course

Camargo¹,

Barbosa

Maluf

et al. 2020

ppcrj

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Introduction: Considering the new medical curriculum program, we planned a non-Vivo model training program to teach the cutaneous flap's basic concepts. The purpose of this protocol is to create a basic flap training program for junior surgeons. Methods: Seven days before the presential meeting, the didactic material and a questionnaire (pre-test) to measure the theoretical knowledge will be sent to students. At the meeting day, we will discuss the basic concepts of the cutaneous flap (15 minutes). Then the participants will design and explain several cutaneous flaps design in an ethyl-vinyl-acetate foil (30min). After this training, they will go to the wet lab, and they will perform all the cutaneous flap in a porcine belly non-living model (30min). We will assess participant performance by applying a Global rate scale, confidence level scale (Likert scale) in three different periods (pre-test, immediately post-training, and three months after surgical training). We will analyze all data using non-parametric tests to learn about the efficacy of this method. Discussion: This program aims to increase the student's confidence level as this may reflect somehow his future competence. This study aims to present a step-wise learning method to teach the basic concepts of cutaneous flaps; this method will also help with the consolidation of the learning skills.

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Flap Basics III

Cited by 14 publications

References 24 publications

New Strategies for Remnant Ear Treatment in Microtia Reconstruction Based on Morphometric Studies

New Strategies for Remnant Ear Treatment in Microtia Reconstruction Based on Morphometric Studies

Application of vertical transposition flap in closure for large facial soft tissue defects in children

The use of simulation with non-living model to enhance medical students' learning in a surgical training course

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