Practical uses of the tubed pedicle flap

Gillies, Sir Harold

doi:10.1016/s0002-9610(39)90840-8

Cited by 28 publications

(4 citation statements)

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“…World War I produced the greatest number of facial injuries and burns in the history of warfare and led to the development of modern facial reconstruction by Gillies (20). Gillies developed tubed pedicled flaps for facial reconstruction, as well as pioneering rib autografts and allografts for auricular reconstruction and composite chondrocutaneous grafts for nasal reconstruction (Figure 1) (21)(22)(23)(24). These early cartilage grafts did, however, suffer from significant rates of resorption (22).…”

Section: The Birth Of Facial Plastic Surgerymentioning

confidence: 99%

Facial Cartilaginous Reconstruction—A Historical Perspective, State-of-the-Art, and Future Directions

et al. 2021

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Importance: Reconstruction of facial deformity poses a significant surgical challenge due to the psychological, functional, and aesthetic importance of this anatomical area. There is a need to provide not only an excellent colour and contour match for skin defects, but also a durable cartilaginous structural replacement for nasal or auricular defects. The purpose of this review is to describe the history of, and state-of-the-art techniques within, facial cartilaginous surgery, whilst highlighting recent advances and future directions for this continually advancing specialty.Observations: Limitations of synthetic implants for nasal and auricular reconstruction, such as silicone and porous polyethylene, have meant that autologous cartilage tissue for such cases remains the current gold standard. Similarly, tissue engineering approaches using unrelated cells and synthetic scaffolds have shown limited in vivo success. There is increasing recognition that both the intrinsic and extrinsic microenvironment are important for tissue engineering and synthetic scaffolds fail to provide the necessary cues for cartilage matrix secretion.Conclusions and Relevance: We discuss the first-in-man studies in the context of biomimetic and developmental approaches to engineering durable cartilage for clinical translation. Implementation of engineered autologous tissue into clinical practise could eliminate donor site morbidity and represent the next phase of the facial reconstruction evolution.

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Section: The Birth Of Facial Plastic Surgerymentioning

confidence: 99%

Facial Cartilaginous Reconstruction—A Historical Perspective, State-of-the-Art, and Future Directions

et al. 2021

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“…Reconstruction of tumor defects with local flaps after surgery of skin cancer is an important domain of dermatologic surgery. In a variety of random pattern flaps, such as V–Y‐plasty, W‐plasty, or rotation flaps, a fixation of flap tips by using the Gillies corner stitch (i.e., 3‐point corner stitch) is performed 1 . The Gillies technique consists of a half‐buried horizontal mattress suture, which should result in an apposition of the skin flap tip to recipient wound corners (Figure 1).…”

mentioning

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A Modified Corner Stitch for Fixation of Flap Tips

Bechara¹,

Al-Muhammadi²,

Sand³

et al. 2007

Dermatol Surg

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“…Although the exact mechanism of the delay phenomenon is unknown, theories of arteriovenous shunting, 1 , 2 sympathetic denervation, 3 and alteration of vasoactive substances 4‐7 all lead to a common denominator of reorientation of the blood supply in a cutaneous flap. Gilles, 8 who observed the physiology of tubed flaps, first postulated a simple and attractive theory of the delay phenomenon. He stated that the reorientation of the blood flow produced by delay is the result of the induction of collateral flow from the base of the flap.…”

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Comparison of tunable dye and ktp lasers in nonsurgical delay of cutaneous flaps

Odland

Rice

1995

Otolaryngol.--head neck surg.

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PROBLEM: Reproducing the benefits of the delay phenomenon without the risks and cost of a surgical procedure has long been a goal of skin flap physiologists. After the success of the suture-delay technique and argon tunable dye laser in improving survival in McFarlane skin flaps, important questions remained: (1) will laser delay be effective in dermal flaps, (2) can induction of collateral blood flow be documented, and (3) is the KTP laser, which is generally more available to otolaryngologists, more effective than the argon tunable dye laser. METHODS: The KTP and argon tunable dye lasers were compared by use of the laser-delay technique, with two outcome measures-blood flow and survival. The laser-delay procedure was accomplished with the laser in a noncutting mode in an attempt to coagulate cutaneous vessels at the periphery of a planned skin flap. The objective was to induce collateralization and improve skin flap survival. Patterns of blood flow were tested by use of the base occlusion test. Flap survival of an acute control flap group was compared with that of the laser delay groups. RESULTS: Blood flowing to the distal flap area originated from the base of the flap area after laser delay. Flap survival of the laser delay groups was significantly improved over that of the control group. CONCLUSION: Both lasers were able to effectively induce collateralization and improve flap survival.

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Practical uses of the tubed pedicle flap

Cited by 28 publications

References 1 publication

Facial Cartilaginous Reconstruction—A Historical Perspective, State-of-the-Art, and Future Directions

Facial Cartilaginous Reconstruction—A Historical Perspective, State-of-the-Art, and Future Directions

A Modified Corner Stitch for Fixation of Flap Tips

Comparison of tunable dye and ktp lasers in nonsurgical delay of cutaneous flaps

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