Reconstruction of large rectangular infraorbital and malar skin defects in elderly patients with a modified “reading man flap” using local tumescent anesthesia

Abstract

The modified "reading man flap" is a good option for the closure of larger rectangular facial skin defects especially in elderly patients, and the use of at least 40 ml of tumescent solution is suggested to achieve optimal pain control.

Surgical treatment of pyoderma gangrenosum with negative pressure wound therapy and split thickness skin grafting under adequate immunosuppression is a valuable treatment option: Case series of 15 patients

“…All interventions were performed under local tumescence anesthesia as previously described. 5 STSGs were secured by NPWT for 3 to 5 days. Ten patients healed completely and primary healing without recurrence after the first treatment cycle occurred in 9 of those patients, while patient 5 healed after 2 recurrences.…”

Split‐thickness skin grafting for reconstruction of auricular skin defects: a statistical analysis

“…In addition to an auricular block, all surgical procedures were performed under slow manual subcutaneous tumescent anesthesia (as previously described ) using a mepivacaine 0.4 % solution in ringer lactate and epinephrine 0.001 %. The volume required varied from 30–70 mL.…”

Spalthauttransplantation zur Defektdeckung am Ohr: eine statistische Analyse

“…Alle chirurgischen Eingriffe wurden unter langsamer manueller subkutaner Tumeszenzanästhesie mit zusätzlichem Block des Nervus auricularis durchgeführt. Verwendet wurde 0,4 % Mepivacain in Ringer‐Laktat‐Lösung mit 0,001 % Adrenalin.…”