The Experts below are selected from a list of 285 Experts worldwide ranked by ideXlab platform
Stan Monstrey - One of the best experts on this subject based on the ideXlab platform.
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long term evaluation of donor site morbidity after Radial Forearm Flap phalloplasty for transsexual men
The Journal of Sexual Medicine, 2013Co-Authors: Eva Van Caenegem, Evelien Verhaeghe, Youri Taes, Katrien Wierckx, Kaatje Toye, Stefan Goemaere, Hansgeorg Zmierczak, Piet Hoebeke, Stan Monstrey, Guy TsjoenAbstract:Abstract Introduction Phalloplasty using the Radial Forearm Flap is currently the most frequently used technique to create the neophallus in transsexual men (formerly described as female‐to‐male transsexual persons). Although it is considered the gold standard, its main disadvantage is the eventual donor‐site morbidity in a young, healthy patient population. Aim The study aims to examine the long‐term effects of Radial Forearm Flap phalloplasty in transsexual men and to evaluate aesthetic outcome, scar acceptance, bone health, and daily functioning. Main Outcome Measures Scars were evaluated with the patient and observer scar assessment scale, the Vancouver Scar Scale, and self‐reported satisfaction. Bone health was assessed using dual X‐ray absorptiometry and peripheral quantitative computed tomography, and daily functioning using a physical activity questionnaire (Baecke). These measurements were compared with 44 age‐matched control women. Methods This is a cross‐sectional study of 44 transsexual, a median of 7 years after Radial Forearm Flap phalloplasty, recruited from the Center for Sexology and Gender Problems at the Ghent University Hospital, Belgium. Results We observed no functional limitations on daily life activities, a pain‐free and rather aesthetic scar, and unaffected bone health a median of 7 years after Radial foreram Flap phalloplasty. Over 75% of transsexual men were either satisfied or neutral with the appearance of the scar. Conclusions Transsexual men, despite scarring the Forearm, consider the Radial Forearm Flap phalloplasty as worthwhile.
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Penile Reconstruction: Is the Radial Forearm Flap Really the Standard Technique?
Plastic and reconstructive surgery, 2009Co-Authors: Stan Monstrey, Piet Hoebeke, Gennaro Selvaggi, Peter Ceulemans, Koenraad Van Landuyt, Phillip Blondeel, Moustapha Hamdi, Nathalie Roche, Steven Weyers, Greta De CuypereAbstract:Background:The ideal goals in penile reconstruction are well described, but the multitude of Flaps used for phalloplasty only demonstrates that none of these techniques is considered ideal. Still, the Radial Forearm Flap is the most frequently used Flap and universally considered as the standard tec
Is Ogbonnaya - One of the best experts on this subject based on the ideXlab platform.
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The Radial Forearm Flap in reconstruction of upper limb injuries: A case series.
Journal of the West African College of Surgeons, 2011Co-Authors: Ci Otene, Ju Achebe, Is OgbonnayaAbstract:The Radial Forearm Flap is a fasciocutaneous Flap which has established its role in soft tissue reconstruction in the head and neck region as a free Flap. Its value as a useful Flap in soft tissue reconstruction in upper limb injuries has also been recognized. However there has been a dearth of report in our sub region on the use of this Flap. To report the use of Radial Forearm Flap in the reconstruction of traumatic defects in the elbow and hand in our centre. Four cases in which pedicled island Radial Forearm Flaps were successfully used to reconstruct difficult defects in the elbow and hand following injuries were reviewed. Four pedicled island Radial Forearm Flaps were used to reconstruct soft tissue defects in four sites in the upper limb following trauma. One of the Flaps was proximally based for coverage of lateral elbow defect while the others were used to cover defects of dorsum of wrist, mid palmar amputation and first web space. The first web space defect required a fascial Flap and split skin graft cover. All the procedures were single staged and the Flaps survived providing dependable soft tissue cover. The pedicled Radial Forearm Flap was effective in providing skin cover of difficult soft tissue defects in the elbow, wrist and hand of our patients. It is a single stage procedure which allowed for early mobilization of the limb. Design and elevation of the Flap was not as technically demanding as microsurgical tissue transfer which is still in its infancy in most developing countries like Nigeria.
Subramania Iyer - One of the best experts on this subject based on the ideXlab platform.
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Cricotracheal reconstruction with free Radial Forearm Flap and titanium mesh.
Head and Neck-journal for The Sciences and Specialties of The Head and Neck, 2012Co-Authors: Deepak Balasubramanian, Krishnakumar Thankappan, Sharankumar Shetty, Kiran Jayaprasad, Jimmy Mathew, Subramania IyerAbstract:Background Reconstruction after partial cricotracheal resection is technically demanding and is seldom reported in literature. The purpose of this study was to report a technique of reconstruction of such a defect with a Radial Forearm Flap supported by a titanium mesh. Methods A 75-year-old man who was diagnosed with a case of papillary carcinoma thyroid, underwent excision of the tumor with a partial cricotracheal resection. The defect was reconstructed with a free Radial Forearm Flap with fascia suspended on a titanium mesh. Results At a follow-up of 6 months after treatment, the patient has normal nasal breathing and an acceptable voice. Conclusion This reconstructive technique enabled us to maintain the integrity of the subglottic airway. Our technique was unique in that we used the skin-lined part of the Radial Forearm Flap to line the airway and the fascia to cover the titanium mesh outside, thereby preventing plate exposure. © 2012 Wiley Periodicals, Inc. Head Neck, 2012
Greta De Cuypere - One of the best experts on this subject based on the ideXlab platform.
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Penile Reconstruction: Is the Radial Forearm Flap Really the Standard Technique?
Plastic and reconstructive surgery, 2009Co-Authors: Stan Monstrey, Piet Hoebeke, Gennaro Selvaggi, Peter Ceulemans, Koenraad Van Landuyt, Phillip Blondeel, Moustapha Hamdi, Nathalie Roche, Steven Weyers, Greta De CuypereAbstract:Background:The ideal goals in penile reconstruction are well described, but the multitude of Flaps used for phalloplasty only demonstrates that none of these techniques is considered ideal. Still, the Radial Forearm Flap is the most frequently used Flap and universally considered as the standard tec
Guan-ming Feng - One of the best experts on this subject based on the ideXlab platform.
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Comparison of the Radial Forearm Flap and the thinned anterolateral thigh cutaneous Flap for reconstruction of tongue defects: an evaluation of donor-site morbidity.
Plastic and reconstructive surgery, 2004Co-Authors: Chih-hung Huang, Hung-chi Chen, Yau-lin Huang, Samir Mardini, Guan-ming FengAbstract:The Radial Forearm Flap is commonly used for reconstruction of tongue defects following tumor extirpation. This Flap is easy to harvest and offers thin tissue with large-caliber vessels. However, its use leaves behind a conspicuous aesthetic deformity in the Forearm and requires the sacrifice of a major artery of that limb, the Radial artery. The anterolateral thigh cutaneous Flap has found clinical applications in the reconstruction of soft-tissue defects requiring thin tissue. More recently, in a thinned form, the anterolateral thigh Flap has been used for reconstructing defects of the tongue with functional results equivalent to that of the Radial Forearm Flap. For the reconstruction of tongue defects, these two Flaps could provide similar soft-tissue coverage, but they seem to result in different donor-site appearances. The donor site is closed primarily, leaving only a linear scar that is inconspicuous with normal clothing, and no functional deficit is left behind in the thigh. Thus, for the supply of Flaps for tongue defects, a comparison between the Radial Forearm Flap and the anterolateral thigh Flap donor sites is provided in this study. Between December of 2000 and August of 2002, 41 patients who underwent reconstruction of defects of the tongue using either a Radial Forearm Flap or an anterolateral thigh Flap were evaluated. The focus was on the evaluation of the functional and aesthetic outcome of the donor site after harvesting these Flaps for the purpose of reconstructing either total or partial tongue defects. Finally, a comparison was performed between the donor sites of the two Flaps. The disadvantages of the Radial Forearm Flap include the conspicuous unattractive scar in the Forearm region, pain, numbness, and the sacrifice of a major artery of the limb. In some patients, the donor-site scar of the Forearm acted as a social stigma, preventing these patients from leading a normal life. In contrast, the anterolateral thigh cutaneous Flap, after thinning, achieved the same results in reconstructing defects of the tongue without the associated donor-site morbidity. Most importantly, the donor site in the thigh could be closed primarily in almost all patients without any functional deficit. The thinned anterolateral thigh cutaneous Flap is a viable substitute for the Radial Forearm Flap when reconstructing defects of the tongue. The results achieved are similar to those of the Radial Forearm Flap, and the donor-site morbidity is significantly decreased.