Skin Defect

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Li Bingwa - One of the best experts on this subject based on the ideXlab platform.

  • The laterodigital flap vascularized by digital artery for repair of Skin Defect on the volar suface of digits
    Chinses Journal of Hand Surgery, 2001
    Co-Authors: Li Bingwa
    Abstract:

    Objective To evaluate treatment outcome of laterodiatal flap vascularized by ditial artery for repair of digits volar Skin Defect.Methods 52 digits in 22 cases of volar Skin contracture of digitis and 3 digitis in 2 cases of volar Skin Defect at the base of the digits were involved in the study. After sufficient lysis of the palmar soft tissue contracture,the laterodigital flap was designed according to the shape and size of Skin Defect. The Skin Defect was covered by the flap which contained only the digit artery while digital nerve was preserved. Results All the flaps survived satisfactorily. Postoperative follow up (over 1 year) showed no recurrence of deformity. Conclusions Excellent blood supply was confirmed in laterodigitial flap vascularized by digital artery. It was suitable for repair of digit palmar Skin Defect.

Mikio Koide - One of the best experts on this subject based on the ideXlab platform.

  • evaluation of an artificial dermis full thickness Skin Defect model in the rat
    Biomaterials, 1996
    Co-Authors: Risako Matsui, Kenichi Osaki, Jun Konishi, Kazuhito Ikegami, Mikio Koide
    Abstract:

    An artificial dermis product was applied to full-thickness Skin Defects in rats and cell infiltration into the collagen matrix was investigated. Host fibroblasts and capillaries infiltrated as far as the upper end of the collagen matrix by day 14 after application. Determination of glycosaminoglycan levels in the matrix showed that hyaluronic acid was generated in a similar amount to that seen in the intact Skin by day 14. An autologous thin split-thickness Skin graft was placed onto the artificial dermis simultaneously or several days after its application to the Defect. The take rate was 100% when a split-thickness Skin graft was performed on day 14 after application of the artificial dermis. At 6 weeks after the Skin Defect was created, the wound area was 80% of the original area and the dermis at the grafted site was as thick as that of normal Skin. These results suggested that the artificial dermis provides a good matrix for thin split-thickness Skin graft and is useful for the reconstruction of full-thickness Skin Defects. This method is considered to be an alternative to the conventional procedure using thick Skin grafts or Skin flaps.

Yurren Kuo - One of the best experts on this subject based on the ideXlab platform.

  • single free anterolateral thigh flap for simultaneous reconstruction of composite hypopharyngeal and external neck Skin Defect after head and neck cancer ablation
    Microsurgery, 2011
    Co-Authors: Ngian Chye Tan, Mingchung Yeh, Hsiangshun Shih, Rico P Nebres, Johnson Chiashen Yang, Yurren Kuo
    Abstract:

    Single flap for complex hypopharyngoesophageal and anterior neck Skin Defect reconstruction is still a challenge for reconstructive surgeons. Herein, we present five patients, with advanced hypopharyngeal cancer and anterior neck Skin invasion, which received a single anterolateral thigh (ALT) fasciocutaneous flap for composite inner pharyngeal and outer Skin Defect reconstruction after wide composite resection. Two ALT flaps were divided into two distinct paddles supplied by two or more separate perforators, one part for reconstructing the inner pharyngeal Defect and another for neck Skin coverage. Three ALT flaps only supplied by one sizable perforator could not be divided and de-epithelization of mid-part had to be done to reconstruct both Defects with the single flap. The results revealed survival of all flaps. There were no flap loss, fistulas, or bleeding complications. All patients recovered uneventfully and could eat a soft diet to regular diet postoperatively. In conclusion, one-staged reconstruction of complex pharyngoesophageal and external Skin Defects after extensive oncological resection is feasible using a single ALT fasciocutaneous free flap. © 2011 Wiley-Liss, Inc. Microsurgery, 2011.

Selva S. R. Sakthipalan - One of the best experts on this subject based on the ideXlab platform.

Sakthipalan Selva - One of the best experts on this subject based on the ideXlab platform.