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Free tensor fasciae latae flap for abdominal wall reconstruction: overview and new innovation
Free tensor fasciae latae flap for abdominal wall reconstruction: overview and new innovation
Chalfoun CT, McConnell MP, Wirth GA, Brenner KA, Evans GR, Kobayashi M. 20 May 2015Journal of reconstructive microsurgery (2012)
Extensive abdominal wall defects may result from tumor extirpation, traumatic injury, or soft tissue infections. Extensive traumatic injuries can often disrupt the soft tissue content of the abdomen as well as the bony support provided by the pelvis. Reconstruction of the lower abdomen should aim to recreate dynamic stability. Five patients with extensive lower abdominal wall disruption following traumatic injuries or infection were treated using a novel flap for functional reconstruction. We devised a free neurotized osteomyocutaneous tensor fasciae latae (TFL) flap that would restore bony continuity by providing a vascularized bone graft and simultaneously maintain the integrity of the attachment of the tensor fascia latae muscle to the iliac crest, reestablishing musculofascial continuity.
Download abstractFree anterolateral thigh fascia lata flap for complex nasal lining defects
Free anterolateral thigh fascia lata flap for complex nasal lining defects
Seth R, Revenaugh PC, Scharpf J, Shipchandler TZ, Fritz MA. 20 May 2015JAMA facial plastic surgery (2013)
To introduce a novel technique for the reconstruction of complex nasal lining defects using the free vascularized anterolateral thigh fascia lata flap.Free anterolateral thigh fascia lata flaps were used to replace nasal lining in 5 patients with total or subtotal rhinectomy defects. We performed a retrospective medical record review.
No flap failure or lining loss was observed, and harvest site morbidity was negligible. Patients achieved satisfactory nasal form and patent nasal airways without a need for repeated revisions. In 2 patients, the anterolateral thigh flap was used simultaneously to restore the midface contour or to repair anterior skull base defects
Download abstractComparison of autogenous cartilage, acellular dermis, and solvent-dehydrated pericardium for the prevention and correction of dorsal nasal irregularities: an experimental study.
Comparison of autogenous cartilage, acellular dermis, and solvent-dehydrated pericardium for the prevention and correction of dorsal nasal irregularities: an experimental study.
Çöloglu H, Uysal A, Tiftikçioglu YÖ, Oruç M, Koçer U, Coskun E, Ramadan SU, Astarci MH. 20 May 2015Aesthetic plastic surgery (2012)
Numerous materials have been used for the correction and prevention of dorsal nasal irregularities. Experimental and clinical studies have been useful but have provided insufficient results for several reasons, including the impossibility of obtaining pathologic specimens from aesthetic patients and imprecise experimental models. In this study, an experimental model for rhinoplasty is used for the comparative evaluation of solvent-dehydrated pericardium, acellular dermal matrix, and autogenous ear cartilage as onlay grafts for the prevention and correction of nasal dorsal irregularities. We used an experimental rabbit rhinoplasty model that has a human nose-like osteocartilaginous junction. Thus, our goal is to get a more realistic idea about the features of these three materials.
Download abstractThe clinical applications of human amnion in plastic surgery
The clinical applications of human amnion in plastic surgery
N.G. Fairbairn, M.A. Randolph, R.W. Redmond 20 May 2015Journal of Plastic, Reconstructive & Aesthetic Surgery (2014)
Amnion is widely available, economical and is easy to manipulate, process and store. Although many clinical applications are of historical interest only, amnion offers an alternative source of multi-potent or pluripotent stem cells and therefore may yet have a great deal to offer the plastic surgery and regenerative medicine community. It is the purpose of this article to review the clinical applications of human amnion relevant to plastic surgery.
Download abstractFree fascia lata repair for a second recurrent congenital diaphragmatic hernia
Free fascia lata repair for a second recurrent congenital diaphragmatic hernia
Akihide Sugiyama, Koji Fukumoto, Hiroaki Fukuzawa, Kentaro Watanabe, Maki Mitsunaga, Susam Park, Naoto Urushihara 20 May 2015Journal of Pediatric Surgery (2011)
Repair of recurrent congenital diaphragmatic hernia (CDH) continues to be a difficult problem.
Although several materials have been used to repair recurrent CDH, the ideal material has yet to be
established. We report the successful use of an autologous free fascia lata graft to repair the diaphragm following a second recurrence of CHD. The fascia lata is one of the strongest fascia in the body and is easy to obtain without extremity functional loss even in children. This procedure is regarded as effective for the repair of recurrent CDH.
Download abstractPrelaminated fascia lata free flap for large nasal septal defect reconstruction
Prelaminated fascia lata free flap for large nasal septal defect reconstruction
Bank J, Beederman M, Naclerio RM, Gottlieb LJ 20 May 2015Journal of plastic, reconstructive & aesthetic surgery (2014)
Nasal septal defects can be challenging to repair, given their location, size, and the unique, tri-layered structure of the septum, which includes a thin piece of cartilage positioned between mucosal layers. The report herein presents a case of a 47 year-old woman with a large symptomatic nasal septal perforation, despite saline irrigations and ointment. Placement of a septal button or a traditional surgical approach was not considered because of the extremely large nature of the perforation. We describe the use of a tri-layered fascia lata flap prelaminated with buccal mucosa grafts to successfully repair this complicated defect.
Download abstractVeritas bovine pericardium for immediate breast reconstruction: a xenograft alternative to acellular dermal matrix products.
Veritas bovine pericardium for immediate breast reconstruction: a xenograft alternative to acellular dermal matrix products.
Mofid MM, Meininger MS, Lacey MS. 20 May 2015European journal of plastic surgery (2012)
The technical advantages in utilizing human acellular dermal matrix (ADM) products as pectoral extenders in immediate breast reconstruction with tissue expanders or implants are well documented in the medical literature. In this study, the authors examine a commonly used biologic xenograft product that has not yet been described in the medical literature for use in immediate breast reconstruction to determine whether a lower overall complication rate is identified compared to published data on ADM products.
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The bovine pericardial patch in breast reconstruction: a case report
The bovine pericardial patch in breast reconstruction: a case report
Semprini G, Cattin F, De Biasio F, Cedolini C, Parodi PC. 20 May 2015Il Giornale di chirurgia (2012)
In the last years there has been a growing demand of plastic surgery for soft tissue reconstruction. In response to this, many biological and synthetic devices have been produced, aiming to allow wide and complex body reshapings. Acellular dermal matrices are one of these devices, and are made of human or animal tissues made acellular after their sampling. They are used for cervical, breast and abdominal wall reconstruction.
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Protocol to cryopreserve and isolate nuclei from adipose tissue without dimethyl sulfoxide
Protocol to cryopreserve and isolate nuclei from adipose tissue without dimethyl sulfoxide
Mand R.M.G. Garcia.M. Almeida, L.C.J. Caires, C.M. Musso, J.M.S. Campos, C.M.C. Maranduba, G.C. Macedo, J.P.R.F. Mendonça 28 February 2015Abstract
Cryopreservation injuries involve nuclear DNA damage. A protocol for cryopreserving and isolating adipocyte nuclei is proposed. Adipose tissue samples were directly analyzed (NoCRYO-0h), or stored at -196°C for 7 days without 10% dimethyl sulfoxide (DMSO) (CRYO-WO-DMSO) or with DMSO (CRYO-W-DMSO). To determine the effect of DMSO on cryopreservation treatment, adipose tissue samples were stored at 4°C for 24 h with 10% DMSO (NoCRYO-W-DMSO-24h) and without (NoCRYO-WO-DMSO-24h). Samples were processed in isolation buffer, and nuclear integrity was measured by flow cytometry. The coefficient of variation, forward scatter, side scatter, and number of nuclei analyzed were evaluated. Pea (Pisum sativum) was used to measure the amount of DNA. All groups contained similar amounts of DNA to previously reported values and a satisfactory number of nuclei were analyzed.
Cross-facial nerve grafting for facial reanimation
Cross-facial nerve grafting for facial reanimation
Peng GL, Azizzadeh B 30 April 2015Dynamic facial reanimation is the gold standard treatment for a paralyzed face. Over the last century, multiple nerves have been utilized for grafting to the facial nerve in an attempt to produce improved movement. However, in recent years, the use of cross facial nerve grafting with a second stage gracilis free flap has gained popularity due to the ability to generate a spontaneous smile and facial movement. Preoperative history taking and careful examination, as well as pre-surgical planning, are imperative to whether cross facial nerve grafting with a second stage gracilis free flap is appropriate for the patient. A sural nerve graft is ideal given the accessibility of the nerve, the length, as well as the reliability and ease of the nerve harvest. The nerve can be harvested using a small incision, which leaves the patient with minimal post operative morbidity. In this chapter, we highlight the pearls and pitfalls of cross facial nerve grafting.
Download abstractA novel use of amniotic membrane for fingertip injuries
A novel use of amniotic membrane for fingertip injuries
Fijan A, Hashemi A, Namazi H 18 May 2014Journal of wound care (2014)
Fingertip injuries, which are the most common hand injury, represent management challenges for hand surgeons. Full thickness skin grafts are routinely used to cover the fingertip site, but has significant donor site morbidity. As amniotic membranes (AM) are used as a dressing substitute in burns, we decided to evaluate the efficacy of AM as a biologic wound dressing material for coverage of these injuries.
Versatility of pedicled tensor fascia lata flap: a useful and reliable technique for reconstruction of different anatomical districts
Versatility of pedicled tensor fascia lata flap: a useful and reliable technique for reconstruction of different anatomical districts
Akhtar MS, Khurram MF, Khan AH 20 May 2014Plastic surgery international (2014)
The aim of this study was to evaluate the versatility of pedicled tensor fascia lata flap for reconstruction of various anatomical regions. Materials and Methods. In this retrospective study a total of 34 patients with defects over various anatomical regions were included. The defects were located over the trochanter (n = 12), groin (n = 8), perineum (n = 6), lower anterior abdomen (n = 6), gluteal region (n = 1), and ischial region (n = 1). The etiology of defects included trauma (n = 12), infection (n = 8), pressure sores (n = 8), and malignancy (n = 6). Reconstruction was performed using pedicled tensor fascia lata flaps
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Versatility of pedicled tensor fascia lata flap: a useful and reliable technique for reconstruction of different anatomical districts
Versatility of pedicled tensor fascia lata flap: a useful and reliable technique for reconstruction of different anatomical districts
Akhtar MS, Khurram MF, Khan AH 20 May 2015Plastic surgery international (2014)
The aim of this study was to evaluate the versatility of pedicled tensor fascia lata flap for reconstruction of various anatomical regions. Materials and Methods. In this retrospective study a total of 34 patients with defects over various anatomical regions were included. The defects were located over the trochanter (n = 12), groin (n = 8), perineum (n = 6), lower anterior abdomen (n = 6), gluteal region (n = 1), and ischial region (n = 1). The etiology of defects included trauma (n = 12), infection (n = 8), pressure sores (n = 8), and malignancy (n = 6). Reconstruction was performed using pedicled tensor fascia lata flaps
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Pubblicazione Scientifica
Pubblicazione Scientifica
F. Silan, F. Consiglio, F. Dell'Antonia, G. Montagner, D.Trojan and G. Berna 10 February 2020Cryopreserved fascia lata allograft use in surgical facial reanimation: a retrospective study of seven cases
Silan et al. Maxillofacial Plastic and Reconstructive Surgery. 2020
Abstract
Facial palsy treatment comprises static and dynamic techniques. Among dynamic techniques, local temporalis transposition represents a reliable solution to achieve facial reanimation. The present study describes a modification of the temporalis tendon transfer using a cryopreserved fascia allograft.. Between March 2015 and September 2018, seven patients with facial palsy underwent facial reanimation with temporalis tendon transfer and fascia lata allograft. Patients with long-term palsy were considered, and both physical and social functions were evaluated. The mean follow-up time was 21.5 months. No immediate complications were observed. Patients reported improvement in facial symmetry both in static and dynamic. Improvement was noticed also in articulation, eating, drinking, and saliva control. The Facial Disability Index revealed an improvement both in physical function subscale and in the social/well-being function subscale. This modified orthodromic technique allows to reduce the operative time and the risk of complications connected to the use of autologous tissues. The use of the cryopreserved fascia allografts from cadaveric donors seems to provide promising and long-standing results in the treatment of facial palsy.
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