检索结果-南通市图书馆

Surgical excision of a giant maxillary juvenile ossifying fibroma in mid-face of young children and immediate reconstruction with anterolateral thigh flap

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Surgical excision of a giant maxillary juvenile ossifying fi...

The application of anterolateral thigh flap in post-operative repairing of vulva tumor

2020年全国口腔颌面-头颈肿瘤学术大会暨中华口腔医学会口腔颌面-头颈肿瘤专业委员会学术年会——创新超越、共赢未来

作者：周斌张大明张彬中山大学孙逸仙纪念医院

Purpose/Background:Juvenile ossifying fibroma(JOF) is a benign fibro-osseous but characterized by aggressive growth, its management remains controversial. Materials and Methods:In this study, we present a case of a 2-... 详细信息

关键词： juvenile ossifying fibroma young children immediate reconstruction mid-face defect anterolateral thigh flap

来源： cnki会议评论

在线全文

cnki会议

学校读者我要写书评

暂无评论

The Chinese-German Journal of Clinical Oncology 2010年第9期9卷 539-542页

作者： Qi Zhou Xiangjun Chen Yingjie Yang Department of Obstetrics and Gynecology The Affiliated Hospital of Guiyang Medical College Guiyang 55004 China Department of Orthopaedics The Affiliated Hospital of Guiyang Medical College Guiyang 55004 China

Objective： The aim of this study was to evaluate the value of the application of anterolateral thigh flap in postoperative repairing of vulva tumor. Methods： anterolateral thigh flap with the descending branch of the lateral circumflex femoral artery and the pedicle of anterolaterat thigh cutaneous nerve was used in primary repairing of the defect from postoperative vulva tumor, the sizes of the flaps ranged from 10 cm ×14 cm-14 cm× 20 cm. Results： All flaps survived, during a follow-up of 2 to 12 months, the appearance of the flaps was satisfactory with sensitive function without local recurrences. Conclusion： Anterelateral thigh flap has fairly long vessel pedicle, wider vessel diameter, and is in the covert area. anterolateral thigh flap with sensory nerve is the ideal choice for postoperative repairing of vulva tumor.

关键词： anterolateral thigh flap vulvar tumor repair

Prefabricated anterolateral thigh flaps for Phalloplasty in Female-to-Male Transsexuals

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Chinese Journal of Plastic and Reconstructive Surgery 2021年第1期3卷 11-16页

作者： Chen CHENG Caiyue LIU Sunxiang MA Xiaohai ZHU Kaixiang CHENG Yang LIU Yingfan ZHANG Department of Plastic and Reconstructive Surgery Shanghai Ninth People’s HospitalShanghai Jiao Tong University School of MedicineShanghai 200011China Department of Plastic and Reconstructive Surgery Changzheng HospitalShanghai 200011China

Background Phalloplasty is still a challenging operation because of the high urethral complication *** options regarding different flaps can be chosen,but there is still no perfect solution for phalloplasty in female-to-male(FTM)transgender *** group tried to use prefabricated anterolateral thigh(ALT)flaps for phalloplasty to overcome the urethral *** A total of 21 transgender patients were included from 2010 to 2019.A twostage operation was performed to reconstruct the *** vaginal mucosa was prefabricated as neourethra at the first stage,and the shaft of the phallus was reconstructed at the second *** All reconstructed phallus survived completely in our study,and the satisfaction rate was 76.2%.The total complication rate was 57.1%.The occurrence of fistula and strictures after the operation was 52.4%and 5.8%,respectively Conclusion Prefabricated ALT flaps with vaginal mucosa have a lower stricture *** technique provides a simple,effective surgical option in FTM transsexuals.

关键词： Vaginal mucosal graft Urethra prefabrication anterolateral thigh flap Phalloplasty Female-to-male transsexuals

A Case of Harvesting anterolateral thigh flaps Twice from the Ipsilateral thigh of a Single Patient in Separate Operations

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Surgical Science 2016年第4期7卷 185-190页

作者： Saito Masami Kimura Naohiro Okochi Masayuki Tomizuka Yosuke Onda Masamitsu Ueda Kazuki Department of Plastic and Reconstructive Surgery Fukushima Medical University Fukushima Japan Tsukiji Dermatology Plastic and Hand Surgery Tokyo Japan Department of Plastic and Reconstructive Surgery Social Insurance Funabashi Central Hospital Funabashi Japan Shinwa Clinic Shinjuku Tokyo Japan

Until now, harvesting of flap elevations from the ipsilateral thigh twice in the same patient in two operations has not been reported. We harvested thigh flaps twice from the ipsilateral thigh of a single patient in separate operations. A 44-year-old man had skin defects of the right thumb and the left middle finger. In the first operation, his right thumb was reconstructed by the hemi-pulp flap. The anterolateral thigh flap harvested from the left thigh transferred to the donor site defect of the hemi-pulp flap. Sixteen days after the first operation, another anterolateral thigh flap harvested from the left thigh transferred to the defect of the left middle finger. This operative procedure is very useful for cases requiring multi-flap transfer.

关键词： anterolateral thigh flap Twice from the Ipsilateral thigh Perforator flap

Repair of a severe palm injury with anterolateral thigh and ilioinguinal flaps: A case report

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Clinical Cases 2021年第2期9卷 502-508页

作者： Hong-Yang Gong Xi-Guang Sun Lai-Jin Lu Peng-Cheng Liu Xin Yu Hand and Foot Surgery The First Hospital of Jilin UniversityChangchun 130021Jilin ProvinceChina

BACKGROUND In daily life and work,there are more and more patients with trauma to the hand,which often results in skin and soft tissue *** there are many repair methods,the function and appearance of the fingers will be adversely affected if the repair is *** SUMMARY In the present report we describe an 18-year-old male patient whose right hand was mangled by a machine.X-ray imaging showed that a right hand bone(middle finger)was absent and the alignment was *** hospitalization,he was diagnosed with a severe right hand injury,skin and soft tissue defects,partial finger defects,and a skin degloving *** underwent reconstructive surgery with anterolateral thigh and ilioinguinal *** two repair operations,satisfactory results were obtained,including good fracture healing,good skin flap shape,and good wrist joint *** This case highlights the good effect of anterolateral thigh and ilioinguinal flaps repair technique on severe palm injury.

关键词： Palm injury Mechanical damage anterolateral thigh flap Ilioinguinal flap Case report

Reconstructing abdominal wall defects with a free composite tissue flap:A case report

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Clinical Cases 2021年第7期9卷 1734-1740页

作者： Jun Wang Department of Burn and Skin Repair Surgery Hainan General Hospital(Hainan Affiliated Hospital of Hainan Medical University)Haikou 570311Hainan ProvinceChina

BACKGROUND Reconstructive repair of huge full-thickness abdominal wall defects following debridement for abdominal electric burns remains a clinically challenging *** ideal abdominal wall repair means a re-closure of the defected abdominal wall with pedicled neurovascular myofascial flaps,restoration of the abdominal wall integrity,and maintenance of the abdominal wall muscle tension to prevent the occurrence of abdominal wall *** treating huge full-thickness defects,composite autologous tissue flaps are a good option for the *** SUMMARY This study reported the case of a 43-year-old male patient suffering from fullthickness abdominal wall defects complicated with necrosis of multiple bowel segments and duodenal leak following high-voltage burns involving the left upper limb and *** debridement for abdominal electric burns and end-to-end anastomosis for the necrotic bowels,reconstruction with acellular dermal matrix grafting and vacuum sealing drainage were performed for temporary abdominal *** remaining 18 cm×15 cm full-thickness abdominal wall defect was repaired using a combined anterolateral thigh and tensor fascia lata free *** proposed method achieved the functional reconstruction of the abdominal *** This approach restored the abdominal wall integrity,maintained certain muscle tension,avoided abdominal hernia,reached satisfactory aesthetic effect,and resulted in no complications in the grafting regions.

关键词： Abdominal wall defect anterolateral thigh flap Repair Tensor fascia lata Case report

Established and experimental techniques to improve phalloplasty outcomes/optimization of a hypercomplex surgery

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Plastic and Aesthetic Research 2020年第6期7卷 50-64页

作者： Erin E.Carter Curtis N.Crane Richard A.Santucci Department of Urology Boston University School of MedicineBostonMA 02119USA The Crane Center for Transgender Surgery AustinTX 78746USA

An increasing number of transgender and gender non-conforming patients are seeking genital gender affirming surgeries in order to better align their physical characteristics with their innate gender identity and treat gender *** is the most complex of these surgeries,and this complexity creates a wide range of potential *** of the most common complications and therefore,targets for improvement in outcomes,concern neourethral fistula/stricture,efficacy of reinnervation of the phalloplasty flap,postoperative flap monitoring,and donor site *** the setting of no established"gold standard",this review seeks to describe the components and staging of phalloplasty,with an emphasis on established and experimental solutions to the most common and vexing problems.

关键词： Phalloplasty transgender female to male transmasculine surgical complications radial forearm flap anterolateral thigh flap genital gender confirmation

The Antero-Lateral thigh flap in Coverage of Extensive Post Traumatic Upper Limb Defects

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Surgical Science 2016年第7期7卷 309-315页

作者： Rasha Abdelkader Hossam El Mahdy Tamer Nagy Khairalla Ayman Mansour Nisar Haider Zaidi Plastic Surgery Department Kasr Alainy Hospital Cairo University Cairo Egypt Vascular Surgery Department Kasr Alainy Hospital Cairo University Cairo Egypt Orthopedic Surgery Department Alexandria University Alexandria Egypt Orthopedic Surgery Department Cairo University Cairo Egypt Department of Surgery King Abdulaziz University Hospital Jeddah Saudi Arabia

Objective: To assess the role of antero-lateral thigh flaps in coverage in cases with traumatic injury to the upper limb. Methods: A total of fifteen cases of upper limb trauma were studied between May 2014 and February 2016. Antero-lateral thigh flaps were performed to cover post traumatic upper limb soft tissue defects. Brachial interposition grafts were used in all cases. Harvesting was performed using saphenous vein graft. A 10% larger than defect, flap was used to cover defect. Results: The age range was 15 to 46 years. All 15 cases were male. The indication for soft tissue reconstruction was trauma all patients. Each procedure was performed by a “two team” approach with an experienced surgeon raising the flap and a team preparing the recipient vessels. flap size ranged from 15 to 25 cm in length and from 8 to 10 cm in width. Ischaemic time ranged from 91 to 157 min. We experienced a 100% flap success rate, with good cosmesis and return to function in all cases. Only two anastomoses required explorations or revision. Minor complications were seen in two patients including a superficial wound infection and a small wound dehiscence. The donor site was closed directly all cases, light dressing with slab support was utilized in all patients Early postoperative management warming the patient, half-hourly flap observations, and ensuring adequate hydration and urinary output. All patients received antithrombotic therapy. Conclusion: The anterolateral thigh flap is one of the most versatile and useful perforator flaps for multidimensional reconstructions for head and neck, limb, trunk, and perineal region. It can be ultrathin flap for resurfacing and filling dead spaces with superior functional and aesthetic outcomes.

关键词： anterolateral thigh flap Perforator Trauma Defects

Penoscrotal defect:a functional,esthetic,and psychological challenge

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Plastic and Aesthetic Research 2016年第1期3卷 64-67页

作者： Durga Karki Pankaj Kumar Patel Ravi Prakash Narayan Department of Burns Plastic and Maxillofacial SurgerySafdarjung HospitalNew Delhi 110029India

Aim:Penoscrotal defects may be caused by a variety of *** of the penoscrotal region is required not only for aesthetic appearance but also for functional and psychological *** techniques have been described for penoscrotal reconstruction reflecting the challenge and complexity of the region *** suggests that no single method is satisfactory for all types and degrees of tissue *** prospective study was conducted in a tertiary care hospital in India,over a period of 5 ***:Eighteen patients with penoscrotal defects of varying etiology were included in the study and underwent different surgical *** of the patients ranged from 20 to 60 *** etiology of penoscrotal defect was Fournier’s gangrene in 12 cases,trauma in 4 cases,and burn in 2 *** patients with Fournier’s gangrene were initially treated by debridement,drainage,and *** penoscrotal defects were treated with local flap advancement with skin grafting(n=7),pedicled anterolateral thigh flap(n=4),gracilis muscle flap with split skin grafting(n=4),and medial thigh flap(n=3).Results:There was complete healing in 16 patients with minor complications in the form of partial skin graft loss(n=1)and wound dehiscence(n=1).Results were highly satisfactory in 6 patients,satisfactory in 8 patients,and not satisfactory in 4 *** at the donor site was limited and ***:The vast arsenal of options for penoscrotal defect coverage ranges from skin grafting to flaps,and every case needs a customized approach with regard to its feasibility,outcome,and complication *** should be the preferred choice over the skin grafts because of the superior functional and aesthetic results and better compliance.

关键词： anterolateral thigh flap gracilis muscle flap penoscrotal defect