What is supraclavicular flap?
The supraclavicular flap is a thin, axial, fasciocutaneous flap that may be used for reconstruction of tracheal-stomal, mandible, intra-oral, parotid, neck (eg. exposed carotid arteries), pharyngeal wall, skull base, and cutaneous facial defects.
What is island flap?
The island pedicle flap uses an island of skin that is detached from its epidermal and dermal attachments while retaining its vascular supply from an underlying pedicle to repair a cutaneous defect.
What is Homodigital island flap?
Abstract. Background: The homodigital reverse vascular island flap-a regional, axial-patterned skin flap elevated with a vascular pedicle from the proximal digit-is a one-step procedure used to replace skin and soft tissue loss or destruction in the distal finger.
Where is the supraclavicular artery?
The supraclavicular artery is located in a triangle delineated by the posterior border of the sternocleidomastoid muscle medially, the external jugular vein posteriorly, and the median portion of the clavicle anteriorly. Two venae comitantes accompany the supraclavicular artery.
What is flap reconstructive surgery?
Flap reconstruction (also called tissue-based reconstruction) is a procedure that involves moving healthy, live tissue from one location on your body to another. Usually this live tissue is moved to areas that have lost skin, fat, muscle movement, and/or skeletal support.
What is a Quaba flap?
A reliable local option for complex wound coverage is the Quaba flap which is a variation of the dorsal metacarpal artery flap based on the Quaba perforator.
What is a VY advancement flap?
A V-Y flap is a modified advancement flap that is used for the repair of small and medium size cutaneous defects. It has the advantage of a robust vascular supply and a reliable healing pattern.
What side is the subclavian artery?
On the left side of the body, the subclavian comes directly off the aortic arch, while on the right side it arises from the relatively short brachiocephalic artery when it bifurcates into the subclavian and the right common carotid artery….
| Subclavian artery | |
|---|---|
| Source | aortic arch (left) brachiocephalic (right) |
Where is subclavian artery located?
The subclavian arteries lie just below the clavicles, providing blood supply to the bilateral upper extremities with contributions to the head and neck. The right subclavian artery derives from the brachiocephalic trunk, while the left subclavian artery originates directly from the aortic arch.
What is a submental island flap?
The submental island flap is an axial patterned flap based on the submental artery. The submental artery is a consistent branch of the facial artery. It arises deep to the submandibular gland and may be deep (70%) or superficial (30%) (ref 8a) to the digastric muscle.
What is the difference between flap and graft?
How does a flap differ from a graft? A flap is transferred with its blood supply intact, and a graft is a transfer of tissue without its own blood supply. Therefore, survival of the graft depends entirely on the blood supply from the recipient site. Flap surgery is a subspecialty of plastic and reconstructive surgery.
What are the risks of flap surgery?
As with any major surgery, DIEP flap surgery also has risks. Common risks from major surgeries can include excessive bleeding, infection, the wound opening, asymmetry, and deep vein thrombosis.
Where is the myocutaneous flap?
Head and Neck. The pectoralis myocutaneous flap can be designed with a skin paddle centered over the lower portion of the muscle. It can be used to resurface the neck, cheek, oral cavity, palate, tonsillar area, and nasopharynx, tongue, floor of mouth, mandible, and cervical area.
Is myocutaneous flap a good choice?
Myocutaneous flaps have historically been the choice in head and neck, pressure sore, perineal, extremity, and breast reconstructions. Wounds that are high risk for infection and have large dead space are ideal for muscle flaps.