Grishkevich, V. M; Grishkevich, M; Menzul, V.
Burns Open, July 2018, Volume 2, Issue 3, Pages 130-138
Burns of anterior shoulder joint surface and neighboring areas produce shoulder edge adduction contracture and scar deformity, slowing down the development of upper limbs in pediatric patients. Therefore, surgical reconstruction is indicated as early as the contracture is formed. Currently used surgical techniques, based on counter transposition of the local triangular flaps and skin transplants, do not solve the problem because of incomplete release of the contractures. Repeated operations are often performed. The scar deformity also remains.
El colgajo sural de flujo reverso ha ganado gran popularidad, pero algunos autores describen como complicación frecuente la necrosis parcial o total del mismo. En este artículo, se presentan una serie de modificaciones técnicas propuestas por los autores para aumentar la viabilidad del colgajo cuando es necesario diseñarlo en su máxima extensión en cobertura de grandes defectos del pie.
Patients with a small breast volume and a relative large lumpectomy volume are at risk of developing severe breast deformity and asymmetry following breast conservation, presenting a unique surgical challenge.
Over the years, the choice of recipient vessels for free flap autologous breast reconstruction has shifted from the thoracodorsal to the internal mammary vessels due to ease of flap inset and predictability of anatomy. However, thoracodorsal vessels are still great recipient vessels, and can be useful, especially in the previously failed or staged autologous breast reconstruction. In this study, we present our experience using thoracodorsal or serratus vessels for profunda artery perforator flaps.
Size of the nose varies in the different parts of the world, and perception of what is the aesthetically acceptable nose shows large differences depending on the ethnic background, type of the society, gender and age. Nose which is generally larger than the average nose in a given society, particularly regarding the height of its nasal bridge, could be defined as a prominent nose.
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