• Title/Summary/Keyword: flap

Search Result 2,645, Processing Time 0.032 seconds

Inguinal Soft Tissue Reconstruction Using Pedicled Anterolateral Thigh Flap- A Case Report - (혈관경 전외측대퇴피판을 이용한 서혜부 연부 조직 결손의 재건례)

  • Koo, Youn Taek;Eun, Seok Chan;Baek, Rong Min
    • Archives of Reconstructive Microsurgery
    • /
    • v.20 no.2
    • /
    • pp.113-115
    • /
    • 2011
  • We present our experience of reconstruction of inguinal soft tissue defect following inguinal lymphadenectomy, because of penile squamous cell carcinoma. Malignant infiltration required wide resection, producing a defect requiring complex soft tissue reconstruction. We have used a pedicled anterolateral thigh flap as our first choice flap for this case. Patient achieved reasonable esthetic coverage. Complications were few and patient achieved durable long term coverage. We found this flap to be technically easy, reliable and effective.

  • PDF

Reconstruction of Soft Tissue Defect of Knee Joint Area Using Anterolateral Thigh Perforator Flap (전외측 대퇴부 천공지 피판을 이용한 슬관절부의 연부조직 결손의 재건)

  • Oh, Seung Il;Eun, Seok Chan;Baek, Rong Min
    • Archives of Reconstructive Microsurgery
    • /
    • v.20 no.2
    • /
    • pp.96-101
    • /
    • 2011
  • Reconstruction of soft tissue defect of knee joint area has been remained a challenging task for plastic surgeons. The earlier the normal tissue saved and the necrotic tissue removed, the less the patients had complications and functional disability. But such defects are difficult to manage for its poor vascularity, rigid tissue distensibility, easy infectability and a relatively long healing period. The goal of flap coverage in the knee joint should not only be satisfactory wound coverage, but also acceptable appearance and minimal donor site morbidity. We have treated five cases using the anterolateral thigh perforator flaps for reconstruction successfully. In conclusion, we believe that in cases of knee joint area soft tissue defects, flaps like anterolateral thigh perforator flap should be considered as the first line of treatment.

  • PDF

Cranially-based nasolabial flaps for the reconstruction of nasal surgical defects

  • Kerem, Hakan;Bali, Ulas;Sonmez, Erhan;Evrenos, Mustafa Kursat
    • Archives of Plastic Surgery
    • /
    • v.45 no.2
    • /
    • pp.140-145
    • /
    • 2018
  • Background Cranially-based nasolabial flaps are a good alternative for the reconstruction of nasal defects. Methods A cranially-based nasolabial flap was used in 18 patients to reconstruct defects of the nose from 2010 to 2016, and the long-term results are presented in this report. Results Fifteen of the flaps completely survived. All the patients had a bulky appearance, but they did not want to undergo a second operation for cosmesis. The dissection of the flap took approximately 20 minutes, and the total operation lasted for 1 hour. The patients were hospitalized for 1-7 days, and the postoperative follow-up period was 1-28 months (mean, 17 months). Conclusions The cranially-based nasolabial flap possesses all the advantages of the traditional forehead flap, and can safely be used in selected cases.

Repair of Complete Cleft Lip Using Extended Mohler Repair (완전 구순열에서 확장 Mohler법의 적용)

  • Park, Young-Wook
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • v.34 no.3
    • /
    • pp.200-204
    • /
    • 2012
  • In the repair of unilateral complete cleft lip, the most popular method is the rotation-advancement by Millard. Despite advantages of Millard repair, a few pitfalls exist. Above all, some of the scars, at the height of the cleft side philtral ridge, cross the Langer's line. Further, in the repair of complete cleft lip, small triangular lateral lip flap is often added in the base of an advancement flap to level the Cupid's bow. Moreover, preservation of the advancement flap has some negative effects on a primary nasal repair. As a result, the shape of philtrum is somewhat unnatural. Therefore, I applied the extended Mohler repair in the six cases of complete wide cleft lip to get a more esthetic scar. As a result, more natural, straight philtral ridge was obtained, without adding small triangular flap in the base of the advancement flap.

Surgical Treatment of Postoperative Leakage with Pedicled Omental Flap (유경성 대망이식편을 이용한 술후 식도천공 치험1례)

  • Im, Chang-Yeong;Kim, Yo-Han;Yu, Hoe-Seong
    • Journal of Chest Surgery
    • /
    • v.26 no.4
    • /
    • pp.325-328
    • /
    • 1993
  • The pedicled omental flap has been used for treatment of various kind of complications in thoraxcic surgery. Its property of promoting neovascularization , immunilogic properties that limiting the spread of infection, providing soft tissue coverage are very effective in treatment esophageal fistulas. Also, congenital broncho-esophageal fistula [ BEF ] is a rare disease entity which was reported about 100 cases around the world. We experienced 27 years old female patient with Braimbridge type I congenital BEF. We performed division of BEF using stapler and pericardial patch coverage of esophageal side with concomittent left lower lobectomy. This patient was complicated with postoperative esophageal leakage with empyema thoracis. We have successfully managed these problems with re-thoracotomy and re-closure of esophageal fistula using Right Gastroepiploic Artery based pedicled omental flap wrapping around the esophageal anastomosis site. It is felt that pedicled omental flap is a very effective method to manage esophageal complication such as postoperative esophageal leakage.

  • PDF

SEPARATION CONTROL USING SYNTHETIC JET ON NACA23012 AT HIGH ANGLE OF ATTACK (고받음각의 NACA23012익형에서 synthetic jet을 이용한 박리 제어 연구)

  • Kim S. H.;Kim C.;Kim K. H.
    • 한국전산유체공학회:학술대회논문집
    • /
    • 2005.10a
    • /
    • pp.125-129
    • /
    • 2005
  • Flow control has been performed using synthetic jet on NACA23012. In order to improve aerodynamic performance, synthetic jet is located near separation paint on airfoil with leading edge droop and plain flap. The flow control using synthetic jet shows that stall characteristics and control surface performance can be improved through resizing separation vortices. Stall is delayed and stall characteristics are improved when synthetic jet is applied from separation region of leading edge droop. Control surface effectiveness is increased and lift is increased when synthetic jet applied at the flap leading edge region. The results show that aerodynamic characteristics can be improved through leading edge droop with synthetic jet at near separation and plain flap with synthetic jet at the flap leading edge. The combination of synthetic jet and simple high lift device is as good as fowler flap system.

  • PDF

"Syndrome of the Sinking Skin-Flap" Secondary to the Ventriculoperitoneal Shunt after Craniectomy

  • Han, Pan-Yeal;Kim, Jae-Hoon;Kang, Hee-In;Kim, Joo-Seung
    • Journal of Korean Neurosurgical Society
    • /
    • v.43 no.1
    • /
    • pp.51-53
    • /
    • 2008
  • The syndrome of the sinking skin flap was introduced to explain the phenomenon of neurological deterioration after decompressive craniectomy. A 37-year-old man was admitted with acute subdural hematoma and traumatic intraparenchymal hematoma. After decompressive craniectomy, the patient suffered from hydrocephalus for which a ventriculoperitoneal (V-P) shunt was inserted. Following this procedure, the depression of the skin flap became remarkable and his mentation was deteriorated. The patient recovered uneventfully after temporary elevating of valve pressure and cranioplasty. We present a patient who was successfully managed with elevation of valve pressure and cranioplasty for the syndrome of the sinking scalp flap with review of a pertinent literature.

Wave Reflection and Transmission Characteristics of Flap-type Floating Breakwaters (플랩형 부유 방파제의 파랑 반사 및 전달 특성)

  • Jeong, Shin-Taek;Park, Woo-Sun;Kim, Jeong-Dae
    • Proceedings of the Korea Water Resources Association Conference
    • /
    • 2008.05a
    • /
    • pp.2141-2145
    • /
    • 2008
  • Three kind of system composed with buoyant flap hinged at the sea floor are modeled experimentally. The mechanically coupled system provides shelter by reflecting incident waves and by attenuating wave energy through structural and viscous damping. The characteristics of wave reflection, transmission and dynamic angle of the flap oscillation for various conditions were investigated. The structure can minimize wave transmission by attaching offshore wing wall.

  • PDF

RECONSTRUCTION OF ORAL AND MAXILLOFACIAL DEFECTS USING TEMPORAL MUSCLE FLAP (구강악안면 영역에서의 측두근판(temporal muscle flap)을 이용한 재건술)

  • Bae, Chan-Yong;Hwang, Soon-Jung
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • v.28 no.1
    • /
    • pp.69-73
    • /
    • 2002
  • Temporal muscle flap is usefull for the reconstruction of tissue defect at the oral and maxillofacial area. This article reports 3 cases of temporal muscle flap for the soft tissue reconstruction of infraorbital, palatal and mandibular retromolar area after tumor ablation. The advantages and disadvantage, postoperative complications and technical variations were reviewed and our 3 cases were evaluated in this aspects.

Visualization of Flow Fields Around a Flapped Rudder (플랩이 부착된 타 주위 유동장의 가시화)

  • Kim, Seong-Dong;Kim, Jin-Gu;Lee, Gyoung-Woo;Choi, Min-Seon;Cho, Dae-Hwan
    • Proceedings of the KSME Conference
    • /
    • 2000.11b
    • /
    • pp.615-620
    • /
    • 2000
  • Manoeuvrability of ships has been receiving a great deal of attention both concerning navigation safety and the prediction of ship manoeuvring characteristics, especially at the preliminary design stage. Recently, in order to improve manoeuvrability of ships, High-lift devices could be applied to design of rudder at design stage. Now, among the them, we carried out the flow visualization and investigation of flow field around a flapped rudder(trailing-edge flap). A trailing-edge flap is simply a portion of the trailing-edge section of airfoil that is hinged and which can be deflected upward or downward. Flow visualization results of flap defection shown as follow Photos including main body and flap defection.

  • PDF