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Titolo:
Versatility and reliability of combined flaps of the subscapular system
Autore:
Germann, G; Bickert, B; Steinau, HU; Wagner, H; Sauerbier, M;
Indirizzi:
BG Trauma Ctr, Burn Ctr, Dept Plast & Hand Surg, Ludwigshafen, Germany BG Trauma Ctr Ludwigshafen Germany t & Hand Surg, Ludwigshafen, Germany Univ Heidelberg, Dept Plast & Reconstruct Surg, Ludwigshafen, Germany UnivHeidelberg Ludwigshafen Germany struct Surg, Ludwigshafen, Germany BG Univ Hosp, Burn Ctr, Dept Plast & Hand Surg, Bochum, Germany BG Univ Hosp Bochum Germany tr, Dept Plast & Hand Surg, Bochum, Germany
Titolo Testata:
PLASTIC AND RECONSTRUCTIVE SURGERY
fascicolo: 5, volume: 103, anno: 1999,
pagine: 1386 - 1399
SICI:
0032-1052(199904)103:5<1386:VAROCF>2.0.ZU;2-9
Fonte:
ISI
Lingua:
ENG
Soggetto:
NECK RECONSTRUCTION; PARASCAPULAR FLAP; SCAPULAR FLAP; DEFECTS; HEAD; HAND;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
21
Recensione:
Indirizzi per estratti:
Indirizzo: Germann, G BGwigshafen,r, Burn Ctr, Dept Plast & Hand Surg, Ludwig GuttmanStr 13, Lud BG Trauma Ctr Ludwig Guttman Str 13 Ludwigshafen Germany Lud
Citazione:
G. Germann et al., "Versatility and reliability of combined flaps of the subscapular system", PLAS R SURG, 103(5), 1999, pp. 1386-1399

Abstract

One-stage reconstructions of complex or unusually large defects frequentlyrequire composite tissue transfers. The various components of these "chimeric" flaps facilitate three-dimensional reconstructions or the col coverageof large surface defects. Data from 36 combined flaps from the subscapulararterial system are demonstrated in this series. Defect locations were evenly distributed between the upper and lower extremities. Eighty-three percent were two-component flaps, and 17 percent contained three or more varioustissue components. Overall flap survival was 97 percent. Major complications included vascular revisions in four patients and seven secondary skin transplantations. Five cases contained osseous components. The independent mobility of skin, muscle, and bone proved to be a major advantage in the reconstruction of compound defects. Donor-site morbidity was acceptable; the most frequent donor-site complication was persistent seroma in 9 of 36 patients (25 percent). Patient satisfaction was high. Ninety-one percent were satisfied with the operative result and would undergo the operation again. Eighty-six percent accepted the aesthetic appearance of the donor site. The data demonstrate that these complex flap procedures are extremely reliable and versatile, thus avoiding multiple reconstructive procedures and achieving excellent reconstructive results with acceptable donor-site morbidity.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/11/20 alle ore 04:17:25