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Titolo:
FREE-FLAP EXPANSION USING BALLOON-ASSISTED ENDOSCOPIC TECHNIQUE
Autore:
LIN CH; LEVIN LS;
Indirizzi:
CHANG GUNG MEM HOSP,5 FU HSING ST TAYUAN TAIWAN CHANG GUNG MEM HOSP,DEPT PLAST & RECONSTRUCT SURG TAIPEI 10591 TAIWAN
Titolo Testata:
Microsurgery
fascicolo: 6, volume: 17, anno: 1996,
pagine: 330 - 336
SICI:
0738-1085(1996)17:6<330:FEUBET>2.0.ZU;2-E
Fonte:
ISI
Lingua:
ENG
Soggetto:
EXPANDED FREE FLAPS; TISSUE EXPANSION; DELAY PHENOMENON; SCAPULAR FLAP; HARVEST;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
18
Recensione:
Indirizzi per estratti:
Citazione:
C.H. Lin e L.S. Levin, "FREE-FLAP EXPANSION USING BALLOON-ASSISTED ENDOSCOPIC TECHNIQUE", Microsurgery, 17(6), 1996, pp. 330-336

Abstract

Pre-expansion of free flaps augments flap size dimensions and provides delay of tissue by opening ''choke'' vessels, thus augmenting the territories of adjacent angiosomes. Pre-expansion of free tissue transfers has been used for reconstruction of large soft tissue defects. A secondary benefit is that the donor site, traditionally treated by skin graft, can be closed primarily. Using conventional techniques for freefrap pre-expansion, blunt dissection may risk injury to the pedicle. Using balloon dissectors a large optical cavity can be created quicklythrough an avascular fascial cleft. This allows endoscopic exploration of the optical cavity and confirmation of placement of the tissue expander. In addition, balloon-assisted endoscopic tissue expander placement optimizes the hysteresis effect of skin stretching and offers thepossibility of immediate fluid inflation, which ultimately shortens the time for free flap expansion prior to microsurgical transfer. (C) 1997 Wiley-Liss, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/12/20 alle ore 04:48:40